Outcomes After Surgical Treatment of Spastic Upper Extremity Conditions

Geneva V. Tranchida, Ann E. Van Heest

Research output: Contribution to journalReview articlepeer-review

Abstract

Surgical interventions for the spastic upper extremity aim to correct the common deformities of elbow flexion, forearm pronation, wrist flexion and ulnar deviation, and thumb-in-palm deformity. One goal is achieving optimal function and improved limb positioning. Aesthetics of the limb have a profound impact on self-esteem and satisfaction. Surgical deformity correction has not reliably been shown to improve sensory function such as stereognosis. Validated outcome measures are used to present outcomes after surgical treatment of the spastic upper extremity as it relates to motor function and limb positioning, sensory function, and self-esteem.

Original languageEnglish (US)
Pages (from-to)583-591
Number of pages9
JournalHand Clinics
Volume34
Issue number4
DOIs
StatePublished - Nov 2018

Keywords

  • Cerebral palsy
  • Spastic hemiplegia
  • Surgical outcomes
  • Treatment
  • Upper extremity

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