[Paralysis of the opposition of the thumb in leprosy: value of the transplantation of the extensor indicis (author's transl)].
The transplantation of the extensor indicis to restore the opposition of thumb has been realized by two techniques: -- transplantation through the 2nd interosseous space with suture on the abductor pollicis brevis but the result was poor for the guide pulley resulting did not work well. -- transplantation with reflexion on the cubital side of the wrist which in 5 cases proved to be satisfactory. In medico cubital paralysis one must also cure the "cubital claw of the thumb". The surgical procedure, using a dispensable tendon, could be directly associated to the sutures of the proximal injuries of the cubital nerve as a temporary palliative.
D006225:Hand / Q000601:surgery*; D006801:Humans; D007918:Leprosy / Q000150:complications / Q000601:surgery*; D010243:Paralysis / Q000209:etiology / Q000601:surgery*; D013518:Surgery, Plastic; D013933:Thumb / Q000601:surgery
Paralysie lépreuse de l'opposition du pouce. Intérêt de la transplantation de l'extenseur propre de l'index.