A new technique for the surgical correctyon of forearm pronation deformity in cerebral palsy: Brachioradialis re-routing supinatorplasty

Abstract

In this study, a brachioradialis muscle rerouting procedure was used to restore active supination in six children with cerebral palsy. Following release and lengthening of the pronator quadratus and pronator teres muscles, respectively, the brachioradialis tendon is divided as a Z plasty and the distal part of the tendon is 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 81degrees in active supination. Brachioradialis re-routing supinatorplasty is presented as an alternative for correction of forearm pronation deformity in cerebral palsy.