01143nas a2200241 4500000000100000008004100001260001300042653001200055653002200067653003100089653001100120653001200131653001300143653001200156653002000168100001500188700001500203245007700218300001100295490000700306520057400313022001400887 1982 d c1982 Oct10aFingers10aFollow-Up Studies10aHand Deformities, Acquired10aHumans10aleprosy10aMovement10aMuscles10aTendon Transfer1 aBrandsma W1 aWatson J M00aClawfinger correction: results of extensor-flexor many tailed operation. a307-120 v143 a

The patient with paralytic clawfingers is greatly handicapped. This is especially true for the leprosy patient who needs his hands to earn a living. The inability to 'reach out' with the fingers is the most serious functional loss in an ulnar palsy. This study is a follow up of 155 hands whereby the extensor carpi radialis longus was employed to substitute for this lumbrical-interosseus function. The best results were obtained in hands with full assisted extension. Retropulsion of the metacarpal arch occurred in all hands with total loss of ulnar function.

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