Abstract
There are merely three surgical methods for treating spastic hands in cerebral palsy: These methods are release of the spastic muscles, tendon transfer and arthrodesis. We have not found it advisable or necessary to carry out tendon transfer and arthrodesis. For the correction of a deformity in the upper extremity, we applied proximal muscle release and fractional lengthening of the musculotendinous junction. This method was carried out in 11 cases. The results showed that, 1) wrist and finger flexion contracture were remarkably improved by fractional lengthening of the musculotendinous junction, and, 2) thumb -in-palm deformity was not improved at all by the lengthening of the flexor pollicis longus.
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