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Intermetacarpal Bone Block for Arthrodesis Between the Thumb and Index Finger Metacarpals to Maintain Palmar Abduction of the Thumb

  • Alan E. Freeland
  • Michael E. Jabaley
  • James L. Hughes

Abstract

Fixing the thumb in a position of palmar abduction is an operation of last resort. It is reserved for those cases of paralysis in which there are no transferable muscles, where there are spastic paralysis and adduction contracture, and where there is severely scarred thumb-web space but in which there is still some chance for useful hand function if the thumb can be placed in an abducted position (Figs. 47-1 A Figs. 47-1 B Figs. 47-1 C-I).

Fig. 47-1 A

This patient had a fixed hand deformity of the nondominant left hand due to permanent nerve damage from a high triple peripheral nerve injury from a close-range shotgun blast. Although volar sensation of the digits was present, the hand was basically useless. Extrinsic finger flexion and extension were present but weak. There were no transferable tendons.

Fig. 47-1 B

These are preoperative x-ray photographs of this patient’s hand.

Keywords

Bone Graft Spastic Paralysis Hand Function Transferable Muscle Joint Arthrodesis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer-Verlag New York Inc. 1986

Authors and Affiliations

  • Alan E. Freeland
    • 1
    • 2
  • Michael E. Jabaley
    • 3
    • 4
  • James L. Hughes
    • 5
    • 6
  1. 1.Section of Hand SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  2. 2.Jackson Veteran’s Administration Hospital, Mississippi Methodist Rehabilitation Center, Blake Clinic for Crippled Children and Mississippi Children’s Rehabilitation CenterJacksonUSA
  3. 3.Division of Plastic SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  4. 4.St. Dominic’s-Jackson Health Services Center, Mississippi Baptist Medical Center, River Oaks Hospital, Mississippi Methodist Rehabilitation CenterJacksonUSA
  5. 5.Division of Orthopaedic SurgeryUniversity of Mississippi Medical CenterJacksonUSA
  6. 6.Jackson Veteran’s Administration Hospital, Mississippi Methodist Rehabilitation Center, Blake Clinic for Crippled Children and Mississippi Children’s Rehabilitation CenterJacksonUSA

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