PARALYTIC CLAW HAND

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Correction of paralytic hand deformities

The ulnar nerve is most commonly involved in leprosy and is affected at or just above the elbow. The outcome of this damage is paralysis of the intrinsic muscles of the hand with the exception of the thenar group, together with paresis of ring and little finger flexor digitorum profundus (FDP). Although the obvious deformity is clawing of the fingers, other deformities are produced: 1. Hollowin...

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Zancolli lasso procedure for correction of paralytic claw hands.

PURPOSE To evaluate the outcome of 20 claw hands corrected with the Zancolli lasso procedure. METHODS 20 patients aged 7 to 48 (mean, 28) years with claw hand deformity for a mean of 33.3 months secondary to leprosy (n=17), traumatic ulnar nerve injury (n=2), or tardy ulnar nerve palsy (n=1) underwent the Zancolli lasso procedure, in which the flexor digitorum superficialis (FDS) of the middl...

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Lobster-claw hand: a manifestation of EEC syndrome.

The combination of ectrodactyly, ectodermal dysplasia, and cleft lip with or without cleft palate (EEC syndrome) is a rare type of congenital anomaly. It usually occurs as an autosomal-dominant trait or less commonly in a sporadic form. In this complex, multiple congenital anomaly syndrome, any of the three cardinal manifestations may present with variable expressions.

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Paralytic scoliosis.

A study of the sparse literature on paralytic scoliosis shows how little we know of this deformity. The differentiation of paralytic scoliosis into patterns, and the prognosis, are hardly mentioned. it seems that this deformity, like those seen elsewhere after poliomyelitis, is produced by unequal muscle pull. This has more often been stated than proved. Colonna and Vom Saal (1941) reviewed 500...

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 1958

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.40b4.618