01194nas a2200277   4500000000100000008004100001260001300042653001500055653001000070653001100080653000900091653001100100653001200111653000900123653001600132653001800148653002700166653001400193653002000207100001600227245010000243300001100343490000700354520054100361022001400902       1983                            d  c1983 Apr10aAdolescent10aAdult10aFemale10aHand10aHumans10aleprosy10aMale10aMiddle Aged10aMotor Neurons10aNeuromuscular Diseases10aParalysis10aTendon Transfer1 aPalande D D00aCorrection of intrinsic-minus hands associated with reversal of the transverse metacarpal arch.  a514-210 v653 a<p>In a hand with paralysis of the intrinsic muscles, the clawing of the fingers is associated with deformity of the distal transverse metacarpal arch. The arch is often flattened in the open-hand position and is sometimes reversed. Sixteen hands were operated on with a new tendon-transfer procedure aimed at simultaneous correction of the deformities of the arch and of the fingers. Adequate restoration of the arch was attained in all sixteen hands while the deformity and disability were corrected in 85 per cent of the fingers.</p>  a0021-9355