Kreulen M, Smeulders M J C, Veeger H E J, Hage J J, van der Horst C M A M
Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Centre, Amsterdam, The Netherlands.
J Hand Surg Br. 2004 Feb;29(1):55-60. doi: 10.1016/s0266-7681(03)00226-2.
The effect of combined pronator teres rerouting and flexor carpi ulnaris transfer on forearm rotation was prospectively studied by comparison of pre- and postoperative three-dimensional analysis of forearm range of motion in ten patients with cerebral palsy. One year postoperatively, surgery had improved maximal supination of the forearm in all patients by an average of 63 degrees, but there was also a mean loss of 40 degrees pronation. Forearm range of motion increased by a mean of 23 degrees. The centre of the range of motion on average shifted 52 degrees in the direction of supination. Based on these results of objective forearm range of motion analysis, we conclude that the common combination of pronator teres rerouting and flexor carpi ulnaris transfer in patients with cerebral palsy effectively facilitates active supination but impairs active pronation.
通过对10例脑瘫患者术前和术后前臂活动范围的三维分析比较，前瞻性研究了旋前圆肌改道联合尺侧腕屈肌转移对前臂旋转的影响。术后1年，手术使所有患者的前臂最大旋后平均改善了63度，但旋前平均损失了40度。前臂活动范围平均增加了23度。活动范围的中心平均向旋后方向移动了52度。基于这些客观的前臂活动范围分析结果，我们得出结论，脑瘫患者中常见的旋前圆肌改道联合尺侧腕屈肌转移有效地促进了主动旋后，但损害了主动旋前。
