Treatment of interphalangeal hyperflexion and metacarpophalangeal hyperextension of the thumb in combined low median-ulnar nerve palsy.
A method of treatment of interphalangeal hyperflexion and metacarpophalangeal hyperextension of the thumb in combined low median-ulnar nerve palsy is described. The flexor pollicis longus tendon is divided longitudinally into 2 slips. One tendon strip is cut distally, extracted from the fibro-osseous canal, passed superficial to the tendon sheath, and attached to its previous insertion. An extensor indicis proprius opposition transfer was simultaneously performed. Eleven patients were monitored for 1 to 4 years after surgery. All results were positive, and there were no recurrences of either Froment's or Jeanne's sign.
Goloborod'ko
S A
SA
Department of Traumatology and Vertebrology, Kharkov Institute for Advanced Medical Studies, Ukraine.
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008475:Median Nerve / Q000503:physiopathology*; D016059:Range of Motion, Articular; D013710:Tendons / Q000601:surgery*; D013933:Thumb / Q000503:physiopathology / Q000601:surgery*; D014459:Ulnar Nerve / Q000503:physiopathology*