Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Oct;43(8):879-884.
doi: 10.1177/1753193418780590. Epub 2018 Jun 5.

Pronator teres selective neurectomy in children with cerebral palsy

Marion Helin  1 , Manon Bachy  1 , Claire Stanchina  2 , Frank Fitoussi  1
Affiliations

Pronator teres selective neurectomy in children with cerebral palsy

Marion Helin et al. J Hand Surg Eur Vol. 2018 Oct.

Abstract

The objective of this study was to evaluate the results after selective pronator teres (PT) neurectomy in children with spastic hemiplegia. Patients with PT spasticity without contracture and an active supination improvement after PT botulinum toxin injection were included. Hand function and deformities were evaluated with the House score, Gschwind and Tonkin pronation deformity classification and Zancolli's classification. Twenty-two patients (mean age 11.6 years) were included in this study. The average follow-up was 32.6 months. All but one patient improved their supination with a preoperative mean active supination of 5° (range -80-70°) and postoperative of 48° (range 10-90°). Active pronation was always maintained at the last follow-up. PT selective neurectomy appears to improve active and passive forearm supination and should be included in a global strategy of treatments to improve upper limb function in children with cerebral palsy.

Level of evidence: IV.

Keywords: Selective neurectomy; cerebral palsy; pronation deformity; pronator teres.

PubMed Disclaimer