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Long-term results following surgical treatment of elbow deformity in patients with cerebral palsy.

Publication ,  Journal Article
Dy, CJ; Pean, CA; Hearns, KA; Swanstrom, MM; Janowski, LC; Carlson, MG
Published in: J Hand Surg Am
December 2013

PURPOSE: To evaluate the long-term results of surgical intervention for elbow flexion deformity in cerebral palsy. We hypothesized that improvements in elbow extension and flexion posture angle at ambulation would be maintained over time with preservation of active flexion. METHODS: A total of 23 patients (23 elbows) were available for long-term follow-up. Patients had fixed elbow contractures less than 45° and were treated with partial elbow muscle lengthening. Active and passive range of motion and elbow flexion posture during ambulation were measured at each follow-up, and longitudinal results were compared. RESULTS: Active extension and flexion posture angle during ambulation improved 12° and 63°, respectively, with an 8° loss of active flexion. CONCLUSIONS: Soft tissue lengthening of the anterior elbow can provide statistically significant lasting improvements in active extension and flexion posture during ambulation in patients with cerebral palsy. Our long-term findings substantiate previously reported short-term results. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

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Published In

J Hand Surg Am

DOI

EISSN

1531-6564

Publication Date

December 2013

Volume

38

Issue

12

Start / End Page

2432 / 2436

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Risk Assessment
  • Retrospective Studies
  • Range of Motion, Articular
  • Orthopedics
  • Orthopedic Procedures
  • Male
  • Joint Deformities, Acquired
  • Humans
 

Citation

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ICMJE
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Dy, C. J., Pean, C. A., Hearns, K. A., Swanstrom, M. M., Janowski, L. C., & Carlson, M. G. (2013). Long-term results following surgical treatment of elbow deformity in patients with cerebral palsy. J Hand Surg Am, 38(12), 2432–2436. https://doi.org/10.1016/j.jhsa.2013.09.028
Dy, Christopher J., Christian A. Pean, Krystle A. Hearns, Morgan M. Swanstrom, Lorene C. Janowski, and Michelle Gerwin Carlson. “Long-term results following surgical treatment of elbow deformity in patients with cerebral palsy.J Hand Surg Am 38, no. 12 (December 2013): 2432–36. https://doi.org/10.1016/j.jhsa.2013.09.028.
Dy CJ, Pean CA, Hearns KA, Swanstrom MM, Janowski LC, Carlson MG. Long-term results following surgical treatment of elbow deformity in patients with cerebral palsy. J Hand Surg Am. 2013 Dec;38(12):2432–6.
Dy, Christopher J., et al. “Long-term results following surgical treatment of elbow deformity in patients with cerebral palsy.J Hand Surg Am, vol. 38, no. 12, Dec. 2013, pp. 2432–36. Pubmed, doi:10.1016/j.jhsa.2013.09.028.
Dy CJ, Pean CA, Hearns KA, Swanstrom MM, Janowski LC, Carlson MG. Long-term results following surgical treatment of elbow deformity in patients with cerebral palsy. J Hand Surg Am. 2013 Dec;38(12):2432–2436.
Journal cover image

Published In

J Hand Surg Am

DOI

EISSN

1531-6564

Publication Date

December 2013

Volume

38

Issue

12

Start / End Page

2432 / 2436

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Risk Assessment
  • Retrospective Studies
  • Range of Motion, Articular
  • Orthopedics
  • Orthopedic Procedures
  • Male
  • Joint Deformities, Acquired
  • Humans