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2007, Number 2

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Cir Plast 2007; 17 (2)

Clinical test to evaluate the function of the flexor digitorum superficialis of the 5th finger

Mecott RGA, Pérez PS
Full text How to cite this article

Language: Spanish
References: 8
Page: 82-86
PDF size: 139.32 Kb.


Key words:

Flexor digitorum superficialis, 5th finger, clinical test, classical test, Stein’s.

ABSTRACT

The objective of the study is to find a useful clinical test to evaluate the function of the flexor digitorum superficialis of the 5th finger, because the classical test gives negative results in a significant number of healthy patients. Our test consists of flexing the metacarpophalangeal joint 90° resting the dorsum of the fingers on a table. The observer holds the extended fingers except the finger to be examined, the patient is asked to flex his/her finger, resulting positive if he/she is able to flex the proximal interphalangeal joint › 90°, partial if ‹ 90° but › 30°, and negative if ‹ 30°. We carried out the classical test, modified by Stein and our tests on 250 individuals (500 hands). Results were compared recording the outcome of the test related to the dominant hand and the symmetry in both hands. Our test was positive in 91% of the patients versus 59.4 of the classical test and 95.6 in Stein’s test. No relationship with the dominant hand was found and it was symmetric in 90% of the patients opposed to 72.4% in the classical test and 92.8% in Stein’s test.


REFERENCES

  1. Tubiana R, Thomine JM. Manual de la mano, anatomía funcional y exploración clínica. Barcelona: Masson, 1991: 162-163.

  2. Herrera CJ, Miralles MF, Ortega MJ, Barrera PF. En: Manual de Cirugía Plástica (online manual). http://www.secpre.org

  3. MI. Flexor tendon injury. In: Green’s operative hand surgery. 5th edition. Philadelphia, Pennsylvania: Elsevier Churchill Livingstone, 2005: 219-220.

  4. Mass DP. Early repairs of flexor tendon injuries. In: Berger RA, Weiss AP. Hand surgery. Philadelphia PA: Lippincott Williams & Wilkins 2004: 687-689.

  5. Chase RA. Atlas of hand surgery. Philadelphia PA: Saunders 1973: 16-17.

  6. Masson JA. Hand III: Flexor Tendons. In: Selected readings in plastic surgery. Texas, Baylor University Medical Center 2003; 34(9): 1-2.

  7. Stein A. Clinical evaluation of flexor tendon function in the small finger. Ann Emerg Med 1990; 19: 991.

  8. Dogan T, Celebiler O, Gurunluoglu R, Bayramicli M, Numanoglu A. A new test for superficialis flexor tendon function. Ann Plast Surg 2000; 45(1): 93-96.




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Cir Plast. 2007;17