Abstract
In patients with Brachial Plexus Birth Palsy (BPBP) both pronation and supination deformities can happen depending on the extent of injury, pattern of recovery and the resulting muscle imbalance. The main aim of the corrective surgery is to improve function but improving appearance of the limb is also an important consideration. Pronation posture is more important for bimanual and table top activities while the supination position is required for eating and worshiping activities in some cultures. In the limb which is being used for eating, supination restoration procedures are indicated. Supination deformity is cosmetically bad and has been termed as- “beggar's hand” or “unshakable hand”. It also places the hand in less functional position and results in disability more than that would be expected for the existing muscle power in the hand. Correction of the deformity places the hand in a cosmetic position and also improves the function of the hand.
Highlights
From 10th Congress of the Asia-Pacific Federation of Societies of Surgery fo the Hand and the 6th Congress of Asia-Pacific Federation of Societies of Hand Therapists Kuala Lumpur, Malaysia. 2-4 October 2014
Restoration of forearm supination The technique of correction depends on the status of the possible donors, the associated deficits requiring correction and presence of passive forearm rotation
Tendon transfer procedures have the advantage of maintaining movement in opposite direction but a bony procedure e.g. forearm osteotomy decreases the rotation in the opposite direction
Summary
From 10th Congress of the Asia-Pacific Federation of Societies of Surgery fo the Hand and the 6th Congress of Asia-Pacific Federation of Societies of Hand Therapists Kuala Lumpur, Malaysia. 2-4 October 2014. In patients with Brachial Plexus Birth Palsy (BPBP) both pronation and supination deformities can happen depending on the extent of injury, pattern of recovery and the resulting muscle imbalance. In the limb which is being used for eating, supination restoration procedures are indicated. It places the hand in less functional position and results in disability more than that would be expected for the existing muscle power in the hand.
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