Duquette Stephen P, Adkinson Joshua M
Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall 232, Indianapolis, IN 46202, USA.
Division of Plastic Surgery, Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Emerson Hall 232, Indianapolis, IN 46202, USA.
Hand Clin. 2018 Nov;34(4):487-502. doi: 10.1016/j.hcl.2018.06.006.
Upper extremity spasticity may result from a variety of types of brain injury, including cerebral palsy, stroke, or traumatic brain injury. These conditions lead to a predictable pattern of forearm and wrist deformities caused by opposing spasticity and flaccid paralysis. Upper extremity spasticity affects all ages and sociodemographics and is a complex clinical problem with a variety of treatment options depending on the patient, the underlying disease process, and postoperative expectations. This article discusses the cause, diagnosis, operative planning, operative techniques, postoperative outcomes, and rehabilitation protocols for the spastic wrist and forearm.
上肢痉挛可能由多种类型的脑损伤引起，包括脑瘫、中风或创伤性脑损伤。这些情况会导致由对抗性痉挛和弛缓性麻痹引起的可预测的前臂和手腕畸形模式。上肢痉挛影响所有年龄和社会人口统计学特征，是一个复杂的临床问题，根据患者、潜在疾病过程和术后预期有多种治疗选择。本文讨论了痉挛性手腕和前臂的病因、诊断、手术规划、手术技术、术后结果和康复方案。
