thumb in palm

Definition

CP is a permanent disorder of movement and posture 

- non-progressive 

- brain injury before the age of two years

Strict definition excludes familial & progressive congenital problems & those acquired in childhood as a result of head injuries

Incidence

2-3 per 1000 live births

Higher in 

Indications for Surgery

Upper limb surgery is mainly in spastic hemiplegia

- many of the CP' s have sensory neglect for affected limbs   

- won't use limb post surgery anyway

Surgical indications

- a reasonable level of IQ (>70)

- spastic not athetoid 

- voluntary grasp and release