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Journal of Bone and Joint Surgery - British Volume, Vol 69-B, Issue 2, 215-219
Copyright © 1987 by British Editorial Society of Bone and Joint Surgery


Articles

Myelopathy hand. New clinical signs of cervical cord damage

K Ono, S Ebara, T Fuji, K Yonenobu, K Fujiwara, and K Yamashita

A characteristic dysfunction of the hand has been observed in various cervical spinal disorders when there is involvement of the spinal cord. There is loss of power of adduction and extension of the ulnar two or three fingers and an inability to grip and release rapidly with these fingers. These changes have been termed "myelopathy hand" and appear to be due to pyramidal tract involvement. The characteristic nature of the signs permit the distinction between myelopathy and changes due to nerve root or peripheral nerve disorder. The clinical significance of these signs has been assessed against other tests and their value in management is discussed.


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N. Hosono, H. Sakaura, Y. Mukai, T. Kaito, T. Makino, and H. Yoshikawa
A simple performance test for quantifying the severity of cervical myelopathy
J Bone Joint Surg Br, September 1, 2008; 90-B(9): 1210 - 1213.
[Abstract] [Full Text] [PDF]



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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General