Bilateral Opponens Replacement in Post Polio Thenar Paralysis,Using Different Techniques. A Case Report.

Abstract

A patient is presented with bilateral thenar paralysis, due to poliomyelitis. On the right hand a successful abductor digiti minimi transfer was performed. On the left hand weakness of the hypothenar muscles prevented a good result. Subsequently an opponens replacement, using flexor digitorum superficialis from the ring finger, yielded a good result.

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References

HUBER

(1921). Hilfsoperation bei Medianuslähmung. Deutsche Zeitschrift für Chirurgie, 162: 271–275.

LITTLER

J. W.

, and COOLEY

S. G. E.

(1963). Opposition of the Thumb and its Restoration by Abductor Digiti Quinti Transfer. The Journal of Bone and Joint Surgery, 45A: 1389–1396, 1484.

NICOLAYSEN

(1922). Transplantation des Musculi Abductoris Digiti V bei fehlender Oppositionsfähigkeit des Daumens. Deutsche Zeitschrift für Chirurgie, 168: 133–135.