SURGICAL TREATMENT OF STIFFNESS AND MOTION DISORDERS OF UPPER LIMB IN CHILDREN WITH SPASTIC CEREBRAL PALSY (REVIEW)

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Abstract

Specific upper limb disorders accompanying spastic cerebral palsy substantially restrict self-care, writing abilities, hinder movements with external support aids and limit work capability. Spastic upper limb represents a complex multilevel abnormality progressing with age and leading to increased suffering of the patient. Little interest towards surgical correction of spastic upper limb along with insufficient awareness on surgical rehabilitation options leaves considerable number of patients without relevant treatment.

The present paper describes advances and complexities of orthopaedic correction for spastic arm in ICP, key classifications used and treatment outcomes based on scientific literature analysis.

About the authors

A. A. Andreev

Novosibirsk Research Institute of Traumatology and Orthopedics N.A. Ya.L. Tsivyan, Novosibirsk

Author for correspondence.
Email: doctor_andreev@icloud.com

Andreev Anton A. - the orthopaedic surgeon of the department of child orthopaedics.

Ul. Frunze, 17, Novosibirsk, Russia, 630091; e-mail: doctor_andreev@icloud.com

Россия

D. V. Ryzhikov

Novosibirsk Research Institute of Traumatology and Orthopedics N.A. Ya.L. Tsivyan, Novosibirsk

Email: fake@neicon.ru

Ryzhikov Dmitry V. - the head of the department of child orthopaedics

Россия

E. V. Gubina

Novosibirsk Research Institute of Traumatology and Orthopedics N.A. Ya.L. Tsivyan, Novosibirsk

Email: fake@neicon.ru

Gubina Elena V. - the orthopaedic surgeon of the department of child orthopedics

Россия

References

  1. Умнов В.В., Новиков В.А., Эвозиль А.В. Диагностика и лечение спастической руки у детей с детским церебральным параличом: обзор литературы. Часть 2. Консервативное и хирургическое лечение верхней конечности. Травматология и ортопедия России. 2011;3(61):137-145.
  2. Beach W.R., Strecker W.B., Coe J., Manske P.R., Schoenecker P.L., Dailey L. Use of the Green transfer in treatment of patients with spastic cerebral palsy: 17-year experience. J Pediatr Orthop. 1991;11(6):731-736.
  3. Braun R.M., Vise G.T., Roper B. Preliminary experience with superficialis-to-profundus tendon transfer in the hemiplegic upper extremity. J Bone Joint Surg Am. 1974;56(3):466-472.
  4. Bunata R.E. Pronator teres rerouting in children with cerebral palsy. Hand Surg Am. 2006;31(3):474-482.
  5. Carlson M.G. Green's operative hand surgery. In: Green D.P., Hotchkiss R.N., Pederson W.C., Wolfe S.W., editors. Cerebral palsy. Philadelphia: Churchill Livingstone. 2005. р. 1197-1234.
  6. Carlson M.G., Brooks C. The effect of altered hand position and motor skills on Stereognosis. J Hand Surg Am. 2009;34(5):896-899. doi: 10.1016/j.jhsa.2009.01.029
  7. Carlson M.G., Hearns K.A., Inkellis E., Leach M.E. Early results of surgical intervention for elbow deformity in cerebral palsy based on degree of contracture. J Hand Surg Am. 2012;37(8):1665-1671. doi: 10.1016/j.jhsa.2012.05.013.
  8. Cheema T.A., Firoozbakhsh K., De Carvalho A.F., Mercer D. Biomechanic comparison of 3 tendon transfers for supination of the forearm. J Hand Surg Am. 2006;31(10):1640-1644.
  9. Cobeljic G., Rajkovic S., Bajin Z., Lesic A., Bumbasirevic M., Aleksic M., Atkinson H.D. The results of surgical treatment for pronation deformities of the forearm in cerebral palsy after a mean follow-up of 17.5 years. J Orthop Surg Res. 2015;8(10):106. doi: 10.1186/s13018-015-0251-3
  10. Colton C.L., Ransford A.O., Lloyd-Roberts G.C. Transposition of the tendon of pronator teres in cerebral palsy. J Bone Joint Surg Br. 1976;58(2):220-223.
  11. Crenshaw A.H. Campbell's operative orthopaedics, 8th edition. St. Louis: Mosby Year Book. 1992. р. 3281-3298.
  12. de Bruin M., van Vliet D.C., Smeulders M.J., Kreulen M. Long-term results of lateral band translocation for the correction of swan neck deformity in cerebral palsy. J Pediatr Orthop. 2010;30(1):67-70. doi: 10.1097/BPO.0b013e3181c6c363
  13. Dy C.J., Pean C.A., Hearns K.A., Swanstrom M.M., Janowski L.C., Carlson M.G. Long-term results following surgical treatment of elbow deformity in patients with cerebral palsy. J Hand Surg Am. 2013;38(12):2432-2436. doi: 10.1016/j.jhsa.2013.09.028
  14. El-Said N.S. Selective release of the flexor origin with transfer of flexor carpi ulnaris in cerebral palsy. J Bone Joint Surg Br. 2001;83-B:259-262.
  15. Ezaki M., Oishi S.N. Technique of forearm osteotomy for pediatric problems. J Hand Surg Am. 2012;37(11):2400- 2403. doi: 10.1016/j.jhsa.2012.08.033
  16. Facca S., Louis P., Isner M.E., Gault D., Allieu Y., Liverneaux P. Braun's flexor tendons transfer in disabled hands by central nervous system lesions. Orthop Traumatol Surg Res. 2010;96(6):656-661. doi: 10.1016/j.otsr.2010.03.023
  17. Green W.T. Tendon transplantation of the flexor carpi ulnaris for pronation-flexion deformity of the wrist. Surg Gynecol Obstet. 1942;75:337.
  18. Gong H.S., Cho H.E., Chung C.Y., Park M.S., Lee H.J., Baek G.H. Early results of anterior elbow release with and without biceps lengthening in patients with cerebral palsy. J Hand Surg Am. 2014;39(5):902-909. doi: 10.1016/j.jhsa.2014.02.012
  19. Gong H.S., Kang J.Y., Lee J.O., Chung M.S., Baek G.H. Wrist arthrodesis with volar plate fixation in cerebral palsy. Tech Hand Up Extrem Surg. 2010;14(2):69-72. doi: 10.1097/BTH.0b013e3181cffb7b
  20. Gschwind C., Tonkin M. Surgery for cerebral palsy: Part 1. Classification and operative procedures for pronation deformity. J Hand Surg Br. 1992;17(4):391-395.
  21. Gwilym S., Swan M.C., Giele H.P. Sesamoid arthrodesis of the thumb: a technique using a Mitek anchor and wire suture. Ann R Coll Surg Engl. 2005;87(2):139.
  22. Ho J.J. Pronator teres transfer for forearm and wrist deformity in cerebral palsy children. J Pediatr Orthop. 2015;35(4):412-418. doi: 10.1097/BPO.0000000000000276
  23. House J.H., Gwathmey F.W., Fidler M.O. A dynamic approach to the thumb-in palm deformity in cerebral palsy. J BoneJoint Surg Am. 1981;63(2):216-225.
  24. Hunt T.R., Wiesel S.W. Operative techniques in hand, wrist, and forearm surgery. London: Lippincott Williams &Wilkins. 2010. р. 952-959.
  25. Keats S. Surgical treatment of the hand in cerebral palsy: correction of thumb-in-palm and other deformities. Report of nineteen cases. J Bone Joint Surg Am. 1965;47:274-284.
  26. Kinnucan E., Van Heest A., Tomhave W. Correlation of motor function and stereognosis impairment in upper limb cerebral palsy. J Hand Surg Am. 2010;35(8):1317-1322. doi: 10.1016/j.jhsa.2010.04.019
  27. Lawson R.D., Tonkin M.A. Surgical management of the thumb in cerebral palsy. Hand Clin. 2003;19(4):667-677.
  28. Little W.J. Hospital for the Cure of Deformities: course of lectures on the deformities of the human frame. Lancet. 1843;350-354.
  29. Manske P.R., Langewisch K.R., Strecker W.B., Albrecht M.M. Anterior elbow release of spastic elbow flexion deformity in children with cerebral palsy. J Pediatr Orthop. 2001;21(6):772-777.
  30. Matev I. Surgical treatment of spastic "thumb-in-palm" deformity. J Bone Joint Surg Br. 1963;45(4):703-708.
  31. Matev I. Surgery of the spastic thumb-in-palm deformity. J Hand Surg Br. 1991;16(2):127-132.
  32. Miller F. Cerebral palsy. N.Y.: Springer; 2005. 418 р.
  33. Mital M.A. Lengthening of the elbow flexors in cerebral palsy. J Bone Joint Surg Am. 1979;61(4):515-522.
  34. Moon E.S., Howlett J., Wiater B.P., Trumble Т.Е. Treatment of plastic deformation of the forearm in young adults with double-level osteotomies: case reports. J Hand Surg Am. 2011;36(4):639-646. doi: 10.1016/ j.jhsa.2010.11.042
  35. Morrey B.F., Askew L.J., Chao E.Y. A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am. 1981;63(6):872-877.
  36. Omer G.E., Capen D.A. Proximal row carpectomy with muscle transfers for spastic paralysis. J Hand Surg Am. 1976;1(3):197-204.
  37. Ozkan Т., Tuncer S., Aydin A., Hosbay Z., Gulgonen A. Brachioradialis re-routing for the restoration of active supination and correction of forearm pronation deformity in cerebral palsy. J Hand Surg Br. 2004;29(3):265-270.
  38. Ozkan Т., Tuncer S. Upper extremity surgery in cerebral palsy. JAREM. 2012;2:43-54.
  39. Ozkan T., Bicer A., Aydin H.U., Tuncer S., Aydin A., Hosbay Z.Y. Brachialis muscle transfer to the forearm for the treatment of deformities in spastic cerebral palsy. J Hand Surg Eur. 2013;38(1):14-21.
  40. Pappas N., Baldwin K., Keenan M.A. Efficacy of median nerve recurrent branch neurectomy as an adjunct to ulnar motor nerve neurectomy and wrist arthrodesis at the time of superficialis to profundus transfer in prevention of intrinsic spastic thumb-in-palm deformity. J Hand Surg Am. 2010;35(8):1310-1316. doi: 10.1016/j.jhsa.2010.05.007
  41. Patterson J.M., Wang A.A., Hutchinson D.T. Late deformities following the transfer of the flexor carpi ulnaris to the extensor carpi radialis brevis in children with cerebral palsy. J Hand Surg Am. 2010;35(11):1774-1778. doi: 10.1016/j.jhsa.2010.07.014
  42. Tavade P.N., Athani M.S., Rege P.V. Pre and post surgical functional analysis of spastic hand. Ind J Occup Ther. 2003;35(2) http://medind.nic.in/iba/t03/i2/ibat03i2p7.pdf.
  43. Rayan G.M., Young B.T. Arthrodesis of the spastic wrist. J Hand Surg Am. 1999;24(5):944-952.
  44. Sakellarides H.T., Mital M.A., Lenzi W.D. Treatment of pronation contractures of the forearm in cerebral palsy by changing the insertion of the pronator radii teres. J Bone Joint Surg Am. 1981;63(4): 645-52.
  45. Strecker W.B., Emanuel J.P., Daily L., Manske P.R. Comparison of pronator tenotomy and pronator re-rouing in children with spastic cerebral palsy. J Hand Surg Am. 1988;13:540-543.
  46. Thabet A.M., Kowtharapu D.N., Miller F., Dabney K.W., Shah S.A., Rogers K., Holmes L.Jr. Wrist fusion in patients with severe quadriplegic cerebral palsy. Musculoskelet Surg. 2012;96(3):199-204. doi: 10.1007/s12306-012-0217-0
  47. Tonkin M. The upper limb in cerebral palsy. Curr Orthop. 1995;9:149-55.
  48. Tonkin M.A., Hatrick N.C., Eckersley J.R., Couzens G. Surgery for cerebral palsy part 3: classification and operative procedures for thumb deformity. J Hand Surg Br. 2001;26(5):465-470.
  49. Tonkin M., Freitas A., Koman A., Leclercq C., Van Heest A. The surgical management of thumb deformity in cerebral palsy. J Hand Surg Eur. 2008;33(1):77-80. doi: 10.1177/1753193407087891
  50. Tonkin M.A., Beard A.J., Kemp S.J., Eakins D.F. Sesamoid arthrodesis for hyperextension of the thumb metacarpophalangeal joint. J Hand Surg Am. 1995;20(2):334-338.
  51. Tonkin M.A., Hughes J., Smith K.L. Lateral band translocation for swan-neck deformity. J Hand Surg Am. 1992;17(2):260-267.
  52. Van Heest A.E., House J.H., Cariello C. Upper extremity surgical treatment of cerebral palsy. J Hand Surg Am. 1999;24(2):223-230.
  53. Van Heest A.E., Strothman D. Wrist arthrodesis in cerebral palsy. J Hand Surg Am. 2009;34(7):1216-1224. doi: 10.1016/j.jhsa.2009.03.006
  54. Zancolli E.A., Zancolli E.R.Jr. Surgical management of the hemiplegic spastic hand in cerebral palsy. Surg Clin North Am. 1981;61(2):395-406.
  55. Zancolli E.A. Structural and dynamic bases of hand surgery, 2nd ed. Philadelphia: JB Lippincott; 1979.
  56. Zancolli EA. Surgical management of the hand in infantile spastic hemiplegia. Hand Clin. 2003;19(4): 609-629.

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