geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Volar flexion of the fingers. Its value in diagnosis of leprous paralysis of the intrinsic muscles of the fingers and in the study of the results of palliative interventions


, : Volar flexion of the fingers. Its value in diagnosis of leprous paralysis of the intrinsic muscles of the fingers and in the study of the results of palliative interventions. Acta Leprologica 3(4): 287-293

Active metacarpophalangeal flexion with simultaneous active extension of interphalangeal joints places the fingers in the position in preparation for prehension. This volar flexion of the fingers is due to the action of their intrinsic muscles, and this movement, which is irreplaceable, has been used by the author for the last twenty years as a specific exploratory test of intrinsic finger muscles. It can be investigated as an emergency procedure in cases of ulnar nerve wounds at the elbow or injury to the upper forearm before suture, and clearly demonstrates the presence of an ulnar claw hand. It is a very sensitive test since this position potentiates an ulnar claw hand in its early stage which would have passed unnoticed with fingers extended. This rapid examination is particularly valid during neurologic investigation of the hand in lepers in countries where this disease is endemic, and it forms part of the 10 tests that the author has selected for exploration, within 2 or 3 minutes, in a standing patient, of the facial, ulnar, median, superficial peroneal and posterior tibial nerves. The test is also the most effective evaluation criterion of palliative surgery for claw hand which to be considered as successful must restore volar flexion, as shown by a personal series of over 200 operated hands.

US$29.90

PMID: 3913265


Other references

Calvani, M.; Troncone, L.; Munzi, G., 1969: Protein-losing enteropathy in a child with congenital hypothyroidism and immunoglobulin deficiency. La Pediatria 77(1): 229-238

Studt, H.H., 1977: Psychoanalysis as a basis for psychotherapeutic methods. Medizinische Monatsschrift 31(1): 6-11

Bazzaz, F.A.; Carlson, R.W.; Rolfe, G.L., 1974: The effect of heavy metals on plants. 1. Inhibition of gas exchange in sunflower by Pb, Cd, Ni and Tl. Sunflower plants were grown in a controlled environment for 3-5 weeks and the top 15 cm cut off under water and transferred to 0, 2, 20, 100 or 200 ppm solutions of Pb, Cd, Ni or Tl for 4-5 days. Photosynthesis was reduced by 50% from the pre-trea...

Parrozzani, R.; Pilotto, E.; Clementi, M.; Frizziero, L.; Leonardi, F.; Convento, E.; Miglionico, G.; Pulze, S.; Perrini, P.; Trevisson, E.; Cassina, M.; Midena, E., 2017: RETINAL VASCULAR ABNORMALITIES IN A LARGE COHORT OF PATIENTS AFFECTED BY NEUROFIBROMATOSIS TYPE 1: A Study Using Optical Coherence Tomography Angiography. To evaluate the prevalence, the vascular features, and the clinical diagnostic implication of retinal vascular abnormalities (RVAs) associated with neurofibromatosis Type 1 (NF1) in a large cohort of patients. Two hundred and ninety-four patients...

Vrana D.; Malek I., 1973: Morphological and physiological properties of candida utilis growing under excess substrate in a 2 stage continuous system. Folia Microbiologica 18(2): 165

Ebdrup, Børn.H.; Knop, F.K.; Ishøy, P.L.; Rostrup, E.; Fagerlund, B.; Lublin, H.; Glenthøj, B., 2013: Glucagon-like peptide-1 analogs against antipsychotic-induced weight gain: potential physiological benefits. Antipsychotic-induced weight gain constitutes a major unresolved clinical problem which may ultimately be associated with reducing life expectancy by 25 years. Overweight is associated with brain deterioration, cognitive decline and poor quality o...

Akiev, M.D.; Kulichev, V.A.; Entin, G.E., 1982: X-ray diagnosis of pulmonary complications in sepsis. Voenno-Meditsinskii Zhurnal: 31-33

O.Sullivan, D., 1993: Catfish farming in South Africa. The sharptooth catfish (Clarias gariepinus) is the basis of an expanding culture industry in South Africa. The major problem farmers will have to cope with is decreasing profit margins. Feed costs have trebled since 1987, whilst the sale price has...

Marcadet D.M.; Genet P.; Assayag P.; Valere P.E., 1990: Exercise induced left hemiblock a new criteria of coronary artery disease. European Heart Journal 11(ABSTR SUPPL): 84

Bocquillon, C.M.sson, J., 1983: Operating rule design for reservoir dams built in order to sustain low flows. 2. Operating rule formulation. Journal of hydrology 60(1-4): 81-104