Surgical Management of Spasticity of the Thumb and Fingers

Hand Clin. 2018 Nov;34(4):473-485. doi: 10.1016/j.hcl.2018.06.005.

Abstract

Spasticity of the hand profoundly limits an individual's independent ability to accomplish self-care and activities of daily living. Surgical procedures should be tailored to patients' needs and functional ability, and even patients with severe cognitive injuries and poor upper extremity function may benefit from surgery to improve appearance and hygiene. Careful preoperative examination and planning are needed, and consideration is given to the potential unintended detrimental effect of a surgical procedure on hand function.

Keywords: Cerebral palsy; Hand; Spasticity; Surgery.

Publication types

  • Review

MeSH terms

  • Arthrodesis
  • Fingers / abnormalities
  • Fingers / physiopathology
  • Fingers / surgery*
  • Hand Strength / physiology
  • Humans
  • Muscle Spasticity / classification
  • Muscle Spasticity / physiopathology
  • Muscle Spasticity / surgery*
  • Muscle, Skeletal / surgery
  • Physical Examination
  • Tendon Transfer
  • Tendons / surgery
  • Thumb / abnormalities
  • Thumb / physiopathology
  • Thumb / surgery*
  • Wrist Joint / abnormalities
  • Wrist Joint / physiopathology
  • Wrist Joint / surgery