U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Forearm pronation contracture

MedGen UID:
1813106
•Concept ID:
C0409341
•
Anatomical Abnormality
Synonym: Pronation contracture of the forearm
 
HPO: HP:0034395

Definition

A contracture that limits the ability of the forearm to stabilize the hand in supiation (supination refers to a rotation of the forearm that causes the palm and forearm to face upwards), meaning that the palm is fixed in a downward 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 pronation contracture

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

Natural history of elbow flexion and forearm rotation contractures in obstetric brachial plexus injury.
Hems T
J Hand Surg Eur Vol 2022 Dec;47(11):1121-1127. Epub 2022 Sep 1 doi: 10.1177/17531934221121912. PMID: 36050833
The One-Bone Forearm in Children: Surgical Technique and a Retrospective Review of Outcomes.
Clippinger BB, Plucknette BF, Soldado F, Turvey BR, Barrera-Ochoa S, Kozin SH, Zlotolow DA
J Hand Surg Am 2022 Feb;47(2):189.e1-189.e9. Epub 2021 Jun 8 doi: 10.1016/j.jhsa.2021.04.009. PMID: 34112543
Loss of pronation-supination in patients with heterotopic ossification around the elbow.
Vasileiadis GI, Ramazanian T, Kamaci S, Bachman DR, Park SE, Thaveepunsan S, Fitzsimmons JS, O'Driscoll SW
J Shoulder Elbow Surg 2019 Jul;28(7):1406-1410. Epub 2019 Jan 23 doi: 10.1016/j.jse.2018.10.029. PMID: 30685280
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
Pediatric floating elbow.
Ring D, Waters PM, Hotchkiss RN, Kasser JR
J Pediatr Orthop 2001 Jul-Aug;21(4):456-9. PMID: 11433156

Diagnosis

The One-Bone Forearm in Children: Surgical Technique and a Retrospective Review of Outcomes.
Clippinger BB, Plucknette BF, Soldado F, Turvey BR, Barrera-Ochoa S, Kozin SH, Zlotolow DA
J Hand Surg Am 2022 Feb;47(2):189.e1-189.e9. Epub 2021 Jun 8 doi: 10.1016/j.jhsa.2021.04.009. PMID: 34112543
Functional Elbow Range of Motion in Children and Adolescents.
Valone LC, Waites C, Tartarilla AB, Whited A, Sugimoto D, Bae DS, Bauer AS
J Pediatr Orthop 2020 Jul;40(6):304-309. doi: 10.1097/BPO.0000000000001467. PMID: 32501919
Pronator teres transfer for forearm and wrist deformity in cerebral palsy children.
Ho JJ, Wang TM, Shieh JY, Wu KW, Huang SC, Kuo KN
J Pediatr Orthop 2015 Jun;35(4):412-8. doi: 10.1097/BPO.0000000000000276. PMID: 25075892
Florid reactive periostitis of the forearm with pronation and supination contracture.
Kodama N, Ishida M, Ueba H, Imai S, Matsusue Y
J Orthop Sci 2015 Nov;20(6):1122-6. Epub 2014 Jun 30 doi: 10.1007/s00776-014-0596-1. PMID: 24975379
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

Therapy

Comparison of outcome between operative treatment and constraint-induced movement therapy for forearm and wrist deformities in cerebral palsy. A randomized controlled trial.
Tawonsawatruk T, Prusmetikul S, Kanchanathepsak T, Patathong T, Klaewkasikum K, Woratanarat P, Panuwannakorn M, Vongpipatana S
Hand Surg Rehabil 2022 Apr;41(2):258-264. Epub 2022 Feb 3 doi: 10.1016/j.hansur.2021.12.012. PMID: 35124285
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
The Use of Botulinum Toxin Injection for Brachial Plexus Birth Injuries: A Systematic Review of the Literature.
Buchanan PJ, Grossman JAI, Price AE, Reddy C, Chopan M, Chim H
Hand (N Y) 2019 Mar;14(2):150-154. Epub 2018 Mar 13 doi: 10.1177/1558944718760038. PMID: 29529875Free PMC Article
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
Pediatric floating elbow.
Ring D, Waters PM, Hotchkiss RN, Kasser JR
J Pediatr Orthop 2001 Jul-Aug;21(4):456-9. PMID: 11433156

Prognosis

The Spastic Upper Extremity in Children: Multilevel Surgical Decision-making.
Chaudhry S, Bhardwaj P, Venkatramani H, Sabapathy SR
J Am Acad Orthop Surg 2021 May 1;29(9):e416-e426. doi: 10.5435/JAAOS-D-20-00719. PMID: 33883454
Pronator teres selective neurectomy in children with cerebral palsy.
Helin M, Bachy M, Stanchina C, Fitoussi F
J Hand Surg Eur Vol 2018 Oct;43(8):879-884. Epub 2018 Jun 5 doi: 10.1177/1753193418780590. PMID: 29871566
One-bone forearm osteodesis and biceps re-routing to correct severe supination contracture in a paediatric patient with late obstetric brachial plexus palsy.
Monreal R
Int Orthop 2018 Aug;42(8):1975-1978. Epub 2018 Jan 12 doi: 10.1007/s00264-017-3753-2. PMID: 29327223
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
Corrective osteotomies and osteosynthesis for supination contracture of the forearm in children.
Rolfe KW, Green TA, Lawrence JF
J Pediatr Orthop 2009 Jun;29(4):406-10. doi: 10.1097/BPO.0b013e3181a6bf90. PMID: 19461386

Clinical prediction guides

Comparison of outcome between operative treatment and constraint-induced movement therapy for forearm and wrist deformities in cerebral palsy. A randomized controlled trial.
Tawonsawatruk T, Prusmetikul S, Kanchanathepsak T, Patathong T, Klaewkasikum K, Woratanarat P, Panuwannakorn M, Vongpipatana S
Hand Surg Rehabil 2022 Apr;41(2):258-264. Epub 2022 Feb 3 doi: 10.1016/j.hansur.2021.12.012. PMID: 35124285
Functional Elbow Range of Motion in Children and Adolescents.
Valone LC, Waites C, Tartarilla AB, Whited A, Sugimoto D, Bae DS, Bauer AS
J Pediatr Orthop 2020 Jul;40(6):304-309. doi: 10.1097/BPO.0000000000001467. PMID: 32501919
Metallic Press-fit Radial Head Replacement for Radial Head Fractures.
Jung KJ, Nho JH, Wang SD, Hong YC, Kim BS
Orthopedics 2019 Nov 1;42(6):e545-e551. Epub 2019 Jun 13 doi: 10.3928/01477447-20190604-07. PMID: 31185117
Loss of pronation-supination in patients with heterotopic ossification around the elbow.
Vasileiadis GI, Ramazanian T, Kamaci S, Bachman DR, Park SE, Thaveepunsan S, Fitzsimmons JS, O'Driscoll SW
J Shoulder Elbow Surg 2019 Jul;28(7):1406-1410. Epub 2019 Jan 23 doi: 10.1016/j.jse.2018.10.029. PMID: 30685280
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

Recent systematic reviews

The Use of Botulinum Toxin Injection for Brachial Plexus Birth Injuries: A Systematic Review of the Literature.
Buchanan PJ, Grossman JAI, Price AE, Reddy C, Chopan M, Chim H
Hand (N Y) 2019 Mar;14(2):150-154. Epub 2018 Mar 13 doi: 10.1177/1558944718760038. PMID: 29529875Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...