RESUMO
From 1977 to 1988, 166 patients with median nerve paralysis of varied aetiology underwent opponensplasty. In 50 of these the extensor indicis was used, and in 116 the flexor digitorum superficialis of the ring finger. An analysis of these hands showed that the EI opponensplasty was best in supple hands and FDS opponensplasty was more suitable for less pliable hands. There were fewer complications seen after FDS opponensplasty if the detachment of the donor tendon was done through a volar oblique incision rather than the conventional lateral incision.
Assuntos
Masculino , Feminino , Humanos , Criança , Adulto , Mecanorreceptores/cirurgia , Mecanorreceptores/fisiopatologia , Mecanorreceptores/lesões , Reflexo de Babinski/cirurgia , Transferência Tendinosa , Transferência Tendinosa/efeitos adversos , Transferência Tendinosa/enfermagem , Transferência Tendinosa/instrumentação , Transferência Tendinosa/métodos , Transferência Tendinosa/reabilitação , Transferência Tendinosa/tendênciasRESUMO
The extent of loss of vibration and pressure sensations was assessed in 21 leprosy patients with disintegration of the tarsus. Feet which had and did not have tarsal disintegration both showed severe impairment of pressure sensation, but the loss of vibration sense was more severe in feet which had undergone the destructive process. It appears that loss of deep sensation is an important factor in the process of tarsal disintegration in feet which are already anaesthetic. Measurement of vibration sense using a biosthesiometer may be a valuable clinical test in the investigation and follow-up of the patient with the insensitive foot to identify those at risk of developing tarsal disintegration.