Our aim was to determine whether the length and function of flexor carpi ulnaris muscle were affected by separating it from its soft tissue connections. We measured before after dissection in ten patients with cerebral palsy. After tenotomy, tetanic contraction shortened a mean 8 mm. Subsequent separate all connections, resulted further shortening 17 mm (p < 0.001). This indicated that dissected connective had been strong enough maintain contracting muscle. Passive extension wrist still...

Thumb-in-palm deformity disturbs a functional grip of the hand in patients with cerebral palsy. Reported recurrence rates after surgical correction are contradicting and earlier studies limited to short-term follow-up. Therefore, aim this retrospective clinical outcome study is evaluate success rate thumb-in-palm around 1 year at minimum 5 years In addition, long-term patient satisfaction treatment evaluated.Patients palsy who underwent for their between April 2003 2008 Academic Medical...

To apply magnetic resonance imaging (MRI) as a tool for quantifying muscle volume of forearm muscles feasibility and reliability estimation the flexor carpi ulnaris (FCU) extensor (ECU).Forearms 10 subjects were scanned twice. Muscle volumes calculated from manual outlines on axial slices, slice thickness, number slices. Observer agreement repeatability estimated using intraclass correlation, coefficient variation, smallest detectable difference.The average FCU ECU was 31.0 mL (SD 11.5 mL)...

Purpose The aim of this study was to evaluate the long-term effect lateral band translocation for correcting swan neck deformity in patients with cerebral palsy at a minimum follow-up 5 years. Methods Swan deformities 62 fingers were corrected using modified translocation. At 1-year and 5-year follow-up, any recurrence hyperextension recorded through nonconstrained evaluation. Active extension proximal interphalangeal joint beyond 0 degree considered recurrence. Results Correction successful...

The effect of combined pronator teres rerouting and flexor carpi ulnaris transfer on forearm rotation was prospectively studied by comparison pre- postoperative three-dimensional analysis range motion in ten patients with cerebral palsy. One year postoperatively, surgery had improved maximal supination the all an average 63°, but there also a mean loss 40° pronation. Forearm increased 23°. centre shifted 52° direction supination. Based these results objective analysis, we conclude that...

We simulated pronator teres rerouting using a three-dimensional biomechanical model of the arm. Simulations comprised evaluation changes in muscle length and moment arm with forearm axial rotation elbow flexion. The Pronator Teres was by defining path for it through interosseous membrane re-attachment to its original insertion. However effect moving insertion new positions, 2 cm below above, position also assessed. on total internal external capacity determined calculating potential moments...

Background: Little is known about the effects of upper-extremity surgery on manual performance children and adolescents with cerebral palsy (CP). This clinical cohort study describes our experience patient selection based multidisciplinary assessment shared decision-making patient-relevant outcomes. Methods: All patients (up to 20 years age) CP referred team for evaluation between July 2011 May 2017 were included. Suitability was assessed comprehensive, screening, decision proceed made...

The effect of surgical correction impaired forearm rotation on associated body movement patterns was studied prospectively by comparison preoperative and postoperative three-dimensional video analysis the upper extremity trunk in eight male two female patients with hemiplegic cerebral palsy (CP; mean age 16y 2mo [SD 4y 11mo]; range 11-27y). A customized parameter, 'extrinsic rotation', used to quantify movements supplementing rotation. After pronation deformity, active supination during a...

Use of the deep inferior epigastric perforator (DIEP) flap is gaining popularity as method choice for breast reconstruction and replacement prosthetic implants. Ideally, volume prosthesis replaced by same autologous tissue to restore shape symmetry. Still, intraoperative volumetry not practical under sterile circumstances. The first step toward a clinical measure matching would be acquire knowledge specific density female subcutaneous abdominal fat tissue. weight abdominoplasty specimens...

The management of primary and secondary radial nerve palsy associated with humeral shaft fractures is still controversial. Radial function likely to return spontaneously after as well in the absence any level neurotmesis. Identification protection during surgery may prevent palsy, but not always performed depends on location fracture, experience preference surgeon. We report a case healthy 40-year-old woman, referred our hospital complete failed plate fixation right fracture. During...

Background: Although microsurgical transplantation of the sternocostal segment pectoralis major muscle shares most advantages latissimus dorsi free flap, latter has become a workhorse microsurgery and segmental flap not. By presenting their clinical experience with primary transplantations this to reconstruct craniofacial defects, authors intend draw more attention its application promote use in reconstructive surgery. Methods: Segmental flaps were used for reconstruction defects four male...

Metastatic spread towards the carpalia is very rare [5], especially when metastasis presents earlier then primary tumor [4]. Malignant tumors rather disseminate to lungs, liver or larger skeletal bones (e.g., spine, pelvic ribs) before might present in carpal bones. The hand affected approximately 0.1 % of all metastatic spread, and even then, it most often occurs distal phalanges, followed by metacarpal proximal phalanges [5, 6]. We a case patient whose painful wrist was first clinical...

Determine healthcare costs of upper-extremity surgical correction in children with spastic cerebral palsy (CP).This cohort study included 39 CP who had surgery for their upper extremity at a Dutch hospital. A retrospective cost analysis was performed including both hospital and rehabilitation costs. Hospital were determined using microcosting methodology. Rehabilitation estimated reference prices.Hospital averaged €6813 per child. Labor (50%), overheads (29%), medical aids (15%) important...