Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics17910.21823/2311-2905-2016-22-3-135-145ReviewsОбзорыReviewsSURGICAL TREATMENT OF STIFFNESS AND MOTION DISORDERS OF UPPER LIMB IN CHILDREN WITH SPASTIC CEREBRAL PALSY (REVIEW)ХИРУРГИЧЕСКОЕ ЛЕЧЕНИЕ КОНТРАКТУР И ДВИГАТЕЛЬНЫХ УСТАНОВОК ВЕРХНЕЙ КОНЕЧНОСТИ У ДЕТЕЙ СО СПАСТИЧЕСКИМИ ФОРМАМИ ДЦП (ОБЗОР ЛИТЕРАТУРЫ)AndreevA. A.АндреевА. В.
Russian Federation

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

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

Андреев Антон Вадимович - аспирант, врач травматолог-ортопед отделения детской ортопедии № 2.

Ул. фрунзе, д. 17, г. Новосибирск, Россия, 630091, e-mail: doctor_andreev@icloud.comdoctor_andreev@icloud.comRyzhikovD. V.РыжиковД. В.
Russian Federation

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

Рыжиков Дмитрий Владимирович - кандидат медицинских наук заведующий отделением детской ортопедии № 2 

GubinaE. V.ГубинаЕ. В.
Russian Federation

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

Губина Елена Владимировна - кандидат медицинских наук врач травматолог-ортопед отделения детской ортопедии № 2 

Novosibirsk Research Institute of Traumatology and Orthopedics N.A. Ya.L. Tsivyan, NovosibirskНовосибирский научно-исследовательский институт травматологии и ортопедииимени Я.Л. Цивьяна, Новосибирск1510201622313514515102016151020162016https://journal.rniito.org/jour/article/view/179

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.

Специфическое поражение  верхней  конечности  при  спастических  формах  ДЦп в значительной степени ограничивает возможности самообслуживания, обучение письму, затрудняет передвижение с помощью дополнительных  средств  опоры  и снижает  возможности трудовой  деятельности. Спастическое поражение  верхней конечности  является сложным  многоуровневым пороком, прогрессирующим с возрастом  и приводящим к ещё большим  страданиям. Слабый  интерес  к коррекции спастических  деформаций верхних  конечностей  и недостаточная  информированность  о возможностях  хирургической  реабилитации  оставляет   значительную  часть нуждающихся пациентов без лечения. Описаны  успехи и сложности  хирургической ортопедической коррекции «спастической руки» при ДЦп, основные рабочие классификации и результаты лечения, основанные  на анализе научной литературы.

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