01686nas a2200301 4500000000100000008004100001260001700042653001500059653001000074653001100084653001700095653003100112653001100143653001200154653000900166653002200175653002600197653001400223653002600237653002000263100001700283245011700300300001100417490000700428050003200435520090300467022001401370 2002 d c2002 Jul-Sep10aAdolescent10aAdult10aFemale10aFinger Joint10aHand Deformities, Acquired10aHumans10aleprosy10aMale10aMedian Neuropathy10aOrthopedic Procedures10aParalysis10aRetrospective Studies10aTendon Transfer1 aMalaviya G N00aMedian nerve palsy following claw finger correction in leprosy: effect of M. leprae or a consequence of surgery. a217-200 v74 aInfolep Library - available3 a
Median nerve palsy, though not a frequent occurrence after claw finger correction, does exist as a post-operative complication after claw finger correction. A retrospective study was carried out to examine the occurrence of post-operative median palsy, in cases of isolated ulnar palsy, where the transferred motor tendon was routed through the carpal tunnel. We noted that six patients developed median nerve palsy following claw finger correction. Median palsy developed at different times after surgery--the "early onset" type developing within three weeks post-operatively, "reactional" type developed when patient was undergoing physiotherapy exercises and learning to use the transfer and "delayed insidious" type presenting six months or more after operation. We could not succeed to get the true prevalence of such occurrences because all the operated hands could not be re-examined.
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