Search PubMedSearch

PubMed · 2176654

Syndactyly.

Abstract

Congenital syndactyly is associated with a wide spectrum of local anomalies that strongly influence the ultimate outcome of treatment. Surgical options, indications, timing, and prognosis are all determined by the preoperative degree of deformity. The surgeon must apply knowledge of anatomic variations and adhere to fundamental principles of technique, which are reviewed in detail.

Explore related subjects

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

C J Eaton, G D Lister. 1990. Syndactyly.. https://pubmed.ncbi.nlm.nih.gov/2176654/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

Cortical areas and the control of self-determined finger movements: an fMRI study.

We investigated cortical areas involved in the control of self-determined finger movements. In a tapping task, subjects tapped with different movement frequencies in two different movement conditions (predetermined vs self-determined). fMRI provided evidence for the involvement of the horizontal and ascending parts of the intraparietal sulcus (IPS), the left superior frontal gyrus and the posterior cingulate gyrus in the control of self-determined finger movements. Higher movement frequency increased the extent of activated area only in the horizontal part of IPS. The results suggest a major role of the IPS in controlling sequences of finger movements. This area probably serves as a region for integration of motor, sensory and sensorimotor feedback information used for movement control.

Fingers

Motor redundancy during maximal voluntary contraction in four-finger tasks.

The goal of the study was to investigate force-sharing patterns in multi-finger tasks. Maximal normal force (MNF) as well as the force-time curves produced by individual fingers were measured in 10 young male subjects in three tasks: (1) holding an instrumented handle in a pad opposition with the thumb at seven different locations, from opposing the index finger (L0) to opposing the little finger (L6); (2) holding the handle in a pad opposition with the thumb at an individually selected comfortable location; and (3) pressing with the four fingers against the same handle fixed to the external support. We found that: (1) The moment due to the normal finger forces changed systematically when the thumb position varied from L0 to L5/ L6, and it was equal to zero at a certain middle position of the thumb, the neutral position. At this position, the shear force produced by the fingers was zero. (2) The total MNF changed in an ascending-descending manner when the thumb position varied from L0 to L5/L6. The highest value of the maximal total normal force was produced at a position of the thumb that was preferred as the most comfortable position in the grip task. (3) In the press task, the neutral line - the line with respect to which the moment generated by the four fingers equals zero - was at the same location as the preferred thumb position in the grip tasks. (4) Larger total normal force corresponded to smaller total shear forces. (5) In grip tasks, with the thumb in a comfortable position, the force-force relationships among fingers were approximately linear. Hence, in these thumb positions, the force-sharing pattern was established at the beginning of the trial. At the extreme positions of the thumb, irregular patterns of the force-force relationships were observed. (6) In trials with different thumb locations, a significant correlation was found between the maximal force produced by the index and small fingers. (7) Peak force exerted by individual fingers in the multi-finger tasks was much smaller than the maximal force displayed by the same fingers in the single-finger tasks. The peak force depended on the thumb position and varied from 11.3% to 65.2% of the maximal force exerted by the same finger in the single-finger task. With the thumb in the comfortable position, the relative peak force for all fingers was approximately at the same level, 50-55%. The data are in agreement with the hypothesis that the total force is shared among individual fingers, minimizing the moment with respect to the functional hand axis.

Fingers