Pronating Radius Osteotomy for Supination Deformity in Children With Obstetric Brachial Plexus Palsy.

TECHNIQUES

Techniques in Hand & Upper Extremity Surgery. 12(1):34-37, March 2008.
van Kooten, E. Oscar MD 1; Ishaque, M. Asad 1; Winters, Hay A. H. MD 1; Ritt, Marco J. P. F. MD, PhD 1; van der Sluijs, Hans A. MD, PhD 2

Abstract:
Purpose: In obstetric brachial plexus lesions, muscle imbalance caused by active supinator muscles and paralyzed pronator muscles can result in a supination position of the wrist, which, apart from cosmesis, may interfere with function.

Methods: In this retrospective study, we describe the results of a pronating radius osteotomy for supination deformity of the hand in children with an obstetric brachial plexus lesion.

Results: After a mean follow-up of 23 months, all 8 patients (mean age, 9.4 years; range, 4-13 years), operated between 1998 and 2006, had improved functionally and aesthetically.

Conclusions: All patients had improved functionally and aesthetically.

(C) 2008 Lippincott Williams & Wilkins, Inc.