01459nas a2200313   4500000000100000008004100001260001300042653001500055653001000070653001100080653001700091653001200108653003100120653001100151653001200162653000900174653001700183653002300200653001400223653001200237653001600249653001600265100001700281245004900298300001100347490000700358520076600365022001401131       1979                            d  c1979 Oct10aAdolescent10aAdult10aFemale10aFinger Joint10aFingers10aHand Deformities, Acquired10aHumans10aleprosy10aMale10aMedian Nerve10aMuscle Contraction10aParalysis10aTendons10aUlnar nerve10aWrist Joint1 aSrinivasan H00aClinical features of paralytic claw fingers.  a1060-30 v613 a<p>A study of 221 claw fingers of fifty-one leprosy patients with ulnar or combined ulnar and median-nerve paralysis showed that the severity of the deformity was determined mostly by the completeness of paralysis of intrinsci muscles, and to a lesser extent by the duration of paralysis. There was no predilection for severe deformity in any one finger. Recurrent dislocation of the extensor tendon from the knuckle of the metacarpophalangeal joint was observed mostly in fingers that were completely deprived of all intrinsic muscles. No satisfactory explanation could be found for this. Flexing the wrist facilitated opening of the claw finger, but the effect was more evident at the metacarphophalangeal joint than at the proximal interphalangeal joint.</p>  a0021-9355