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Related Experiment Videos

Bilateral opponens replacement in post polio thenar paralysis, using different techniques. A case report.

J G Andersen, J W Brandsma

    The Hand
    |June 1, 1983
    PubMed
    Summary

    Poliomyelitis caused bilateral thenar paralysis. Surgical transfers, including abductor digiti minimi and flexor digitorum superficialis, successfully restored thumb opposition and hand function.

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    Area of Science:

    • Hand surgery
    • Neuromuscular disease rehabilitation
    • Microsurgery

    Background:

    • Poliomyelitis can lead to significant upper extremity paralysis, particularly affecting hand function.
    • Thenar muscle paralysis results in loss of thumb opposition, severely impairing hand utility.
    • Restoring thumb function is crucial for regaining prehensile capabilities.

    Observation:

    • A patient presented with bilateral thenar paralysis secondary to poliomyelitis.
    • Initial surgical intervention on the right hand involved an abductor digiti minimi transfer.
    • The left hand exhibited hypothenar muscle weakness, complicating initial surgical outcomes.

    Findings:

    • The abductor digiti minimi transfer on the right hand resulted in a successful restoration of function.

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  • Weakness in the hypothenar muscles of the left hand limited the success of the initial procedure.
  • A subsequent opponens replacement using the flexor digitorum superficialis from the ring finger achieved a favorable outcome on the left hand.

    • Implications:

    • Surgical reconstruction techniques can effectively address thenar paralysis caused by poliomyelitis.
    • The choice of surgical procedure should consider the specific muscle deficits present.
    • Restoring thumb opposition through tendon transfers is a viable strategy for improving hand function in paralytic conditions.