The added value of measuring thumb and finger strength when comparing strength measurements in hypoplastic thumb patients.
BACKGROUND
When interventions to the hand are aimed at improving function of specific fingers or the thumb, the RIHM (Rotterdam Intrinsic Hand Myometer) is a validated tool and offers more detailed information to assess strength of the involved joints besides grip and pinch measurements.


METHODS
In this study, strength was measured in 65 thumbs in 40 patients diagnosed with thumb hypoplasia. These 65 thumbs were classified according to Blauth. Longitudinal radial deficiencies were also classified. The strength measurements comprised of grip, tip, tripod and key pinch. Furthermore palmar abduction and opposition of the thumb as well as abduction of the index and little finger were measured with the RIHM.


RESULTS
For all longitudinal radial deficiency patients, grip and pinch strength as well as palmar abduction and thumb opposition were significantly lower than reference values (P<0.001). However, strength in the index finger abduction and the little finger abduction was maintained or decreased to a lesser extent according to the degree of longitudinal radial deficiency. All strength values decreased with increasing Blauth-type. Blauth-type II hands (n=15) with flexor digitorum superficialis 4 opposition transfer including stabilization of the metacarpophalangeal joint showed a trend toward a higher opposition strength without reaching statistical significance (P=0.094),however compared to non-operated Blauth-type II hands (n=6) they showed a lower grip strength (P=0.019).


CONCLUSIONS
The RIHM is comparable in accuracy to other strength dynamometers. Using the RIHM, we were able to illustrate strength patterns on finger-specific level, showing added value when evaluating outcome in patients with hand related problems.
Department of Plastic and Reconstructive Surgery and Hand Surgery-Erasmus MC - University Medical Center Rotterdam, The Netherlands; Department of Rehabilitation Medicine-Erasmus MC, University Medical Center Rotterdam, The Netherlands. Electronic address: H.Molenaar@erasmusmc.nl.
H M Ties
HM
Molenaar
Ruud W
RW
Selles
Marjolein
M
de Kraker
Henk J
HJ
Stam
Steven E R
SE
Hovius
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005385:Fingers / Q000503:physiopathology; D006226:Hand Deformities / Q000503:physiopathology*; D018737:Hand Strength / Q000502:physiology*; D006801:Humans; D008297:Male; D053580:Muscle Strength / Q000502:physiology*; D053581:Muscle Strength Dynamometer; D018482:Muscle, Skeletal / Q000503:physiopathology*; D012016:Reference Values; D013933:Thumb / Q000002:abnormalities* / Q000503:physiopathology; D055815:Young Adult
Finger strength; Grip strength; Hand strength; Thumb hypoplasia