TY - JOUR KW - Adult KW - Female KW - Hand Deformities, Acquired KW - Humans KW - leprosy KW - Male KW - Median Nerve KW - Medical Records KW - Nepal KW - Paralysis KW - Radial Nerve KW - Range of Motion, Articular KW - Reconstructive Surgical Procedures KW - Retrospective Studies KW - Severity of Illness Index KW - Tendon Transfer KW - Treatment Outcome KW - Ulnar nerve AU - McEvitt E AU - Schwarz R AB -

Paralysis of ulnar, median and radial nerves is seen in less than 1% of those affected with leprosy. This condition is a particular challenge for the surgeon, physiotherapist, and patient. A retrospective chart review was conducted at the Green Pastures Hospital and Rehabilitation Centre (GPHRC) and Anandaban Leprosy Hospital (ALH) in Nepal, and results were graded by the system outlined by Sundararaj in 1984. Thirty-one patients were identified, and 21 charts were available for review. Excellent or good results were obtained in 93% of patients for wrist extension, 85% of patients for finger extension, 90% of patients for thumb extension, 71% of patients for intrinsic reconstruction, and 63% of patients for thumb opposition reconstruction. These results are reasonable but inferior to those obtained by Sundararaj in his study. Surgical intervention offers a very significant improvement in function in these very difficult hands. Intensive physiotherapy is required both pre- and postoperatively.

BT - Leprosy review C1 - http://www.ncbi.nlm.nih.gov/pubmed/12549839?dopt=Abstract CN - Infolep Library - available DA - 2002 Dec IS - 4 J2 - Lepr Rev LA - eng N2 -

Paralysis of ulnar, median and radial nerves is seen in less than 1% of those affected with leprosy. This condition is a particular challenge for the surgeon, physiotherapist, and patient. A retrospective chart review was conducted at the Green Pastures Hospital and Rehabilitation Centre (GPHRC) and Anandaban Leprosy Hospital (ALH) in Nepal, and results were graded by the system outlined by Sundararaj in 1984. Thirty-one patients were identified, and 21 charts were available for review. Excellent or good results were obtained in 93% of patients for wrist extension, 85% of patients for finger extension, 90% of patients for thumb extension, 71% of patients for intrinsic reconstruction, and 63% of patients for thumb opposition reconstruction. These results are reasonable but inferior to those obtained by Sundararaj in his study. Surgical intervention offers a very significant improvement in function in these very difficult hands. Intensive physiotherapy is required both pre- and postoperatively.

PY - 2002 SP - 319 EP - 25 T2 - Leprosy review TI - Tendon transfer for triple nerve paralysis of the hand in leprosy. UR - https://leprosyreview.org/article/73/4/31-9325 VL - 73 SN - 0305-7518 ER -