| Rerouting of the biceps brachii for paralytic supination contracture of the forearm in tetraplegia due to trauma. | |
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MedLine Citation:
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PMID: 8126045 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Six tetraplegic patients (eight forearms) who had a supination contracture were evaluated after lengthening and rerouting of the biceps brachii. Preoperatively, the mean range of supination and pronation of the forearm was 85 and 14 degrees, respectively. Pronation increased a mean of 75 degrees without affecting the strength of flexion or the flexion-extension arc of motion of the elbow. The forearms that had a satisfactory result had a mean active range of supination of 69 degrees, while those that had a poor result had no active supination. The mean duration of follow-up was twenty-seven months (range, twelve to seventy-two months). The result was considered satisfactory for six limbs and unsatisfactory for two. Functional gains were made in the patients' ability to feed and groom themselves, in their ability to tend to personal hygiene, and in writing and typing skills when the dominant extremity was treated. The results were less predictable for the non-dominant extremity. The maximum gain in the range of motion occurred at three months and the maximum functional gain, by six months. |
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Authors:
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H Gellman; D Kan; R L Waters; A Nicosa |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. American volume Volume: 76 ISSN: 0021-9355 ISO Abbreviation: J Bone Joint Surg Am Publication Date: 1994 Mar |
Date Detail:
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Created Date: 1994-04-08 Completed Date: 1994-04-08 Revised Date: 2010-10-25 |
Medline Journal Info:
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Nlm Unique ID: 0014030 Medline TA: J Bone Joint Surg Am Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 398-402 Citation Subset: AIM; IM |
Affiliation:
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Department of Orthopaedic Surgery, University of Southern California, Los Angeles 90033. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Contracture / etiology, surgery* Elbow Joint / physiopathology Female Forearm / physiopathology* Functional Laterality Humans Male Motion Therapy, Continuous Passive Pronation / physiology Quadriplegia / complications*, rehabilitation Range of Motion, Articular Supination / physiology Tendon Transfer / methods* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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