Hoffer M M
Rancho Los Amigos Hospital, Downey, California.
Clin Orthop Relat Res. 1993 Mar(288):135-8.
One hundred nine cerebral palsy hands referred for consideration for tendon transfers were examined clinically and by dynamic electromyography. Wire electromyography as used in gait analysis at the author's institution was employed in each of these cases. Most patients required transfers for release (opening) of the hand. The flexor carpi ulnaris and brachioradialis were the most common muscles active in release, yet even in those muscles, less than half were suitable for transfer. This suggests that the wire electromyogram is helpful in selecting the proper muscle for tendon transfer in the cerebral palsy hand.
对109例因考虑肌腱转移术而转诊的脑瘫手部病例进行了临床检查和动态肌电图检查。作者所在机构在步态分析中使用的针极肌电图被应用于每一例此类病例。大多数患者需要通过转移术来松解（打开）手部。尺侧腕屈肌和肱桡肌是在松解过程中最常活跃的肌肉，但即使在这些肌肉中，也只有不到一半适合进行转移。这表明针极肌电图有助于在脑瘫手部中选择合适的肌腱转移肌肉。
