Swan neck deformity is a hyperextension of the proximal interphalangeal (PIP) joints and flexion of the distal interphalangeal (DIP) joints. Claw hand is a hyperextension of the metacarpal joints and flexion of the PIP joints, accompanied by reduced motor strength. A 23-year-old female, who was released from leprosy treatment, presented with a bend of the second to fifth fingers of both hands. ...

The records of 27 patients with Radial club hand deformity attending the Hospital and Rehabilitation Centre for Disabled Children (HRDC) were reviewed. This longitudinal intercalary deficiency of forearm growth has a varied clinical presentation and the goals of management are both improved function and cosmesis. We present the results of our treatment and review the current world literature on...

A boy with typical tetramelic split hands and feet is described. In addition, there was a large arteriovenous malformation of the right arm. Chromosome studies showed a pericentric inversion of chromosome 7: 46,XY,inv(7)(p22q21.3). Inspection of the extremities and chromosome studies in the parents were normal. This case confirms the suggested localisation of a locus, important for early limb d...

Normal hand function is a balance between the extrinsic-intrinsic and extensor-flexor group of musculature. Although individually the intrinsics are very small muscles, collectively they contribute about 50% of grip strength. Total 19 patents with claw deformity were corrected by 4 different techniques. 11 claws were due to high ulnar nerve palsy and 8 were due to low palsy. Result was excellen...

A 21-yr old lady presented with primary amenorrhea and short stature for evaluation. She had a wide carrying angle (Cubitus valgus) and a typical deformity at the wrist joint (Fig. 1) which was evaluated. There were no other dysmorphic features. She was found to have high serum FSH and low serum estradiol with streak gonads on ultrasound. Karyotype was 45 XO. She was diagnosed to have Turner’s ...

I have to-night the honour of exhibiting to this Society an infant with an interesting deformity of the right hand. The subject of the malformation is a male infant, one year and five months old. The mother is nearly 41 years of age, and has given birth to tpn full-time living children, and has had two miscarriages; two of the children have died, and the infant exhibited is the youngest of the ...

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...