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Pubmed for Handhelds

PUBMED FOR HANDHELDS

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  • Title: Surgical management of spastic thumb-in-palm deformity in adults with brain injury.
    Author: Botte MJ, Keenan MA, Gellman H, Garland DE, Waters RL.
    Journal: J Hand Surg Am; 1989 Mar; 14(2 Pt 1):174-82. PubMed ID: 2703663.
    Abstract:
    Spastic thumb-in-palm deformity was surgically treated in 27 adults with brain injury. Procedures included muscle lengthening, recession, or release, arthrodesis of the thumb interphalangeal joint, or Z-plasty of the thumb web space. At mean follow-up of 39 months, 23 of 27 had a satisfactory correction. Unsatisfactory results included two with inadequate correction and two with over-correction. Surgical treatment of this entity requires careful preoperative planning, addressing predominantly those spastic muscles responsible for the deformity.
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