Preoperative and postoperative dynamic electromyography as an aid in planning tendon transfers in children with cerebral palsy
Perry, J.; Hoffer, M.M.
Journal of Bone and Joint Surgery. American Volume 59(4): 531-537
1977
ISSN/ISBN: 0021-9355 PMID: 863949 Document Number: 111322
Electromyography was used to supplement clinical evaluation in planning tendon transfers in 4 children with cerebral palsy. Sixteen flexible deformities of the hind part of the foot, 4 internally rotated lower limbs and 4 flexible deformities of the forearm and wrist were studied. When deforming muscles were active exclsuively in 1 portion of either the gait cycle or a function of an upper extremity, appropriate tendon transfers were performed. When continuous muscle activity was noted, tendon lengthening was utilized. The desired function was obtained in all 24 patients six mo. after operation.