[Surgical management of @entity508 of the intrinsic muscles of the long fingers in adults after XXXX , 68 operated hands].

@entity1 @entity508 @entity1847 @entity10281 @entity158 @entity306
Between November 2001  and January 2008, 56  @entity1 (68  hands) out of 110  @entity1 operated for @entity1847 , presented with @entity508 of the intrinsic muscles of the long fingers (interosseii and the abductor pollicis brevis). All @entity1 were adults (mean age 42.1  years). The surgical indication was discussed during multidisciplinary consultations with selective nerve blocks enabling us to distinguish between extrinsic and intrinsic pathologies on the one hand and muscular @entity508 and tendon retractions on the other hand. The aim of the treatment was defined in a "contract" signed with the @entity1 and/or his family. It was @entity10281 , aesthetic and analgesic in 15  cases, @entity10281 and analgesic in 32  cases and functional in 21  cases. Four hands were treated by neurectomy of the ulnar nerve's motor ramus, 54  by tenotomies of the interosseous muscles, 18  by tenotomy of the abductor digiti minimi, six by metacarpal disinsertion of the interosseous muscles. On a total of 67  hands operated associating surgery of the extrinsic and intrinsic flexors, 63  had good primary results as defined in the contract. We noted four relapses, two of which required revision. The authors emphasize the frequency of mixed @entity508 in adults after @entity306 . However modest the functional results may be, correction of @entity10281 and @entity158 problems of non-functional hands as well as aesthetic improvements make surgery of the mixed @entity508 hand a successful intervention, which should be shared.
