J Am Acad Orthop Surg 2021 May;29(9):e416-e426
From the Department of Orthopaedic Surgery (Chaudhry), University of Connecticut, Connecticut Children's Medical Center, Hartford, CT, and the Department of Hand and Microsurgery (Bhardwaj, Venkatramani, and Sabapathy), Ganga Hospital, Coimbatore, India.
Multilevel surgery for upper extremity spasticity is the current surgical standard. While the literature details surgical techniques and outcomes, a comprehensive guide to surgical planning is lacking. Patients commonly present with posturing into shoulder internal rotation, elbow flexion, forearm pronation, wrist flexion with ulnar deviation, finger flexion, and thumb adduction, although variations exist. Read More