Spastic cerebral palsy, hemiplegia, post-traumatic brain injury, mostly manifested as anterior rotation of the forearm (i.e. palm facing downwards), severe flexion of the wrist to the ulnar side (pinky side) and inward retraction of the thumb (i.e. the tiger’s mouth cannot be opened) deformity, due to the inability of the forearm and hand to rotate back (i.e. the forearm and hand cannot be actively eased upwards) coupled with a severe tilting of the ulnar side of the hand and a loss of the hand’s holding function (e.g. eating, washing, writing) and the ability to take care of oneself (e.g. tying a belt, using paper to wipe the anus after stool, etc.), which causes great inconvenience to the patient in his/her life. Hal ini disebabkan oleh kejang otot dan sendi, yang menyebabkan ketidaknyamanan yang luar biasa pada kehidupan pasien. Apakah ada obatnya? Jawabannya adalah ya, ada! Cerebral palsy tungkai atas dan kelenturan tangan keadaan kelenturan pasien setelah pelatihan rehabilitasi keadaan kelenturan masih belum membaik, usia 6 tahun ke atas, IQ yang baik, ada kontrol sukarela dari kelompok otot, perubahan sensorik tidak jelas, dapat digunakan pada saraf median, cabang otot saraf ulnaris dan pergeseran tendon dan perawatan bedah lainnya, metode ini juga berlaku untuk pasien hemiplegia dewasa dan cedera otak traumatis. Surgical methods: 1. Surgery to relieve wrist ptosis and tilt of the hand to the side of the little finger: (1) transplanting the tendon of ulnar flexor carpi ulnaris muscle to the tendon of radial extensor carpi radialis longus and shortus muscle; (2) lengthening of flexor carpi radialis muscle; (2) surgery to relieve anterior rotator antebrachial spasticity deformity of the forearm: (1) transposition of the stop of the anterior rotator antebrachialis muscle; (2) laxation of the anterior rotator antebrachialis and flexor digitorum longus muscles; (3) surgery to relieve the spasticity of thumb retractor deformity: (1) laxation of pectus excavatum; (4) laxation of pectoralis muscle (i.e., opening of the big tiger’s mouth). (yaitu membuka mulut harimau besar) (2) pencangkokan tulang antara 1 dan 2 metakarpal (3) operasi cabang otot saraf median selektif 4. Pembedahan untuk meringankan kelenturan kelengkungan jari: operasi cabang otot saraf ulnaris selektif