PMID: 6397150Jan 1, 1984Paper

Treatment of claw hand

Annales De Chirurgie De La Main : Organe Officiel Des Sociétés De Chirurgie De La Main
R Tubiana

Abstract

Palliative treatment of the intrinsic muscles paralyses aims at correcting the claw deformity and improving prehension. This treatment will vary according to whether the claw be actively corrected or not when M.P. hyperextension is prevented. In the first category it suffices to maintain M.P. joint either by capsulodesis or tenodesis so that the long extensors can extend the interphalangeal joints. Tendons transfers are indicated to reinforce the flexion force of the fingers particularly when there is an associated long flexor tendon paralysis. These transfers should be fixed to the proximal part of the proximal phalanx. When the claw is not actively correctable, associated cutaneous, tendinous or joint lesions co-exist and these will demand priority treatment. Tendon transfers when possible are necessary to extend the distal phalanges and should be fixed distally.

References

Nov 1, 1976·The Journal of Hand Surgery·G J BlackerH E Kleinert
Oct 1, 1974·Clinical Orthopaedics and Related Research·W E Burkhalter
Jan 1, 1980·The Journal of Hand Surgery·R J NeviaserM M Gardner
Sep 1, 1947·Plastic and Reconstructive Surgery·W C GRAHAM, D RIORDAN

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Citations

Nov 29, 2011·Hand Clinics·Monica Seu, Michele Pasqualetto
Jul 18, 2000·Epilepsia·H FaradjiR Cespuglio
Jun 1, 1995·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·G AbbiatiC Tremolada
Dec 4, 2008·Der Orthopäde·M HaerleN Buschmeier
Oct 1, 1992·Oecologia·Luis López-Soria, Carles Castell

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