• Users Online: 386
  • Print this page
  • Email this page
REVIEW ARTICLE
Year : 2019  |  Volume : 3  |  Issue : 1  |  Page : 75-84

Upper limb spasticity surgery in adults: What we learned in 5 years of practicing it


1 Department of Orthopaedic, Iasis Private Hospital, Paphos, Cyprus; Manchester Hand Centre, Salford Royal NHS Foundation Trust, Manchester, UK
2 University of Central Lancashire, Larnaca, Cyprus
3 Manchester Hand Centre, Salford Royal NHS Foundation Trust, Manchester, UK
4 Luton and Dunstable Hospital NHS Foundation Trust, Luton, UK

Correspondence Address:
Dr. Constantinos Kritiotis
Iasis Private Hospital, 8 Voriou Ipirou Street, 8036, Paphos

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmsr.jmsr_83_18

Rights and Permissions

We have been practicing surgical management of adult upper limb spasticity for the past 5 years. So far, we have evaluated 20 patients, and we have operated on nine patients with spasticity of the upper limb in Cyprus and the United Kingdom. We aim to present the setup and running of a new service, which is devoted to Surgery for Spasticity of the Upper Limb. We present our structure, organisational processes and service provision as well as our results in the nine cases that had surgical treatment as a part of their management (as well as our preferred techniques). We discuss our outcomes as well as our learning points from these cases. We also believe that selective neurectomy procedures can be very useful in the surgical management of upper limb spasticity. Tendon transfers to augment finger extension have a limited role and provide no significant benefits in adult spasticity cases. In addition, we found that the extensor carpi ulnaris transfer to extensor carpi radialis brevis has in our experience, reliable results regarding concentric wrist extension as well as easier rehabilitation. Furthermore, in severe cases, where no functional improvement is expected, joint fusions have a more predictable outcome. Spasticity reduction surgery does gain ground with the increase in survival of stroke patients as well as traumatic brain injury patients. Therefore, up to date methods for assessing, operating and evaluating postoperatively this category of patients need to be vigorously checked.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed101    
    Printed6    
    Emailed0    
    PDF Downloaded13    
    Comments [Add]    

Recommend this journal