Nonsurgical and Surgical Management of Forearm Pronation Deformity in Patients 21 Years of Age or Younger with Cerebral Palsy: A Systematic Review

This systematic review aims to identify clinical criteria for choosing between surgical and nonsurgical treatments for forearm pronation deformity in children with cerebral palsy, while also comparing functional outcomes and complication rates. The findings suggest that treatment should be tailored based on the severity of the deformity and the patient's functional goals, with surgical interventions providing more durable improvements in supination and function, especially in cases of static or progressive deformities. Nonsurgical options may be beneficial for younger patients with dynamic deformities, but their effects tend to diminish over time.