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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
Journals - Article | |
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ACTA CHIRURGIAE PLASTICAE 40, 4, 1998, pp. 109 - 111 | |
CONGENITAL CONTRACTURE OF THE SUPERFICIAL FLEXOR
OF THE HAND V. Smrčka 1 , I. Dylevský 2 1 Ambulatory Centre of Locomotor System, Prague 2 Department of Functional Anatomy, Faculty of Physical Education and Sports and Second Medical Faculty, Charles University, Prague, Czech Republic |
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Summary: The authors describe a case of an inborn contracture of the superficial flexors of the three-phalangeal fingers in
a 15-year-old girl and treatment of the condition. For clinical purposes a classification on congenital deformities in
the proximal part of the flexor complex was proposed in which the described case is included. The classification
was derived from the ontogenetic development of flexor tendons. There are three types of deformities: S1 - the
muscular belly of the superficial flexor of the fingers is only in the palm; S2 - the muscle is attached to the area
between the wrist and medial epicondyle; S3 - the palmaris longus of the fingers is on the medial epicondyle,
however the m. palmaris longus is lacking; Pl-1 the superficial flexor exists only in the form of a proximal muscular
belly of varying length; Pl-2 - the palmaris longus is on the wrist and the insertion tendon may be thinner than on
the contralateral side. The described contracture deformity was classified as type S2.
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