Long-term follow-up on tendon transfers to the extensors of the wrist and fingers in patients with cerebral palsy
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Cited by (43)
The Green Transfer—Long-Term Results
2023, Journal of Hand SurgeryWrist shortening arthrodesis with volar plate in a dorsal position for spastic wrist contracture
2022, Hand Surgery and RehabilitationSurgical management of the adult spastic hand
2011, Chirurgie de la MainLate deformities following the transfer of the flexor carpi ulnaris to the extensor carpi radialis brevis in children with cerebral palsy
2010, Journal of Hand SurgeryCitation Excerpt :Green and Banks' original description recommended that the transfer be placed such that the wrist is held in 45° of extension and full supination; in that series, the authors reported no patients developed an extension posture.4 Most other authors recommended that the transfer be tensioned between neutral and 20° of extension.3,6,9,17 We agree with these authors and feel that the FCU to ECRB tendon transfer should be tensioned in no more than 30° of extension because postoperative hyperextension deformities have been reported in patients whose transfers were tensioned in maximum extension.8,9
Surgery of the upper extremity in cerebral palsy
2010, Orthopedic Clinics of North AmericaCitation Excerpt :An individualized and detailed functional evaluation is also a critical component for developing the appropriate surgical plan. Dynamic electromyography (EMG) provides a qualitative and quantitative assessment of voluntary motor control and the type of motor activity of muscles being considered for transfer.14–16 A videotaped evaluation of the upper extremity in children with CP provides an objective assessment of a patient’s motor performance and functional capacity.