Opposition of the Thumb and Its Restoration

Jacobs, Bernard; Thompson, T. Campbell

doi:10.2106/00004623-196042060-00009

Cited by 44 publications

(17 citation statements)

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“…Maximal circumduction was defined as touching the proximal phalanx of the little finger [21,33]. Jacobs and Thompson proposed a classification scoring opposition as good, fair, and poor, using criteria as the angie of the plane of the thumb nail in relation to the plane of the palm [20] with good being less than 30" compared to the contralateral thumb, fair 50", and poor over 50" [29]. MacFarlane stated that simply asking the patient to oppose the thumb to the fingers is unreliable and felt that circumduction (not the diagnosis) rested upon the interpretation of the degree of pronation of the thumb with respect to the finger tips [26].…”

Section: Discussionmentioning

confidence: 99%

“…The carpometacarpal and metacarpalphalangeal joints are complex with ligamentous structures and intrinsic and extrinsic muscles loading the joints in the circumduction motion [18,19]. Published methods have limited clinical application due to: radiographic exposure [6]; failure to measure rotation [ 1 I , 12,321; allowing motions other than circumduction; lacking quantative data [1,12,20,29,32]; lacking validation to interpret the data; and failure to define the start and end postions [20,29].…”

Section: Discussionmentioning

confidence: 99%

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Quantifying thumb rotation during circumduction utilizing a video technique

Coert¹,

Dijke

Hovius

et al. 2003

Journal Orthopaedic Research

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Thumb rotation is an essential component of circumduction in order to achieve pulp to pulp contact. In order to evaluate opponensplasty, a device was developed to quantify thumb rotation utilizing a special jig to hold the hand and video analysis. Twenty-seven healthy volunteers (12 female and 15 male) were tested to obtain normative data. Thumb rotation was measured as the difference in angle between the thumb in abduction and extension and maximal circumduction. Rotation angles varied from 70" to 110". No gender or right/left differences could be detected. We concluded that comparing rotation of the non-injured hand to the injured hand in evaluating opponensplasties can be used as an accurate measurement of thumb circumduction and opposition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Quantifying thumb rotation during circumduction utilizing a video technique

Coert¹,

Dijke

Hovius

et al. 2003

Journal Orthopaedic Research

View full text Add to dashboard Cite

show abstract

“…22,30,31 Although our pa- tients had severe chronic CTS and although endoscopic CTR does not allow for neurolysis, the literature clearly shows that neurolysis and neurotomy are not indicated during CTR because they have not been proven beneficial and may increase nerve scarring and adhesions. [32][33][34][35][36][37][38] It is important to consider that part of the benefit our patients experienced through the combined procedure may have been a result of the endoscopic method of our CTRs.…”

Section: Discussionmentioning

confidence: 92%

Flexor Superficialis Abductor Transfer With Carpal Tunnel Release for Thenar Palsy

Richer¹,

Peimer²

2005

The Journal of Hand Surgery

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“…Der M. flexor digitorum superficialis hat die Vorteile ausreichender Kraft und Amplitude, von mehr als der benötigten Län-ge und ist ein unabhängiger willkürlich isoliert beweglicher Muskel. Ein Nachteil liegt in der gelegentlich auftretenden Beugekontraktur des Ringfingermittelgelenkes nach Sehnenentnahme [14].…”

Section: Opponensplastik Mit M Flexor Digitorum Superficialis Ivunclassified

Improved outcome of nerve injuries in the upper extremity

et al. 2006

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Nerve injuries in the upper extremity can result in severe disability. In the past three decades, progress in microsurgical techniques and instruments have resulted in improved outcomes for nerve injuries. If the prognosis is reasonably good, nerve repair is usually preferred over tendon or flap transfer procedures. However, lesions of peripheral stem nerves such as high radial nerve palsy may still yield unsatisfactory results, despite technically well-executed nerve repair. Prognosis further depends on the age of the patient; the regenerative process is delayed in older patients. Further criteria for the indication for tendon transfers are the personal and professional profiles of individual patients. Tendon or flap transfers to restore sensation can be performed at any time post trauma when it becomes clear that long-term rehabilitation is required. These procedures abbreviate the interval during which hand function is severely impaired, so that patients have alternatives to persistent nerve palsy with the need of permanent external splints, and long and costly rehabilitation can be shortened. Sophisticated techniques allow minimal donor site morbidity and leave options open in case function of the reconstructed nerve returns. The present article gives an overview of the most common procedures to restore hand function and sensation in the most important digits and provides help for decision making.

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Opposition of the Thumb and Its Restoration

Cited by 44 publications

References 0 publications

Quantifying thumb rotation during circumduction utilizing a video technique

Quantifying thumb rotation during circumduction utilizing a video technique

Flexor Superficialis Abductor Transfer With Carpal Tunnel Release for Thenar Palsy

Improved outcome of nerve injuries in the upper extremity

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