Spastic condition may follow some kind of damage to the brain. It may be immediately after birth, Or later in the life after head injury, Or An episode of stroke.
The elbow is slightly flexed.
Wrist is flexed.
Fingers are flexed in to a fist. The thumb is in palm.
A part of the thumb is bent backward(Hyperextension at Metacarpo-phalangeal joint).
Age of surgery is optimum suggested ,around 6 years when the patient starts to understand instructions.
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