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Forearm supination contracture

MedGen UID:
1813105
•Concept ID:
C0409340
•
Acquired Abnormality
Synonym: Supination contracture of the forearm
 
HPO: HP:0034394

Definition

A contracture that limits the ability of the forearm to stabilize the hand in pronation (pronation refers to a rotation of the forearm that causes the palm and forearm to face downwards), meaning that the palm is fixed in a upward orientation. Restriction of supination/pronation can occur at the elbow (radial-humeral joint), at the wrist (radial-ulnar joint), and anywhere in between. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVForearm supination contracture

Conditions with this feature

X-linked scapuloperoneal muscular dystrophy
MedGen UID:
395530
•Concept ID:
C2678061
•
Disease or Syndrome
A rare, genetic, muscular dystrophy disease characterized by the co-occurrence of late onset scapular and peroneal muscle weakness, principally manifesting with distal lower limb and proximal upper limb weakness and scapular winging.
See: Condition Record
X-linked scapuloperoneal muscular dystrophy

Professional guidelines

PubMed

Supination Contractures in Brachial Plexus Birth Palsy: Long-Term Upper Limb Function and Recurrence After Forearm Osteotomy or Nonsurgical Treatment.
Metsaars WP, Henseler JF, Nagels J, Nelissen RG
J Hand Surg Am 2017 Nov;42(11):925.e1-925.e11. Epub 2017 Aug 30 doi: 10.1016/j.jhsa.2017.06.002. PMID: 28869062
The management of elbow instability using an internal joint stabilizer: preliminary results.
Orbay JL, Mijares MR
Clin Orthop Relat Res 2014 Jul;472(7):2049-60. doi: 10.1007/s11999-014-3646-2. PMID: 24789029Free PMC Article
Pathogenesis and management of deformities of the elbow, wrist, and hand in late neonatal brachial plexus palsy.
Sebastin SJ, Chung KC
J Pediatr Rehabil Med 2011;4(2):119-30. doi: 10.3233/PRM-2011-0169. PMID: 21955970

Recent clinical studies

Etiology

Clinical and psychosocial outcomes following correction of supination deformity in obstetrical brachial plexus palsy patients: A retrospective study.
Hamdi NB, Doubi M, Abalkhail TB, Mortada H
BMC Musculoskelet Disord 2022 Aug 24;23(1):808. doi: 10.1186/s12891-022-05765-0. PMID: 36002839Free PMC Article
Derotational Pronation-producing Osteotomy of the Radius and Biceps Tendon Rerouting for Supination Contractures in Neonatal Brachial Plexus Palsy Patients: A Review of 20 Cases.
DeDeugd CM, Shin AY, Shaughnessy WJ
J Pediatr Orthop 2019 May/Jun;39(5):e366-e372. doi: 10.1097/BPO.0000000000001305. PMID: 30969948
Forearm Pronation Osteotomy for Supination Contracture Secondary to Obstetrical Brachial Plexus Palsy: A Retrospective Cohort Study.
Gladstein AZ, Sachleben B, Ho ES, Anthony A, Clarke HM, Hopyan S
J Pediatr Orthop 2017 Sep;37(6):e357-e363. doi: 10.1097/BPO.0000000000001053. PMID: 28719548
Biomechanical assessment of brachioradialis pronatorplasty.
Bekler HI, Ozkan T
Acta Orthop Traumatol Turc 2011;45(2):109-14. doi: 10.3944/AOTT.2011.2337. PMID: 21610309
Pronating osteotomy of the radius for forearm supination contracture in high-level tetraplegic patients: technique and results.
Coulet B, Boretto JG, Allieu Y, Fattal C, Laffont I, Chammas M
J Bone Joint Surg Br 2010 Jun;92(6):828-34. doi: 10.1302/0301-620X.92B6.23457. PMID: 20513881

Therapy

Derotational Pronation-producing Osteotomy of the Radius and Biceps Tendon Rerouting for Supination Contractures in Neonatal Brachial Plexus Palsy Patients: A Review of 20 Cases.
DeDeugd CM, Shin AY, Shaughnessy WJ
J Pediatr Orthop 2019 May/Jun;39(5):e366-e372. doi: 10.1097/BPO.0000000000001305. PMID: 30969948

Prognosis

Forearm Pronation Osteotomy for Supination Contracture Secondary to Obstetrical Brachial Plexus Palsy: A Retrospective Cohort Study.
Gladstein AZ, Sachleben B, Ho ES, Anthony A, Clarke HM, Hopyan S
J Pediatr Orthop 2017 Sep;37(6):e357-e363. doi: 10.1097/BPO.0000000000001053. PMID: 28719548
Pronating osteotomy of the radius for forearm supination contracture in high-level tetraplegic patients: technique and results.
Coulet B, Boretto JG, Allieu Y, Fattal C, Laffont I, Chammas M
J Bone Joint Surg Br 2010 Jun;92(6):828-34. doi: 10.1302/0301-620X.92B6.23457. PMID: 20513881

Clinical prediction guides

Derotational Pronation-producing Osteotomy of the Radius and Biceps Tendon Rerouting for Supination Contractures in Neonatal Brachial Plexus Palsy Patients: A Review of 20 Cases.
DeDeugd CM, Shin AY, Shaughnessy WJ
J Pediatr Orthop 2019 May/Jun;39(5):e366-e372. doi: 10.1097/BPO.0000000000001305. PMID: 30969948
Forearm Pronation Osteotomy for Supination Contracture Secondary to Obstetrical Brachial Plexus Palsy: A Retrospective Cohort Study.
Gladstein AZ, Sachleben B, Ho ES, Anthony A, Clarke HM, Hopyan S
J Pediatr Orthop 2017 Sep;37(6):e357-e363. doi: 10.1097/BPO.0000000000001053. PMID: 28719548
Biomechanical assessment of brachioradialis pronatorplasty.
Bekler HI, Ozkan T
Acta Orthop Traumatol Turc 2011;45(2):109-14. doi: 10.3944/AOTT.2011.2337. PMID: 21610309
Pronating osteotomy of the radius for forearm supination contracture in high-level tetraplegic patients: technique and results.
Coulet B, Boretto JG, Allieu Y, Fattal C, Laffont I, Chammas M
J Bone Joint Surg Br 2010 Jun;92(6):828-34. doi: 10.1302/0301-620X.92B6.23457. PMID: 20513881

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