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Journal of Hand Surgery (British and European Volume)
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Articles

Surgical Correction of Supination Deformity in Children with Obstetric Brachial Plexus Palsy

J. BAHM
A. GILBERT

From the Institute de la Main, Paris, France

Correspondence: Dr Jörg Bahm, Reconstructive Surgery Unit, St. Franziskus Hospital, Morillenhang 27, D52074 Aachen, Germany. E-mail: Jorg.bahm{at}belgacom.net

We present a series of 40 children who were operated on for supination contracture following severe obstetric brachial plexus palsy. Surgery was done at an average age of 7 years and the mean postoperative follow-up was 4 years. In the 23 cases treated by an open or closed radial osteotomy, the mean intraoperative derotation was 78°, the immediate postoperative position was 29° pronation and it stabilized at follow-up at 17° pronation. Biceps rerouting was performed in 17 cases without any recurrence of supination deformity and the final position was 22° pronation. Some active forearm rotation was obtained in a few cases. These surgical corrections are part of an overall treatment plan and allow the "begging hand" to be corrected to a more functional and less noticeable position.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 1, 20-23 (2002)
DOI: 10.1054/JHSB.2001.0647
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This article has been cited by other articles:


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A. Yam, S. Fullilove, M. Sinisi, and M. Fox
The supination deformity and associated deformities of the upper limb in severe birth lesions of the brachial plexus
J Bone Joint Surg Br, April 1, 2009; 91-B(4): 511 - 516.
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