Palande D D
J Bone Joint Surg Am. 1983 Apr;65(4):514-21.
In a hand with paralysis of the intrinsic muscles, the clawing of the fingers is associated with deformity of the distal transverse metacarpal arch. The arch is often flattened in the open-hand position and is sometimes reversed. Sixteen hands were operated on with a new tendon-transfer procedure aimed at simultaneous correction of the deformities of the arch and of the fingers. Adequate restoration of the arch was attained in all sixteen hands while the deformity and disability were corrected in 85 per cent of the fingers.
在伴有鱼际肌麻痹的手部，手指的爪形畸形与远侧掌横弓的变形有关。该弓在手部伸展位时常常变平，有时甚至反向。对16只手实施了一种新的肌腱转移手术，旨在同时矫正掌弓和手指的畸形。所有16只手的掌弓均得到了充分恢复，85%的手指畸形和功能障碍得到了矫正。
