[The upper limb of children with cerebral palsy: surgical aspects].

Cerebral palsy has a complex and multifactorial etiology. The management of the upper limb aims to improve function, hygiene and cosmesis in many patients. Surgical treatment need a good and repeated clinical examination before. The functional surgery has a lot of procedures on the elbow, the wrist, the fingers and the thumb. These procedures include the release or lengthening of spastic muscles, tendon transfers and joint stabilizations. The surgeon must know the indications and contraindications of functional surgery.