House J H, Gwathmey F W, Fidler M O
J Bone Joint Surg Am. 1981 Feb;63(2):216-25.
One hundred and sixty-five different surgical procedures were performed for the correction of thumb deformities in fifty-six patients with spastic cerebral palsy at Gillette Children's Hospital, St. Paul, Minnesota, between 1967 and 1975. The quality of voluntary muscle control and sensibility were the most important factors in predicting the success of operation. In the past, thumb deformities were classified on the basis of the static position of the thumb, but rational treatment decisions can be made only by a careful assessment of the patient's hand and thumb function. Using various combinations of releases, tendon transfers, and joint stabilizations, measurable and predictable improvement in function was achieved in all fifty-six patients whose records were analyzed.
1967年至1975年间，明尼苏达州圣保罗市吉列儿童医院对56例痉挛性脑瘫患者的拇指畸形进行了165种不同的外科手术。自主肌肉控制和感觉功能的质量是预测手术成功的最重要因素。过去，拇指畸形是根据拇指的静态位置进行分类的，但只有通过仔细评估患者的手部和拇指功能，才能做出合理的治疗决策。通过各种松解、肌腱转移和关节稳定术的组合，对56例有记录可分析的患者均实现了功能上可测量和可预测的改善。
