Cerebral palsy is a very common pediatric disorder that is characterized by limb immobility and balance disorders. Deformities of the lower extremities are common in this disease, and relatively few deformities of the upper extremities, with spasticity causing severe deformities and dysfunction of the wrist and hand
The spasticity causes severe deformity and dysfunction of the wrist and hand. Early and timely rehabilitation is very important, and for children with severe or untimely treatment residual hand deformities can have a huge impact on the child and family, and effective treatment can greatly change their quality of life. Since 2006, the author has treated 24 patients with anterior wrist flexion deformity by muscle balancing with good results. Sun Liquan, Department of Pediatric Surgery, Jinan Children’s Hospital, first introduced the following. Data From 2006 to 2011, 24 cases of cerebral palsy with wrist-hand deformity were admitted, 16 males and 8 females. The patients in this group had received at least 2-3 years of
The patients in this group had received systematic rehabilitation treatment for at least 2-3 years, and three of them had received three injections of botulinum toxin. There were 17 cases of spastic cerebral palsy and 7 cases of tardive dyskinesia. They showed forearm rotation, palmar flexion of the wrist joint, finger stiffness and flexion of the thumb inversion deformity, and interphalangeal joint into gooseneck deformity aggravated by distal finger flexion. All the fingers could reach function during passive activities, but the function of wrist flexion to fingers was lost when actively holding objects, but the muscle strength of the hand was significantly increased with involuntary movements.