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The Hand
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Articles

"I-P Flexor Lag" After Thumb Flexor Reconstruction — Causes and Solution

DAVID B. APFELBERG
MORTON R. MASER
HARVEY LASH
LEO KEOSHIAN

Palo Alto, California

A small but significant percentage of thumbs fail to regain complete range of motion after reconstructive procedures designed to replace lost function of the flexor pollicis longus tendon. A characteristic but little noted posture and attitude of metacarpophalangeal flexion with loss of interphalangeal motion and metacarpophalangeal stabilisation with restoration of interphalangeal motion is described. ("I-P flexion lag"—I.P.F.L.) Clinical causes include shortening of the muscle-tendon unit, loss of pulleys with bowstringing, adhesions and hypermobile joints.

The Hand, Original Series, Volume 12, No. 2, 167-172 (1980)
DOI: 10.1016/S0072-968X(80)80009-X
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