IOM release 

Inclusion ongoing 

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Background: 
Forearm rotation, encompassing pronation and supination, is essential for upper limb function and performance of daily activities. Congenital impairment of forearm rotation, particularly limited supination, may persist despite conservative management with physiotherapy and bracing, resulting in functional limitations. 

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Objective: 
To evaluate whether surgical release of the pronator teres and interosseous membrane improves forearm supination in patients with congenital supination impairment refractory to conservative treatment. 

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Methods: 
This prospective clinical trial includes patients with congenital limitation of forearm supination that failed to improve following conservative therapy, including physiotherapy and bracing. Eligible patients will undergo surgical release of the pronator teres and interosseous membrane. Clinical outcomes will be assessed preoperatively and postoperatively. 

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Conclusion: 
This study aims to determine the effectiveness of targeted soft-tissue release in restoring forearm supination in patients with congenital rotational impairment unresponsive to non-operative treat 

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