脑瘫中的痉挛性腕关节屈曲。旋前圆肌与尺侧腕屈肌移位术
Spastic wrist flexion in cerebral palsy. Pronator teres versus flexor carpi ulnaris transfer.
作者信息
Bisneto Edgard de Novaes França, Rizzi Nivea, Setani Eliana Ogassawara, Casagrande Livia, Fonseca Joseane, Fortes Glaucia
机构信息
Department of Orthopedics, Traumatology, Hand Surgery and Microsurgery, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil ; Associação de Assistência à Criança Deficiente (AACD), São Paulo, SP, Brazil.
Associação de Assistência à Criança Deficiente (AACD), São Paulo, SP, Brazil.
出版信息
Acta Ortop Bras. 2015 May-Jun;23(3):150-3. doi: 10.1590/1413-785220152303145550.
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.
目的
分析将旋前圆肌（PT）或尺侧腕屈肌（FCB）转移至桡侧腕长伸肌/桡侧腕短伸肌（ECRL/B）的患者数据，以纠正脑瘫患者的腕关节屈曲畸形。
方法
患者分为两组：PT组和FCU转至ECRL/B组。通过测角法和手部功能测试（FHT）评估结果。
结果
测角法显示FCU转移有统计学显著差异。FHT方面无统计学显著差异。
结论
PT和FCU转至ECRB都是纠正脑瘫患者腕关节屈曲畸形的良好选择。证据级别III，非随机对照队列/随访研究。
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