Comparative Evaluation of Effectiveness of Different Motor Muscles in Modified Lasso Procedure for Correction of Finger Clawing

2003 ◽  
Vol 28 (6) ◽  
pp. 597-601 ◽  
Author(s):  
G. N. MALAVIYA

A retrospective study was carried out to compare the effectiveness of different muscles as motors in modified lasso procedures for correction of finger clawing in leprosy. It was observed that palmaris longus and extensor carpi radialis longus were more suitable than the flexor digitorum superficialis. In some patients, removal of superficialis is associated with complications which could not be predicted before surgery. Extensor carpi radialis longus has advantages over palmaris longus in selected cases.

1984 ◽  
Vol 9 (2) ◽  
pp. 131-133 ◽  
Author(s):  
ATUL SHAH

The current dynamic procedures for correction of ulnar claw hand are extensor carpi radialis longus many tail graft, palmaris longus four finger many tail graft and extensor by pass operation. Each of these procedures takes a minimum of one and a half hours and needs extensive post operative re-education and training. These procedures employ a graft of plantaris tendon, fascia lata or extensor tendon, with the disadvantages of operating at another site and adhesion of grafts. The procedure described in this article obviates these disadvantages. The operation is simple to perform and has given good results even when performed at leprosy camps where no extensive re-education physiotherapy was available. This operation also tends to correct the reversal of transverse arch. The technique and observations are discussed in detail.


1993 ◽  
Vol 18 (5) ◽  
pp. 635-638 ◽  
Author(s):  
G. N. MALAVIYA ◽  
S. HUSAIN

Finger dynamography is a bedside technique for evaluation of the moving abilities and working space of the hand. Various operative procedures used for correcting the claw finger deformity restore the functional abilities to a varying extent. The palmaris longus transfer with insertion into A1–A2 pulley appears to be a better procedure than lateral band insertion, extensor diversion or extensor many-tail procedures. The use of palmaris longus as a motor seems to have advantages over flexor digitorum superficialis transfer where removal of FDS as a motor produces local deficits.


2021 ◽  
Vol 7 (6) ◽  
pp. 263-265
Author(s):  
Sheerin Shah ◽  
Renu Verma ◽  
Karanjit Singh ◽  
Rajinder Kumar Mittal ◽  
Ramneesh Garg

2017 ◽  
Vol 8 (2) ◽  
pp. 94-96
Author(s):  
Kosuri Kalyan Chakravarthi

An accessory or aberrant musculature may stimulate a ganglion or a soft tissue tumour or if in close proximity to a nerve, it may cause pressure neuritis. Identification of these variations is important in defining the anatomical features for clinical diagnosis and surgical procedures. During routine cadaveric dissection of the forearm in the department of anatomy, we observed an accessory muscle in the flexor compartment and additional extensor carpi radialis longus muscle in the extensor compartment of the forearm in left upper limb of a middle aged female cadaver. The accessory muscle belly has taken its tendinous origin from the medial surface of the ulna deep to the flexor digitorum superficialis and crossed the median nerve from medial to lateral, when traced below in the carpal tunnel it merged with the tendon of the index finger of flexor digitorum superficialis. An additional extensor carpi radialis longus muscle with unusual course of radial nerve in the extensor compartment of the forearm was found on the medial side of brachioradialis and superficial to extensor carpi radialis longus and its tendon ended by getting inserted into the base of the dorsal surface of the second metacarpal bone. Although many anatomical variations of flexor digitorum superficialis and extensor carpi radialis longus muscle were reported in the past, we describe a rare case, first of its kind, which to our knowledge has not been mentioned in the literature till date. Such variations are clinically significant in the anatomical, surgical and radiological procedures. Asian Journal of Medical Sciences Vol.8(2) 2017 94-96


2021 ◽  
Vol 19 (1) ◽  
pp. 85-98
Author(s):  
Mohd Mukhtar Alam ◽  
◽  
Abid Ali Khan ◽  

Objectives: This study presents a method of assessing muscle fatigue during endurance testing at 50% maximal voluntary contraction (MVC) using electromyography (EMG) information as indirect indices of fatigability in the forearm muscles, namely, flexor digitorum superficialis (FDS); flexor carpi ulnaris (FCU); extensor carpi ulnaris (ECU) and extensor carpi radialis brevis (ECRB)." This study presents a method of assessing muscle fatigue during endurance testing at 50% maximal voluntary contraction (MVC) using electromyography (EMG) information as indirect indices of fatigability in the forearm muscles, namely, flexor digitorum superficialis (FDS); flexor carpi ulnaris (FCU); extensor carpi ulnaris (ECU) and extensor carpi radialis brevis (ECRB). Methods: A randomized comparative experimental design was used during endurance test with 8 VT protocols; based on different combinations of vibration frequency (35 & 45 Hz), amplitude (3±0.5g & 9±0.5g), and exposure duration (30 & 60 seconds), i.e., were given to the study participants for 4 days. A random sampling of participants was conducted from two groups (n=56/group), as follows: individuals with a Sedentary Lifestyle (SL) and a group of Construction Workers (CW). Results: Multivariate Analysis of Variance (MANOVA) results indicated a significant increase in EMG rms, median frequency, waveform length, mean absolute value (P<0.001), and the variance of EMG signal (P<0.05) (except in ECU for the SL group and ECRB for the CW group on the variance of EMG signal) after VT in all muscles of both research groups. Therefore, an increase in the EMG parameter value after a grip endurance task revealing an elevation in EMG signal amplitude is indicative of muscle fiber fatigue. Furthermore, the strongest correlation was found between grip endurance and WL (r=0.471, P<0.001), and EMG rms (r=0.401, P<0.001) of the ECU muscle in the SL group only. Discussion: The patterns of EMG signal represented the amplitude and spectral parameters of the signal, enabling real-time fatigue analysis. Additionally, surface EMG information is useful for indirectly evaluating performance fatigue during the endurance test.


2016 ◽  
Vol 234 (8) ◽  
pp. 2235-2244 ◽  
Author(s):  
Mitsuhiro Nito ◽  
Wataru Hashizume ◽  
Takuji Miyasaka ◽  
Katsuhiko Suzuki ◽  
Toshiaki Sato ◽  
...  

2002 ◽  
Vol 27 (5) ◽  
pp. 433-434 ◽  
Author(s):  
N. W. THOMPSON ◽  
B. J. MOCKFORD ◽  
T. RASHEED ◽  
K. J. HERBERT

We examined 150 men and 150 women aged 18–40 years to assess flexor digitorum superficialis function to the little finger and the incidence of palmaris longus absence. All patients had flexor digitorum superficialis function to the little finger assessed by standard and modified tests. The presence or absence of palmaris longus was assessed by clinical inspection. Following modified testing, ten subjects (14 hands) displayed absolute superficialis deficiency to the little finger. Forty-nine subjects had unilateral absence of palmaris longus (16%). This tendon was absent bilaterally in 26 subjects (9%). On combining the clinical findings, one subject had unilateral absence of flexor digitorum superficialis function to the little finger with contralateral absence of palmaris longus, and one subject had bilateral absence of flexor digitorium superficialis function with unilateral absence of palmaris longus. We conclude that there is no link between an absent little finger flexor digitorium superficialis and an absent palmaris longus.


SICOT-J ◽  
2015 ◽  
Vol 1 ◽  
pp. 5 ◽  
Author(s):  
Aakash Mugalur ◽  
Sunil M. Shahane ◽  
Ashwin Samant ◽  
Aditya C. Pathak ◽  
Atul Patil ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document