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Brachioradialis Re-Routing for the Restoration of Active Supination and Correction of Forearm Pronation Deformity in Cerebral Palsy

From the Department of Plastic and Reconstructive Surgery, Section of Hand Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey and Department of Microsurgery, American Hospital, Istanbul, Turkey

Correspondence: Dr Turker Ozkan, MD., Valikona Cad. Sezai Selek Sok., Akil Apt. 2/2 D:5, Nisantasi, 80200 Istanbul, Turkey. Tel.: +90-212-2465253, +90-532- 2143264; Fax : +90-212- 2466124; E-mail: drozkan{at}prizma.net.tr

A brachioradialis muscle rerouting procedure was used to restore active supination in five children with cerebral palsy and a pronation deformity. Following release and lengthening of the pronator quadratus and pronator teres muscles, respectively, the brachioradialis tendon was divided as a Z plasty and the distal part of the tendon was passed through the interosseous space in a dorsal to palmar direction, and then sutured to its proximal end. The procedure resulted in a gain of 81° of active supination.

Key Words: cerebral palsy • pronation deformity • supinator plasty • brachioradialis re-routing

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 3, 263-268 (2004)
DOI: 10.1016/J.JHSB.2004.02.003


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