The correction of ulnar claw fingers: a follow-up study comparing the extensor-to-flexor with the palmaris longus 4-tailed tendon transfer in patients with leprosy

The Journal of Hand Surgery
Nathan L TaylorSamuel Solomon

Abstract

The extensor to flexor 4-tailed tendon transfer (EF4T) and the palmaris longus 4-tailed tendon transfer (PL4T) are 2 surgical procedures used to correct intrinsic paralysis of the hand in leprosy. The EF4T traditionally is the more common procedure and requires the transfer of a wrist extensor muscle. The PL4T requires the transfer of the palmaris longus and morbidity is expected to be lower. A follow-up study was performed to determine whether the clinical outcome of the PL4T is superior to the EF4T procedure in leprosy patients with ulnar claw fingers that are considered mobile before surgery. Fifty-five patients presented 65 affected hands, of which 40 hands had the PL4T and 25 had the EF4T procedure. Each hand was assessed before surgery and at follow-up evaluation by predetermined angle measurements, standardized photographs, mechanical function, and patient satisfaction. Each hand was given an overall technical grade according to previously published standards. After an average follow-up period of 33 months there was no statistically significant difference in the technical outcome or patient satisfaction between the 2 tendon transfer procedures. Whenever the palmaris longus is available it may be considered to be the moto...Continue Reading

References

May 1, 1978·The Journal of Hand Surgery·L D KetchumG S Pocock
Dec 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J W Brandsma, P W Brand
Jan 1, 1965·Acta Orthopaedica Scandinavica·B E Skielboe, J Y Koh
May 1, 1981·The Journal of Hand Surgery·P W BrandD E Thompson
Oct 1, 1961·Southern Medical Journal·F X PALETTA
May 6, 2004·The Journal of Bone and Joint Surgery. British Volume·R SaravananJ White
Mar 28, 2006·Nihon Hansenbyō Gakkai zasshi = Japanese journal of leprosy : official organ of the Japanese Leprosy Association·Norihisa IshiiKoichi Suzuki

❮ Previous
Next ❯

Citations

Oct 3, 2012·The Orthopedic Clinics of North America·Hilton P Gottschalk, Randip R Bindra
Nov 29, 2011·Hand Clinics·Anthony Sapienza, Steven Green
Sep 4, 2007·Hand Clinics·Raymond TseJeffrey Yao
Jul 14, 2009·The Journal of Hand Surgery, European Volume·R J SchwarzD J Giurintano
Jun 27, 2006·Annals of Plastic Surgery·Muhammet UraloğluOmer Sensöz
Feb 25, 2006·The Journal of Bone and Joint Surgery. British Volume·G A Anderson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
J W Brandsma, M W Ottenhoff-De Jonge
The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
J W Brandsma, P W Brand
The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
J W Brandsma, P W Brand
© 2022 Meta ULC. All rights reserved