Addressing triggering post zancolli lasso procedure
A claw hand causes disability as kinematics are affected due to hyperextension at the metacarpophalangeal joints. Zancolli lasso procedure is a simple tenodesis procedure which effectively lessens clawing to allow better grip. We present a56-year-old lady who had a history of trauma with progres...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2018
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| Online Access: | http://journalarticle.ukm.my/20628/ http://journalarticle.ukm.my/20628/1/27_ms0253_pdf_18778.pdf |
| _version_ | 1848815153127096320 |
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| author | Mohd Zaim MR, Shalimar Abdullah, Parminder Singh Gill NS, Nur Azuatul AK, |
| author_facet | Mohd Zaim MR, Shalimar Abdullah, Parminder Singh Gill NS, Nur Azuatul AK, |
| author_sort | Mohd Zaim MR, |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | A claw hand causes disability as kinematics are affected due to hyperextension
at the metacarpophalangeal joints. Zancolli lasso procedure is a simple tenodesis
procedure which effectively lessens clawing to allow better grip. We present a56-year-old lady who had a history of trauma with progressive clawing of her left
hand. She has been diagnosed with partially recovered incomplete lower trunk
brachial plexus injury. She underwent successful Zancolli lasso procedures for all
of her fingers but 8 months later, the patient developed triggering of the index
and middle fingers. We experimented by releasing the adhesions in one finger
and releasing the whole A1 pulley together with the lasso-ed flexor digitorum
superficialis (FDS) in the other finger and the latter worked.We repeated the
procedure in the index finger and the triggering resolved. Although both her index
and middle fingers now have a flexor digitorum profundus (FDP) only (the FDS
having retracted proximally), she did not have a recurrence of her clawing. We
attributed the triggering due to increasing A1 pulley volume as well as contractures
causing post-release functional positions. |
| first_indexed | 2025-11-15T00:45:27Z |
| format | Article |
| id | oai:generic.eprints.org:20628 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:45:27Z |
| publishDate | 2018 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:206282022-11-28T13:17:38Z http://journalarticle.ukm.my/20628/ Addressing triggering post zancolli lasso procedure Mohd Zaim MR, Shalimar Abdullah, Parminder Singh Gill NS, Nur Azuatul AK, A claw hand causes disability as kinematics are affected due to hyperextension at the metacarpophalangeal joints. Zancolli lasso procedure is a simple tenodesis procedure which effectively lessens clawing to allow better grip. We present a56-year-old lady who had a history of trauma with progressive clawing of her left hand. She has been diagnosed with partially recovered incomplete lower trunk brachial plexus injury. She underwent successful Zancolli lasso procedures for all of her fingers but 8 months later, the patient developed triggering of the index and middle fingers. We experimented by releasing the adhesions in one finger and releasing the whole A1 pulley together with the lasso-ed flexor digitorum superficialis (FDS) in the other finger and the latter worked.We repeated the procedure in the index finger and the triggering resolved. Although both her index and middle fingers now have a flexor digitorum profundus (FDP) only (the FDS having retracted proximally), she did not have a recurrence of her clawing. We attributed the triggering due to increasing A1 pulley volume as well as contractures causing post-release functional positions. Pusat Perubatan Universiti Kebangsaan Malaysia 2018-12 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/20628/1/27_ms0253_pdf_18778.pdf Mohd Zaim MR, and Shalimar Abdullah, and Parminder Singh Gill NS, and Nur Azuatul AK, (2018) Addressing triggering post zancolli lasso procedure. Medicine & Health, 13 (2). pp. 235-240. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/13/2 |
| spellingShingle | Mohd Zaim MR, Shalimar Abdullah, Parminder Singh Gill NS, Nur Azuatul AK, Addressing triggering post zancolli lasso procedure |
| title | Addressing triggering post zancolli lasso procedure |
| title_full | Addressing triggering post zancolli lasso procedure |
| title_fullStr | Addressing triggering post zancolli lasso procedure |
| title_full_unstemmed | Addressing triggering post zancolli lasso procedure |
| title_short | Addressing triggering post zancolli lasso procedure |
| title_sort | addressing triggering post zancolli lasso procedure |
| url | http://journalarticle.ukm.my/20628/ http://journalarticle.ukm.my/20628/ http://journalarticle.ukm.my/20628/1/27_ms0253_pdf_18778.pdf |