Manske P R
J Hand Surg Am. 1985 Jul;10(4):553-60. doi: 10.1016/s0363-5023(85)80082-4.
Twenty patients with the thumb-in-palm deformity associated with cerebral palsy were treated surgically by redirecting the extensor pollicis longus (EPL) tendon through the first dorsal retinacular compartment in association with releasing the spastic intrinsic thenar muscles at their origin. The redirected EPL tendon augmented extension-abduction of the thumb in all patients; 18 patients were able to grasp with the thumb outside the clenched fist and noted improvement in functional activities. Augmentation tendon transfer that uses the EPL is an ideal surgical treatment for patients with cerebral palsy who have a thumb-in-palm deformity, since the procedure relieves an adduction deforming force and augments the weak extension-abduction by means of a musculotendon transfer that is known to function during digital extension. Consequently, postoperative reeducation of the transfer is minimal.
20例患有与脑瘫相关的拇指内收畸形的患者接受了手术治疗，方法是将拇长伸肌腱（EPL）经第一背侧支持带间隙重新定向，并在其起点处松解痉挛的大鱼际固有肌。重新定向的EPL肌腱增强了所有患者拇指的伸展外展功能；18例患者能够用拇指在紧握的拳头外抓握，并注意到功能活动有所改善。使用EPL的增强肌腱转移术是患有拇指内收畸形的脑瘫患者的理想手术治疗方法，因为该手术可解除内收变形力，并通过已知在手指伸展时起作用的肌腱转移来增强薄弱的伸展外展功能。因此，术后对转移肌腱的再训练需求极小。
