Area:
FOREARM
Primary Problem: Pronating,
or rotating palm downward too much.
Most Common Procedure: Re-routing
of the pronator teres.
This procedure helps to decrease the forearm
turning the palm towards the floor. The pronator teres muscle is detached at
one end, moved and reattached so it functions to hold the arm more in the mid
position instead of the palm down position. In this procedure it is important
to assess the pre-operative function of the forearm pronators and supinators
(rotate arm up). Pre-operative condition will suggest if the procedure will
help the muscle to function actively and actually turn the forearm up or
whether it will function passively to harness the forearm in a more neutral
(middle) position. Either outcome can improve the position of the hand for
ADLs and to get better visual regard of objects in the hand.
