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Pronator teres transfer for forearm and wrist deformity in cerebral palsy children

Jimmy J T Ho1, Ting-Ming Wang, Jeng-Yi Shieh

  • 1*Department of Orthopedic Surgery, Landseed Hospital, Taoyuan County Departments of †Orthopedic Surgery ‡Physical Medicine & Rehabilitation, National Taiwan University Hospital §Center for Evidence-Based Medicine, Taipei Medical University, Taipei, Taiwan.

Journal of Pediatric Orthopedics
|July 31, 2014
PubMed

Insights

Pronator teres transfer surgery improved forearm supination and wrist extension in children with cerebral palsy (CP). This procedure enhanced grip strength and daily living skills, offering a valuable treatment option for upper extremity dysfunction.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Rehabilitation
  • Cerebral Palsy Research

Background:

  • Forearm pronation and wrist flexion contractures significantly impair daily living and bimanual function in children with cerebral palsy (CP).
  • Improving forearm posture and grip strength is crucial for better functional outcomes in affected children.

Purpose of the Study:

  • To evaluate the effectiveness of pronator teres transfer surgery in addressing forearm pronation and wrist flexion contractures in children with CP.

Main Methods:

  • A case series involving 17 spastic cerebral palsy patients (mean age 12y 5mo) who underwent pronator teres transfer.
  • Preoperative and postoperative assessments included range of motion, grip power, forearm resting position, and daily living skills.
  • Statistical analysis utilized paired t tests.

Main Results:

  • Significant gains in active forearm supination (80.9°) and wrist extension (76.9°).
  • Improved forearm resting position (10° pronation) and enhanced grip power (4.5 kg).
  • Marked improvements observed in basic daily living skills.

Conclusions:

  • Pronator teres transfer effectively improves wrist extension and reduces forearm pronation in CP.
  • The surgery leads to significant enhancements in grip strength and forearm posture.
  • This surgical technique is a valuable addition to managing upper extremity disabilities in children with CP.
Abstract

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