Fillet flap from the ring finger dorsum for salvaging the little finger in electrically burned hand

Burns ◽  
2002 ◽  
Vol 28 (2) ◽  
pp. 198-200 ◽  
Author(s):  
Anton H Schwabegger ◽  
Hildegunde Piza
Keyword(s):  
Ring Finger ◽  
Fillet Flap ◽  
Little Finger

scholarly journals Bilateral anatomical variations of the hand extensors

2016 ◽  
Vol 15 (2) ◽  
pp. 278-282
Author(s):  
Humberto Ferreira Arquez
Keyword(s):  
Anatomical Variation ◽  
Medical Science ◽  
Ring Finger ◽  
Anatomical Variations ◽  
Extensor Digitorum ◽  
Left Hand ◽  
Extensor Tendons ◽  
Right Hand ◽  
The Right ◽  
Little Finger

Background: The purpose of this paper is to describe an anatomical variation of the hand extensor on the little finger of the right hand which receives four tendons, condition unknown, as it is the first case reported so far in the literature. The human extensor tendons of hand often display an array of variations. Awareness of the anatomy and variations of the extensor tendons on the dorsum of the hand is necessary not only for the anatomist but also for surgeons when considering tendons for hand surgery, tendon rerouting or transplants. Materials and Methods: Bilateral anatomical variation in the upper limb was found during routine dissection in a 75-year-old male cadaver in the Morphology Laboratory at the University of Pamplona. The variations were recorded and photographed. Result: In the left hand the extensor digitorum there was a single tendon to the index, double tendon to the middle, triple tendon to the ring finger, a single tendon to the little finger or digiti minimi. The extensor digiti minimi has double tendon. In the right hand the extensor digitorum there was a single tendon to the index, triple tendon to the middle finger, triple tendons to the ring finger, a double tendon to the little finger. The extensor digiti minimi has double tendon. The little finger receives four tendons, 2 of extensor digitorum and 2 of extensor digiti minimi. The dorsum of the left hand and right showed juncturae tendinum type 2, between the extensors tendons in the 3rd intermetacarpal space; type 3, between the extensors tendons in the 4th inter metacarpal space. Conclusion: The presence of multiple tendons may alter the kinematics around the site of attachment to the phalanx. Knowledge of anatomical variations and normal anatomy of the extensor tendons, may be helpful while performing graft and tendon transfer operations.Bangladesh Journal of Medical Science Vol.15(2) 2016 p.278-282

scholarly journals Comparable behaviour of ring and little fingers due to an artificial reduction in thumb contribution to hold objects

2020 ◽  
Author(s):  
Banuvathy Rajakumar ◽  
Varadhan SKM
Keyword(s):  
Normal Force ◽  
Safety Margin ◽  
Ring Finger ◽  
Middle Finger ◽  
Human Hand ◽  
Mechanical Advantage ◽  
Free Condition ◽  
Normal Forces ◽  
Fixed Condition ◽  
Little Finger

AbstractBackgroundThe human hand plays a crucial role in accomplishing activities of daily living. The contribution of each finger in the human hand is remarkably unique in establishing object stabilization. According to the mechanical advantage hypothesis, the little finger tends to exert a greater normal force than the ring finger during a supination moment production task to stabilize the object. Similarly, during pronation, the index finger produces more normal force when compared with the middle finger. Hence, the central nervous system employs the peripheral fingers for torque generation to establish the equilibrium as they have a mechanical advantage of longer moment arms for normal force. In our study, we tested whether the mechanical advantage hypothesis is supported in a task in which the contribution of thumb was artificially reduced. We also computed the safety margin of the individual fingers and thumb.MethodologyFifteen participants used five-finger prismatic precision grip to hold a custom-built handle with a vertical railing on the thumb side. A slider platform was placed on the railing such that the thumb sensor could move either up or down. There were two experimental conditions. In the “Fixed” condition, the slider was mechanically fixed, and hence the thumb sensor could not move. In the “Free” condition, the slider platform on which the thumb sensor was placed could freely move. In both conditions, the instruction was to grasp and hold the handle (and the platform) in static equilibrium. We recorded tangential and normal forces of all the fingers.ResultsThe distribution of fingertip forces and moments changed depending on whether the thumb platform was movable (or not). In the free condition, the drop in the tangential force of thumb was counteracted by an increase in the normal force of the ring and little finger. Critically, the normal forces of the ring and little finger were statistically equivalent. The safety margin of the index and middle finger did not show a significant drop in the free condition when compared to fixed condition.ConclusionWe conclude that our results does not support the mechanical advantage hypothesis at least for the specific mechanical task considered in our study. In the free condition, the normal force of little finger was comparable to the normal force of the ring finger. Also, the safety margin of the thumb and ring finger increased to prevent slipping of the thumb platform and to maintain the handle in static equilibrium during the free condition. However, the rise in the safety margin of the ring finger was not compensated by a drop in the safety margin of the index and middle finger.

scholarly journals Small Finger Osteocutaneous Fillet Flap for Reconstruction in Ring Finger Trauma

2019 ◽  
Vol 7 (10) ◽  
pp. e2477
Author(s):  
Brodie Parent ◽  
Liliana Camison ◽  
Guilherme Barreiro ◽  
Alexander Spiess
Keyword(s):  
Ring Finger ◽  
Fillet Flap

Arthrodesis of Ring Finger and Little Finger Metacarpal Bases for Little Finger Carpometacarpal Joint Arthritis

2004 ◽  
Vol 29 (5) ◽  
pp. 449-452 ◽  
Author(s):  
GREGORY I. BAIN ◽  
P.M. RAGHAVAN UNNI ◽  
JANAK A. MEHTA ◽  
MICHAEL H.A. EAMES
Keyword(s):  
Pain Relief ◽  
Daily Living ◽  
Ring Finger ◽  
Carpometacarpal Joint ◽  
Interposition Arthroplasty ◽  
Finger Length ◽  
Capsular Flap ◽  
Good Cosmesis ◽  
Joint Arthritis ◽  
Little Finger

Five patients with localized little finger carpometacarpal arthritis were treated by excision of the little finger metacarpal base and arthrodesis of the little and ring metacarpals. A dorsal periosteal/capsular flap was used as an interposition graft. All patients achieved significant pain relief, good cosmesis and satisfactory grip strength. All returned to activities of daily living. This procedure, the Dubert procedure, is indicated for localized pathology of the hamate-little finger metacarpal joint. It has theoretical advantages over arthrodesis and resection or interposition arthroplasty as it preserves little finger length, rotation and alignment and maintains some mobility of the transverse carpal arch and the little finger ray.

Closed Rupture of the Flexor Digitorum Profundus Tendon of the Little Finger Caused by Calcification of the Triangular-Fibrocartilage

1996 ◽  
Vol 21 (3) ◽  
pp. 375-377 ◽  
Author(s):  
A. FUKUI ◽  
A. KIDO ◽  
Y. INADA ◽  
Y. MII ◽  
S. TAMAI
Keyword(s):  
Ring Finger ◽  
Flexor Digitorum Profundus ◽  
Closed Rupture ◽  
Triangular Fibrocartilage ◽  
Full Flexion ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon ◽  
Flexion And Extension ◽  
Little Finger

A case of rupture of flexor digitorum profundus tendon of the little finger caused by calcification of the triangular fibrocartilage (TFC) is reported. At operation, a round defect of the TFC and rupture of the flexor digitorum profundus tendon (FDP) of the little finger were observed. The defect of TFC was repaired using the palmaris tendon and FDP of the little finger was woven into FDP of the ring finger. Eleven months after operation, the patient had almost full flexion and extension of the distal and proximal interphalangeal joints.

Wartenberg’s Sign

1995 ◽  
Vol 20 (1) ◽  
pp. 49-52 ◽  
Author(s):  
P. VOCHE ◽  
M. MERLE
Keyword(s):  
Donor Site ◽  
Ring Finger ◽  
Surgical Correction ◽  
Extensor Digitorum ◽  
Extensor Mechanism ◽  
Extensor Digitorum Communis ◽  
Central Slip ◽  
Little Finger

A method of surgical correction is described for Wartenberg’s sign, or persistent abduction of the little finger, using a slip of the extensor digitorum communis of the ring finger. The transferred component can be either the central slip, or the ulnar slip extended by the connexus intertendineus to the little finger. This technique maintains the integrity of the extensor mechanism of the little finger, avoiding loss of active extension, which is frequently observed when extensor digiti minimi is used. The donor site is dependable since the extensor digitorum communis tendon of the ring finger is always composed of several slips. This technique should be considered only in cases of isolated persistent abduction of the little finger, when there is no claw deformity.

scholarly journals Comparable behaviour of ring and little fingers due to an artificial reduction in thumb contribution to hold objects

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e9962
Author(s):  
Banuvathy Rajakumar ◽  
Varadhan SKM
Keyword(s):  
Normal Force ◽  
Safety Margin ◽  
Ring Finger ◽  
Middle Finger ◽  
Human Hand ◽  
Mechanical Advantage ◽  
Free Condition ◽  
Normal Forces ◽  
Fixed Condition ◽  
Little Finger

Background The human hand plays a crucial role in accomplishing activities of daily living. The contribution of each finger in the human hand is remarkably unique in establishing object stabilization. According to the mechanical advantage hypothesis, the little finger tends to exert a greater normal force than the ring finger during a supination moment production task to stabilize the object. Similarly, during pronation, the index finger produces more normal force when compared with the middle finger. Hence, the central nervous system employs the peripheral fingers for torque generation to establish the equilibrium as they have a mechanical advantage of longer moment arms for normal force. In our study, we tested whether the mechanical advantage hypothesis is supported in a task in which the contribution of thumb was artificially reduced. We also computed the safety margin of the individual fingers and thumb. Methodology Fifteen participants used five-finger prismatic precision grip to hold a custom-built handle with a vertical railing on the thumb side. A slider platform was placed on the railing such that the thumb sensor could move either up or down. There were two experimental conditions. In the “Fixed” condition, the slider was mechanically fixed, and hence the thumb sensor could not move. In the “Free” condition, the slider platform on which the thumb sensor was placed could freely move. In both conditions, the instruction was to grasp and hold the handle (and the platform) in static equilibrium. We recorded tangential and normal forces of all the fingers. Results The distribution of fingertip forces and moments changed depending on whether the thumb platform was movable (or not). In the free condition, the drop in the tangential force of thumb was counteracted by an increase in the normal force of the ring and little finger. Critically, the normal forces of the ring and little finger were statistically equivalent. The safety margin of the index and middle finger did not show a significant drop in the free condition when compared to fixed condition. Conclusion We conclude that our results does not support the mechanical advantage hypothesis at least for the specific mechanical task considered in our study. In the free condition, the normal force of little finger was comparable to the normal force of the ring finger. Also, the safety margin of the thumb and ring finger increased to prevent slipping of the thumb platform and to maintain the handle in static equilibrium during the free condition. However, the rise in the safety margin of the ring finger was not compensated by a drop in the safety margin of the index and middle finger.

scholarly journals Analysis of the effect of fingertip size for sex differences in current perception thresholds with transcutaneous electrical stimulation in healthy subjects

2021 ◽  
Author(s):  
Shin-ichiro Seno ◽  
Hideaki Shimazu ◽  
Eiki Kogure ◽  
Atsushi Watanabe ◽  
Hiroko Kobayashi
Keyword(s):  
Sex Differences ◽  
Healthy Subjects ◽  
Index Finger ◽  
Ring Finger ◽  
Middle Finger ◽  
Perception Threshold ◽  
Left Hand ◽  
Current Perception Threshold ◽  
Males And Females ◽  
Little Finger

Abstract Objective This study aimed to measure the current perception threshold (CPT) of five fingertips of the left hand in healthy subjects and analyze whether sex differences in perception thresholds are suppressed when adjusting for fingertip size among males and females. Results For fingertips from the thumb to the little finger, the males’ CPT values were 1.03, 0.83, 0.86, 0.86, and 0.88 mA; the females’ results were 0.63, 0.55, 0.54, 0.51, and 0.50 mA. The CPTs were higher in males than in females for every fingertip. Upon adjusting for fingertip length, the log-transformed CPT values were found to have sex differences, except for the index finger: thumb, t(20.05) = 3.493, p = 0.002; middle finger, U(30) = 44.50, p = 0.005; ring finger, t(30) = 55.50, p = 0.018; little finger, U(30) = 30.00, p = 0.001. Similarly, the CPT values, transformed into log values when adjusting for the fingertip area, were found to have sex differences for three fingertips: thumb, t(18) = 2.649, p = 0.016; middle finger, U(20) = 12.00, p = 0.004; ring finger, t(18) = 2.206, p = 0.041. According to this study, sex differences in CPTs were not completely abolished by adjusting for fingertip length or area.

scholarly journals A Systematic Comparison of Perceptual Performance in Softness Discrimination with Different Fingers

2020 ◽  
Vol 82 (7) ◽  
pp. 3696-3709
Author(s):  
Aaron C. Zoeller ◽  
Knut Drewing
Keyword(s):  
Ring Finger ◽  
Middle Finger ◽  
Dominant Hand ◽  
Sensory Sensitivities ◽  
Motor Abilities ◽  
Soft Objects ◽  
Perceptual Performance ◽  
Improved Performance ◽  
Spontaneous Exploration ◽  
Little Finger

Abstract In studies investigating haptic softness perception, participants are typically instructed to explore soft objects by indenting them with their index finger. In contrast, performance with other fingers has rarely been investigated. We wondered which fingers are used in spontaneous exploration and if performance differences between fingers can explain spontaneous usage. In Experiment 1 participants discriminated the softness of two rubber stimuli with hardly any constraints on finger movements. Results indicate that humans use successive phases of different fingers and finger combinations during an exploration, preferring index, middle, and (to a lesser extent) ring finger. In Experiment 2 we compared discrimination thresholds between conditions, with participants using one of the four fingers of the dominant hand. Participants compared the softness of rubber stimuli in a two-interval forced choice discrimination task. Performance with index and middle finger was better as compared to ring and little finger, the little finger was the worst. In Experiment 3 we again compared discrimination thresholds, but participants were told to use constant peak force. Performance with the little finger was worst, whereas performance for the other fingers did not differ. We conclude that in spontaneous exploration the preference of combinations of index, middle, and partly ring finger seems to be well chosen, as indicated by improved performance with the spontaneously used fingers. Better performance seems to be based on both different motor abilities to produce force, mainly linked to using index and middle finger, and different sensory sensitivities, mainly linked to avoiding the little finger.

Rupture of Flexor Tendons to the Little Finger Due to Bony Irregularities in the Carpal Tunnel

1988 ◽  
Vol 13 (3) ◽  
pp. 308-310
Author(s):  
T. R. STEVENSON ◽  
D. S. LOUIS ◽  
S. E. ZUCKER
Keyword(s):  
Rheumatoid Arthritis ◽  
Rough Surface ◽  
Carpal Tunnel ◽  
Flexor Tendon ◽  
Ring Finger ◽  
Rheumatoid Disease ◽  
Flexor Tendons ◽  
Flexor Retinaculum ◽  
Little Finger

Rupture of a finger flexor tendon occurs most commonly in the patient with rheumatoid arthritis. We have treated two patients who suffered rupture of the flexor tendons to the little finger due to bony irregularities in the carpal tunnel unrelated to rheumatoid disease. Each irregularity was removed and the rough surface covered with a portion of the flexor retinaculum. This resurfacing affords protection against recurrent abrasion and rupture. Tendon function was restored by suturing the ruptured profundus tendon to the adjacent intact profundus tendon of the ring finger. Satisfactory function of the little finger was achieved in both patients. Neither patient has experienced recurrent rupture.

Sign in / Sign up

Export Citation Format

Share Document