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


Özkan T., Tuncer S., Aydın A., HOŞBAY Z. , Gülgönen A.

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, no.3, pp.265-270, 2004 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2004
  • Doi Number: 10.1016/j.jhsb.2004.02.003
  • Title of Journal : JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME
  • Page Numbers: pp.265-270

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 81degrees of active supination.