Article,

Classification and surgical treatment of the thumb-in-palm deformity in cerebral palsy and spastic paralysis.

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J Hand Surg Am, 20 (3): 428--431 (May 1995)

Abstract

Over a 20-year period, 59 children with spasticity mainly due to cerebral palsy underwent surgery for correction of a thumb-in-palm deformity. A classification of the deformity based on the functional anatomy of the thumb divided the problem into four different types. A retrospective analysis of the results has shown the classification to be helpful in selecting a surgical option for treatment. In addition, the classification helps to keep accurate records, predict patient progress, and coordinate postoperative treatment.

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