Tranchida Geneva V, Van Heest Ann E
Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue South, Suite R200, Minneapolis, MN 55455, USA.
Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue South, Suite R200, Minneapolis, MN 55455, USA.
Hand Clin. 2018 Nov;34(4):583-591. doi: 10.1016/j.hcl.2018.06.014. Epub 2018 Aug 20.
Surgical interventions for the spastic upper extremity aim to correct the common deformities of elbow flexion, forearm pronation, wrist flexion and ulnar deviation, and thumb-in-palm deformity. One goal is achieving optimal function and improved limb positioning. Aesthetics of the limb have a profound impact on self-esteem and satisfaction. Surgical deformity correction has not reliably been shown to improve sensory function such as stereognosis. Validated outcome measures are used to present outcomes after surgical treatment of the spastic upper extremity as it relates to motor function and limb positioning, sensory function, and self-esteem.
上肢痉挛的外科干预旨在矫正常见的肘部屈曲、前臂旋前、腕部屈曲和尺侧偏斜以及拇指内收畸形。一个目标是实现最佳功能并改善肢体位置。肢体的美观对自尊和满意度有深远影响。手术矫正畸形尚未被可靠地证明能改善诸如实体觉等感觉功能。使用经过验证的结果指标来呈现上肢痉挛手术治疗后的结果，这些结果与运动功能和肢体位置、感觉功能以及自尊有关。
