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

J Hand Surg Br. 2004 Jun;29(3):265-70. doi: 10.1016/j.jhsb.2004.02.003.

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 81 degrees of active supination.

MeSH terms

  • Adolescent
  • Cerebral Palsy / physiopathology
  • Cerebral Palsy / surgery*
  • Child
  • Child, Preschool
  • Female
  • Forearm / physiopathology
  • Forearm / surgery*
  • Humans
  • Male
  • Muscle, Skeletal / physiopathology
  • Muscle, Skeletal / surgery*
  • Pronation / physiology
  • Supination / physiology*
  • Tendon Transfer / methods*
  • Treatment Outcome