FIELD: medicine.
SUBSTANCE: invention relates to field of medicine, namely to orthopedics and neurosurgery. Electromyographic examination with making functional tests, assessing active amplitude of movements in joints, degree of arbitrary control of extremity, biomanual skills, is carried out. Data of examination are obtained before and after diagnostic blockage of median nerve with anesthetic. If amplitude of movements in joints increases, functional possibilities of extremity improve, and electrogenesis of forearm muscles reduces by more than 100 mcV, first neurosurgical treatment is performed with carrying out selective neurotomy of motor branches of median nerve. In case of insignificant impact of diagnostic blockage on examination results, first orthopedic treatment is performed.
EFFECT: method extends arsenal of means for determining type of surgical treatment of upper extremity in children with infantile cerebral paralysis.
2 dwg
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Authors
Dates
2013-01-10—Published
2011-07-01—Filed