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- W2037286155 abstract "Abstract Arch reversal occurs in the mobile hand following a good correction of the intrinsic minus deformity and is due to part of the action of extensor digiti minimi being transferred from the metacarpophalangeal joint to the mobile ulnar two carpometacarpal joints. If the mobility of these joints is not restricted by an active transfer, or by increased tension on the medial two tails in relation to the others when correcting the clawing, there will be recurrent clawing of the ring and little finger. In selected cases, the added benefits of an active transfer to protract the fifth metacarpal (using extensor digiti minimi) are a five-finger pinch and a cosmetically more acceptable hand. In those cases in which the additional surgery is not justified, the ulnar carpometacarpal joints can and should be stabilised in extension, thus reversing the transverse metacarpal arch, by applying sufficient tension to the ring and little finger lumbrical grafts. This, with other measures (Ranney 1973B), will help prevent recurrent clawing in these two fingers." @default.
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- W2037286155 date "1974-10-01" @default.
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- W2037286155 title "The mechanism of arch reversal in the surgically corrected claw hand" @default.
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- W2037286155 doi "https://doi.org/10.1016/0072-968x(74)90038-2" @default.
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