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Brachioradialis re-routing for the restoration of active supination and correction of forearm pronation deformity in cerebral palsy

Authors
Journal
The Journal of Hand Surgery British & European Volume
0266-7681
Publisher
SAGE Publications
Publication Date
Volume
29
Issue
3
Identifiers
DOI: 10.1016/j.jhsb.2004.02.003

Abstract

Abstract A brachioradialis muscle rerouting procedure was used to restore active supination in five children with cerebral palsy and a pronation deformity. Following release and lengthening of the pronator quadratus and pronator teres muscles, respectively, the brachioradialis tendon was divided as a Z plasty and the distal part of the tendon was passed through the interosseous space in a dorsal to palmar direction, and then sutured to its proximal end. The procedure resulted in a gain of 81° of active supination.

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