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The metacarpophalangeal stabilization test beevor or bouvier?
Annales De Chirurgie De La Main : Organe Officiel Des Societes De Chirurgie De La Main
|January 1, 1985
Summary
A simple metacarpophalangeal stabilization test can assess proximal interphalangeal joint stiffness in claw hands caused by nerve palsy. This evaluation aids in developing a palliative surgical plan for patients with ulnar and median nerve damage.
Area of Science:
- Hand Surgery
- Neurology
- Orthopedics
Background:
- Claw hand deformity results from ulnar and median nerve palsy, affecting hand function.
- Metacarpophalangeal joint overextension is a common issue in claw hand deformities.
- Assessing proximal interphalangeal joint stiffness is crucial for surgical planning.
Purpose of the Study:
- To propose a simple therapeutic plan for palliative surgery in claw hands.
- To highlight the utility of the metacarpophalangeal stabilization test.
- To simplify the nomenclature of the described clinical test.
Main Methods:
- Stabilizing metacarpophalangeal joints to prevent overextension.
- Utilizing the long extensor muscle's ability to extend phalanges.
- Evaluating proximal interphalangeal joint stiffness through this stabilization method.
Main Results:
- The long extensor alone can fully extend all phalanges when metacarpophalangeal joints are stabilized.
- The test effectively evaluates proximal interphalangeal joint stiffness in claw hands.
- Over 200 claw hand cases were operated on over 20 years, informing the proposed plan.
Conclusions:
- The metacarpophalangeal stabilization test is a valuable tool for assessing claw hands.
- A simple therapeutic plan for palliative surgery can be developed based on this test.
- Renaming the test to "metacarpophalangeal stabilization test" enhances clarity.