Treatment of Swan Neck Deformity in Cerebral Palsy

Swan neck deformity in patients with cerebral palsy can result from hand intrinsic muscle spasticity or overpull of the digital extensors. After accurate identification of the etiology of the deformity, surgical treatment is directed at correcting the underlying muscle imbalance. Intrinsic lengtheni...

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Bibliographic Details
Published inThe Journal of hand surgery (American ed.) Vol. 39; no. 4; pp. 768 - 772
Main Authors Carlson, Erik J., MD, Carlson, Michelle Gerwin, MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.04.2014
Subjects
Cerebral palsy
Cerebral Palsy - complications
Cerebral Palsy - surgery
extensor tendons
Hand Deformities, Acquired - etiology
Hand Deformities, Acquired - surgery
Humans
intrinsic tightness
Muscle Spasticity - complications
Muscle Spasticity - surgery
Orthopedics
Postoperative Care
swan neck deformity
Tenotomy
extensor tendons
Cerebral palsy
intrinsic tightness
swan neck deformity
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Summary:Swan neck deformity in patients with cerebral palsy can result from hand intrinsic muscle spasticity or overpull of the digital extensors. After accurate identification of the etiology of the deformity, surgical treatment is directed at correcting the underlying muscle imbalance. Intrinsic lengthening can be used to treat intrinsic muscle spasticity, whereas central slip tenotomy is employed when digital extensor overpull is the deforming force. Accurate diagnosis and application of the proper surgical technique are essential when treating swan neck deformity in patients with cerebral palsy.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0363-5023
1531-6564
DOI:10.1016/j.jhsa.2014.01.039