Salazard B, Medina J
Pôle Parents-Enfants, fondation hôpital Saint-Joseph, 26, boulevard de Louvain, 13008 Marseille, France.
Chir Main. 2008 Dec;27 Suppl 1:S215-21. doi: 10.1016/j.main.2008.07.024. Epub 2008 Aug 21.
Cerebral palsy has a complex and multifactorial etiology. The management of the upper limb aims to improve function, hygiene and cosmesis in many patients. Surgical treatment need a good and repeated clinical examination before. The functional surgery has a lot of procedures on the elbow, the wrist, the fingers and the thumb. These procedures include the release or lengthening of spastic muscles, tendon transfers and joint stabilizations. The surgeon must know the indications and contraindications of functional surgery.
脑瘫具有复杂的多因素病因。对于许多患者而言，上肢治疗旨在改善功能、卫生状况和美观。手术治疗之前需要进行全面且反复的临床检查。上肢功能手术涉及肘部、腕部、手指和拇指的多种术式，包括痉挛肌肉的松解或延长、肌腱转位和关节稳定术等。外科医生必须了解功能手术的适应证和禁忌证。
