Spastic Condition
Cerebral Palsy
Spastic condition may follow some kind of damage to the brain. It may be immediately after birth, or later in the life after head injury, or an episode of stroke. The patient typically presents with a tightness of a specific group of muscles.
In a very typical scenario, the posture of the affected upper extremity is:
- Elbow is slightly flexed.
- Internally rotated.
- Wrist is flexed.
- Fingers are flexed in to a fist. The thumb is in palm.
- A part of the thumb is bent backward(Hyperextension at Metacarpo-phalangeal joint).
Spastic thumb
- Thumb in palm deformity
- Hyperextension MP joint
- Adductor policies release in palm
- APL loop around BR
- Sesamoid-Metacarpal fusion
Surgery for Spastic hand
- Tendon transfer FCU> ECRB For Correction of flexed wrist
- Zancolli Aponeurotic release of Flexor Pronator for correction of nexed elbow
- Pronator muscle rerouting for correction of pronated forearm
