Ape hand deformity

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Ape hand deformity
Other namesSimian hand
Ape Hand.jpg
Ape hand deformity

Ape hand deformity is a deformity in humans who cannot move the thumb away from the rest of the hand. It is an inability to abduct the thumb. [1] Abduction of the thumb refers to the specific capacity to orient the thumb perpendicularly to the ventral (palmar) surface of the hand. Opposition refers specifically the ability to "swing" the first metacarpal [2] such that the tip of the thumb may touch the distal end of the 5th phalanx and if we put the hand on the table as the palm upward the thumb can not point to the sky. The Ape Hand Deformity is caused by damage to the distal median nerve (also called a Median Claw lesion), and subsequent loss of opponens pollicis muscle function. The name "ape hand deformity" is misleading, as some apes do have opposable thumbs.[ citation needed ]

Contents

It can occur with an injury of the median nerve either at the elbow or the wrist, impairing the thenar muscles and opponens pollicis muscle. [3]

Ape hand deformity is one aspect of median nerve palsy, which is usually caused by deep injuries to the arm, forearm and wrist area.[ citation needed ]


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Ape Hand Deformity Apehand 1.JPG
Ape Hand Deformity
Ape Hand Deformity Apehand 2.JPG
Ape Hand Deformity

Ape hand caused by median and ulnar nerve lesions.

See also

Related Research Articles

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<span class="mw-page-title-main">Ulnar claw</span> Deformity of the hand that develops due to ulnar nerve damage

An ulnar claw, also known as claw hand or ‘Spinster’s Claw’, is a deformity or an abnormal attitude of the hand that develops due to ulnar nerve damage causing paralysis of the lumbricals. A claw hand presents with a hyperextension at the metacarpophalangeal joints and flexion at the proximal and distal interphalangeal joints of the 4th and 5th fingers. The patients with this condition can make a full fist but when they extend their fingers, the hand posture is referred to as claw hand. The ring- and little finger can usually not fully extend at the proximal interphalangeal joint (PIP).

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<span class="mw-page-title-main">Median nerve palsy</span> Medical condition

Injuries to the arm, forearm or wrist area can lead to various nerve disorders. One such disorder is median nerve palsy. The median nerve controls the majority of the muscles in the forearm. It controls abduction of the thumb, flexion of hand at wrist, flexion of digital phalanx of the fingers, is the sensory nerve for the first three fingers, etc. Because of this major role of the median nerve, it is also called the eye of the hand. If the median nerve is damaged, the ability to abduct and oppose the thumb may be lost due to paralysis of the thenar muscles. Various other symptoms can occur which may be repaired through surgery and tendon transfers. Tendon transfers have been very successful in restoring motor function and improving functional outcomes in patients with median nerve palsy.

<span class="mw-page-title-main">Muscles of the thumb</span>

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References

  1. "Anatomy Tables - Hand". Archived from the original on 2008-01-18. Retrieved 2009-11-02.
  2. Belliappa, P. P.; Scheker, L. R. (August 1993). "Functional anatomy of the hand". Emergency Medicine Clinics of North America. 11 (3): 557–583. doi:10.1016/S0733-8627(20)30467-3. ISSN   0733-8627. PMID   8359131.
  3. "Gross Anatomy: THE BRACHIAL PLEXUS". Archived from the original on 2009-09-04. Retrieved 2009-11-02.