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Spastic wrist flexion in cerebral palsy. Pronator teres versus flexor carpi ulnaris transfer

OBJECTIVE: Analize data on patients submitted to transfer of the pronator teres (PT) or the flexor carpi ulnaris (FCB) to the extensor carpi radialis longus/brevis (ECRL/B) in order to correct flexed wrist deformity in patients with cerebral palsy. METHOD: Patients were divided into two groups: PT g...

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Detalles Bibliográficos
Autores principales: Bisneto, Edgard de Novaes França, Rizzi, Nivea, Setani, Eliana Ogassawara, Casagrande, Livia, Fonseca, Joseane, Fortes, Glaucia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Ortopedia e Traumatologia 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4503608/
https://www.ncbi.nlm.nih.gov/pubmed/26207093
http://dx.doi.org/10.1590/1413-785220152303145550
Descripción
Sumario:OBJECTIVE: Analize data on patients submitted to transfer of the pronator teres (PT) or the flexor carpi ulnaris (FCB) to the extensor carpi radialis longus/brevis (ECRL/B) in order to correct flexed wrist deformity in patients with cerebral palsy. METHOD: Patients were divided into two groups: PT group and FCU group to ECRL/B. The results were evaluated by goniometry and by the functional hand test (FHT). RESULTS: Goniometry showed a statistically significant difference in favor of FCU transfer. There was no statistically significant difference regarding FHT. CONCLUSION: Both transfers PT and FCU to ECRB are good options to correct wrist flexion deformity in cerebral palsy. Level of Evidence III, Non-randomized Controlled Cohort/Follow-Up Study.