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 (SCI-Expanded) identifier identifier identifier


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.