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Test Thumb Index Middle MCP IP MCP PIP MCP PIP Grip 0.937 0.954 0.882 0.963 0.913 0.987 Flat 0.955 0.968 0.893 0.966 0.908 0.976 Overall -- -- -- -- -- -- Test Right Little Avg MCP PIP MCP PIP Grip 0.948 0.957 0.969 0.964 0.947 Flat 0.955 0.968 0.958 0.979 0.953 Overall -- -- -- -- 0.950 IP = interphalangeal, MCP = metacarpophalangeal, PIP = proximal interphalangeal, Avg = average.
(4,51-55) In combined ulnar and median palsy, the Brand two-tailed FDS transfer is recommended to assist in interphalangeal extension.
Characteristics of wounds, surgeries, and outcomes n Level of internal amputation Distal phalanx 6 Distal and middle phalanx 42 Ray 28 Initial wound status Acute 31 Chronic 46 Initial wound localization Distal toe tip 18 Interphalangeal joint area 6 Proximal interphalangeal joint area 25 MP joint area 27 Distribution of lesions First toe 14 Second toe 12 Third toe 12 Fourth toe 13 Fifth toe 25 Complications and outcomes Wound dehiscence 11 Infection of surgical wound 4 Ulcer relapse 3 Ulcer occurrence in contralateral foot 6
The main clinical features in PPD are arthralgia, joint contractures, enlarged metacarpophalangeal and interphalangeal joints, and short stature [10].
Hyperkeratotic plaques resembling knuckle pads may be seen on the interphalangeal joints.
Management of proximal interphalangeal joint injuries.
* Involvement of 1-3 "small" joints (defined as metacarpophalangeal joints, proximal interphalangeal joints, second to fifth metatarsophalangeal joints, thumb interphalangeal joints, and wrists) gets 2 points, regardless of large-joint involvement; involvement of 4-10 small joints gets 3 points.
The patient described an insidious onset of pain, persistent stiffness, and joint swelling affecting the metacarpophalangeal and proximal interphalangeal joints, shoulders, knees, ankles, and feet in a symmetric fashion.
In order to avoid flexion deformity of the distal interphalangeal (DIP) joint related to excessive tension of the FDP, the procedure was completed with a lengthening Z-plasty of the FDP in the forearm proximal to the carpal tunnel.
The most commonly affected joints are the distal interphalangeal and the proximal interphalangeal (PIP), followed by the base of thumb joint.
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