The Journal of hand surgery, European volume · 2026
Long-term outcomes of selective adductor muscle release for House type 1 thumb-in-palm deformity in cerebral palsy.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Altas Okyar, Meriç Emre, Torna Gaye, Akalın Bora Edim, Berkoz Hayri Ömer, Aydın Atakan
Аннотация
INTRODUCTION: This study retrospectively assessed the long-term outcomes of surgical treatment for House type 1 thumb-in-palm deformities in 25 patients with spastic hemiplegic cerebral palsy.
METHODS: The study included 25 patients (mean age: 12.8 years) who met the inclusion criteria. The surgical technique involved the release of spastic thumb adductors, enhancement of thumb abduction and extension and stabilization of the first metacarpophalangeal joint. Patients wore a below-elbow palmar splint with the first phalanx in abduction for 6 weeks, followed by static splinting between weeks 6 and 8, dynamic splinting and rehabilitation between weeks 8 and 16 and night splinting until month 6. The Manual Ability Classification System (MACS) scores and fine and gross grasping abilities were measured and compared with those on the contralateral side.
RESULTS: The mean follow-up period was 8.8 years. The MACS score decreased from 2.72 preoperatively to 1.56 in the long term. Marked improvements in grasping ability were observed: key-pinch improved by 19%, tip-to-pinch by 19.2%, triple-pinch by 19.5% and gross grasping by 37%.
CONCLUSION: This study suggests that surgical treatment can improve long-term functional outcomes of thumb-in-palm deformities in patients with cerebral palsy.Level of evidence: III, Therapeutic.
METHODS: The study included 25 patients (mean age: 12.8 years) who met the inclusion criteria. The surgical technique involved the release of spastic thumb adductors, enhancement of thumb abduction and extension and stabilization of the first metacarpophalangeal joint. Patients wore a below-elbow palmar splint with the first phalanx in abduction for 6 weeks, followed by static splinting between weeks 6 and 8, dynamic splinting and rehabilitation between weeks 8 and 16 and night splinting until month 6. The Manual Ability Classification System (MACS) scores and fine and gross grasping abilities were measured and compared with those on the contralateral side.
RESULTS: The mean follow-up period was 8.8 years. The MACS score decreased from 2.72 preoperatively to 1.56 in the long term. Marked improvements in grasping ability were observed: key-pinch improved by 19%, tip-to-pinch by 19.2%, triple-pinch by 19.5% and gross grasping by 37%.
CONCLUSION: This study suggests that surgical treatment can improve long-term functional outcomes of thumb-in-palm deformities in patients with cerebral palsy.Level of evidence: III, Therapeutic.