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A comparison of delta wire technique versus extension block pinning in the treatment of bony Mallet finger

Chee WH, Gunasagaran J, Ahmad TS

Handchir Mikrochir Plast Chir, 2020 Jun;52(3):176-181.

ZIEL: Diese Studie vergleicht die klinischen Ergebnisse nach Delta-Draht-Technik (Gruppe 1 = 7 Patienten) mit den Ergebnissen nach Extensions-Block-Pinning (Gruppe 2 = 11 Patienten) in der Behandlung des knöchernen Mallet-Fingers.

PATIENTEN UND METHODEN: Sechs Monate postoperativ wurde bei allen Patienten das klinische Ergebnis nach den Crawford-Kriterien, die Schmerzen anhand einer visuellen Analogskale (VAS) und der DASH-Score ermittelt. Zusätzlich wurden die aktive Beweglichkeit und das Extensionsdefizit im Endgelenk sowie aufgetretene Komplikationen festgehalten.

ERGEBNISSE: Patienten der Gruppe 1 hatten eine signifikant bessere Beugung im Fingerendgelenk, aber auch ein signifikant größeres Extensionsdefizit, obwohl sie signifikant früher ihre Arbeit wiederaufnahmen. Nach den Crawford-Kriterien erzielten 71 % der Patienten der Gruppe 1 und 100 % der Gruppe 2 ein exzellentes und gutes Ergebnis. Keine Unterschiede konnten bzgl. der OP-Dauer, der Schmerzen, dem DASH-Score und der Zeit bis zur knöchernen Heilung festgestellt werden.

SCHLUSSFOLGERUNG: In der Kurzzeitbeobachtung werden mit Extension-Block-Pinning bessere Ergebnisse in der Behandlung des knöchernen Strecksehnenausriss am Fingerendglied erzielt als mit der Delta-Draht-Technik.

Matched MeSH terms: Hand Deformities, Acquired*

A patient with progressive shortening of the fingers

Letchumanan P, Thumboo J, Leong RT

J Rheumatol, 2009 Jan;36(1):198-9.

PMID: 19208534 DOI: 10.3899/jrheum.080859

Matched MeSH terms: Hand Deformities, Acquired/radiography*

Fulltext Pachydermodactyly does not need rheumatologic work-up

Sinha NK, Ling SP, Nema SK, Pai DR

J Postgrad Med, 2013 Oct-Dec;59(4):335-6.

PMID: 24346401 DOI: 10.4103/0022-3859.123182

Matched MeSH terms: Hand Deformities, Acquired/diagnosis*; Hand Deformities, Acquired/etiology

Rheumatoid arthritis in paintings: a tale of two origins

Yeap SS

Int J Rheum Dis, 2009 Dec;12(4):343-7.

PMID: 20374373 DOI: 10.1111/j.1756-185X.2009.01434.x

Rheumatoid arthritis (RA) is thought to be a 'recent' disease in that descriptions of it were only noted in the 17th century. However, a study of paintings would suggest that RA could have been present as early as the 15th century, when artists started to paint the human body accurately rather than figuratively. Thus, it was possible to deduce from their paintings the occurrence of various medical conditions. If present, RA with its typical finger deformities should be apparent. This review discusses the known occurrences of RA-type deformities in paintings and places this in the context of the origins of the disease.

Matched MeSH terms: Hand Deformities, Acquired/etiology; Hand Deformities, Acquired/history*

Fulltext Correction of claw fingers in leprosy by the brand four-tailed tendon graft operation

Abdul Hamid AK

Med J Malaysia, 1986 Sep;41(3):264-8.

PMID: 3670144

Many operations have been described for the correction of claw hands following involvement in leprosy, from Sir Harold Stiles (1922) of Edinburgh, through Bunnell, Brand and many others in India and USA. Some of these procedures are classified "static" and attempt mainly to correct hyper-extension at the metacarpo-phalangeal joint, while the "dynamic" procedures employ a variety of tendon graft operations to restore the function of the paralysed lumbrical muscles. This study is an analysis of the four-tailed tendon graft operation of Paul Brand, carried out in the National Leprosy Con. trol Centre, Sungei Buloh, Selangor, during the period 1965·175, by a host of surgeons, mainly by Dr M.K. Bhojwani, MRCP, FRCSEd, the Director of the Centre at that time. The analysis carried out during November. December 1976, was made on 36 hands in 33 patients; it revealed an average improvement in the metacarpo. Phalangeal joint flexion of nearly 90% and in the proximal interphalangeal joint extension in nearly 80%, and an improvement in the grafted lumbrical voluntary motor tone of nearly 70%.

Matched MeSH terms: Hand Deformities, Acquired/etiology; Hand Deformities, Acquired/surgery*

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