3.9 Article

Wrist shortening arthrodesis with volar plate in a dorsal position for spastic wrist contracture

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Summary: In addition to motor deficits, central nervous system disorders can also cause spasticity and contractures, making assessment and treatment more complex. Tendon transfers in this population have limited indications and should be combined with other procedures. We propose a method to evaluate these patients using a score (INOM) that considers prognostic factors and surgical corrections. Nerve blocks and botulinum toxin injections are essential tools for analysis. The surgical strategy can be determined based on the INOM score. We describe the indications and relative role of tendon transfers among other techniques for each joint.

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