00930nas a2200205 4500000000100000008004100001260001700042653001700059653003100076653001100107653002200118653001200140653003000152100001400182245009500196300001000291490000600301520040300307022001400710 1985 d c1985 Oct-Dec10aFinger Joint10aHand Deformities, Acquired10aHumans10aJoint Instability10aleprosy10aMetacarpophalangeal Joint1 aBourrel P00a[The metacarpophalangeal stabilization test and its value in surgery of the leprous hand]. a281-50 v33 a
In a claw hand with ulnar-nerve and median-nerve paralysis, if the digits are stabilized to prevent over-extension at the metacarpophalangeal joints, the long extensor alone could fully extend all phalanges. From the proximal interphalangeal stiffness evaluated by this test (on more than 200 claw hands operated on 20 years ago) I propose a simple therapeutic scheme for palliative surgery.
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