Electromyography was used to supplement clinical evaluation in planning tendon transfers in twenty-four children with cerebral palsy. Sixteen flexible deformities of the hind part of the foot, four internally rotated lower limbs, and four flexible deformities of the forearm and wrist were studied. When deforming muscles were active exclusively in one 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 twenty-four patients six months after operation.

Cerebral Palsy↗

PubMed1976

Femoral shaft fractures in brain-injured children.

Thirty-nine head injured, initially comatose children with 44 femoral shaft fractures were treated by various methods. Thirty-two eventually ambulated. Tibial skeletal traction and skin traction were ineffective methods of management. Internal fixation or distal femoral traction are advised.

Adolescent↗

PubMed1976

Percutaneous lateral malleolar transtibial pin fixation of unstable ankle fractures.

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Adolescent↗

PubMed1976

Non-traumatic dislocation of the radial head in cerebral palsy.

To our knowledge, there has been only one previous description of dislocation of the radial head associated with cerebral palsy. This paper describes nine such dislocations, eight of which were bilateral and posterior and one, unilateral and anterior. There was an incidence of this abnormality of 2.4 per cent in 368 of the cases surveyed. Of those patients with cerebral palsy and with flexion contracture of the elbow and pronation contracture of the forearm, 27 per cent had the dislocation.

Cerebral Palsy↗

PubMed1976

Electromyography before and after surgery for hip deformity in children with cerebral palsy. A comparison of clinical and electromyographic findings.

Twenty-three ambulatory children with spastic diplegic cerebral palsy were evaluated clinically and by electromyography before and after hip-muscle surgery. The stretch tests originally designed to distinguish specific muscle tightness and spasticity were found to be non-specific when tested by electromyography. Ambulatory electromyograms using needle electrodes and telemetry generally showed decreased activity in the released muscles and, on occasion, changes in activity in muscles not operated on. These unanticipated changes after release may explain some of the unpredictability of results of such procedures in cerebral palsy.

Adolescent↗

PubMed1974