[The upper limb of children with cerebral palsy: surgical aspects]

Area of Science:

• Orthopedics
• Neurology
• Pediatrics

Background:

• Cerebral palsy (CP) presents a complex, multifactorial etiology.
• Upper limb dysfunction is common in CP, impacting function, hygiene, and cosmesis.

Purpose of the Study:

• To outline the principles and procedures of functional upper limb surgery in cerebral palsy.
• To emphasize the importance of thorough clinical evaluation for surgical candidates.

Main Methods:

• Review of surgical techniques for cerebral palsy affecting the upper limb.
• Discussion of procedures including muscle release/lengthening, tendon transfers, and joint stabilization.
• Highlighting the necessity of understanding surgical indications and contraindications.

Main Results:

• Functional surgery offers diverse procedures targeting the elbow, wrist, fingers, and thumb.
• Pre-operative clinical assessment is crucial for successful surgical outcomes.
• Knowledge of indications and contraindications guides surgical decision-making.

Conclusions:

• Surgical management of the upper limb in cerebral palsy aims to enhance patient function and quality of life.
• A comprehensive understanding of surgical options and patient assessment is vital for effective treatment.
• Functional surgery requires careful consideration of specific patient needs and procedural applicability.