%0 Journal Article %1 Beach1991 %A Beach, W. R. %A Strecker, W. B. %A Coe, J. %A Manske, P. R. %A Schoenecker, P. L. %A Dailey, L. %D 1991 %J J Pediatr Orthop %K Adolescent; Cerebral Palsy; Child; Child, Preschool; Contracture; Female; Hand Deformities, Acquired; Humans; Male; Muscle Spasticity; Retrospective Studies; Tendon Transfer; Tendons; Wrist Joint %N 6 %P 731--736 %T Use of the Green transfer in treatment of patients with spastic cerebral palsy: 17-year experience. %V 11 %X We retrospectively reviewed Green procedures and transfer of the flexor carpi ulnaris (FCU) in treatment of spastic forearm pronation, wrist volarflexion, and ulnar deviation deformities. Patient's ages ranged from 3 years 5 months to 16 years 5 months. Surgically, a single volar incision was made and the extensor carpi radialis brevis and/or longus (ECRB, ECRL) were used for insertion. The FCU was tensioned at neutral against gravity and immobilized in 5 degrees of dorsiflexion and 45 degrees of supination. Arc of flexion (47 degrees) did not change but was centered about neutral. Supination improved markedly when operation included a pronator procedure. Quadraplegia athetosis and intellectual impairment did not affect the operative result adversely. Patients aged greater than 12 years showed less functional improvement. Eighty-eight percent had cosmetic improvement, and 79\% improved functionally. None had a decreased functional rating.

@article{Beach1991, abstract = {We retrospectively reviewed Green procedures and transfer of the flexor carpi ulnaris (FCU) in treatment of spastic forearm pronation, wrist volarflexion, and ulnar deviation deformities. Patient's ages ranged from 3 years 5 months to 16 years 5 months. Surgically, a single volar incision was made and the extensor carpi radialis brevis and/or longus (ECRB, ECRL) were used for insertion. The FCU was tensioned at neutral against gravity and immobilized in 5 degrees of dorsiflexion and 45 degrees of supination. Arc of flexion (47 degrees) did not change but was centered about neutral. Supination improved markedly when operation included a pronator procedure. Quadraplegia athetosis and intellectual impairment did not affect the operative result adversely. Patients aged greater than 12 years showed less functional improvement. Eighty-eight percent had cosmetic improvement, and 79\% improved functionally. None had a decreased functional rating.}, added-at = {2014-07-19T17:55:12.000+0200}, author = {Beach, W. R. and Strecker, W. B. and Coe, J. and Manske, P. R. and Schoenecker, P. L. and Dailey, L.}, biburl = {https://www.bibsonomy.org/bibtex/29c724975a2d7a805d9cbac1dab808e29/ar0berts}, groups = {public}, interhash = {1dff1ea8b5768b728cd0929c31388b20}, intrahash = {9c724975a2d7a805d9cbac1dab808e29}, journal = {J Pediatr Orthop}, keywords = {Adolescent; Cerebral Palsy; Child; Child, Preschool; Contracture; Female; Hand Deformities, Acquired; Humans; Male; Muscle Spasticity; Retrospective Studies; Tendon Transfer; Tendons; Wrist Joint}, number = 6, pages = {731--736}, pmid = {1960196}, timestamp = {2014-07-19T18:03:27.000+0200}, title = {Use of the Green transfer in treatment of patients with spastic cerebral palsy: 17-year experience.}, username = {ar0berts}, volume = 11, year = 1991 }