Journal of

Case Reports and Images in Medicine

 
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Case Series
 
Reconstructive surgical correction of ulnar nerve paralytic claw fingers in Hansen's disease patients by Lasso procedure
Isaac Olusayo Amole1, Stephen Adesope Adesina1, Adewumi Ojeniyi Durodola1, Adenike Adeniran2, Olufemi Timothy Awotunde2, Samuel Uwale Eyesan3
1FWACP(FM), Consultant, Department of Family Medicine, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria.
2FMCGP, Consultant, Department of Family Medicine, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria.
3FMCS(Ortho), Consultant, Department of Surgery, Bowen University Teaching Hospital, Ogbomoso, Oyo State, Nigeria.

Article ID: 100015Z09IA2016
doi:10.5348/Z09-2016-15-CS-8s

Address correspondence to:
Isaac Olusayo Amole
Bowen University Teaching Hospital
P.O. Box 15
Ogbomoso, Oyo State
Nigeria, 009234

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How to cite this article:
Amole IO, Adesina SA, Durodola AO, Adeniran A, Awotunde OT, Eyesan SU. Reconstructive surgical correction of ulnar nerve paralytic claw fingers in Hansen's disease patients by Lasso procedure. J Case Rep Images Med 2016;2:31–35.


Abstract
Introduction: Hansen's disease is a chronic infectious granulomatous disease caused by Mycobacterium leprae and the organisms affect mainly peripheral nerves and skin. The deformities seen in Hansen's disease may result from the disease process or paralysis of some muscles due to damage to peripheral nerve trunk or injuries/infection to hands or feet. Reconstructive surgery for Hansen's disease patients is one of the ways of eliminating stigma associated with deformities and it also helps in restoring patient's ability to carry out some basic functions.
Case Series: Four cases of claw fingers resulting from ulnar nerve paralysis were considered in this study. Two of them dropped out of school because of the deformities. All of the patients considered in this study had mobile claw fingers and three of them had associated contracture. The contractures were corrected with serial manipulation and casting with Plaster of Paris before commencement of preoperative physiotherapy. They were operated using Zancolli Lasso procedure under local anesthetics as regional block and had an uneventful postoperative period. All of them had satisfactory correction of their deformities.
Conclusion: Reconstructive surgery for Hansen's disease patients is one of the ways of eliminating stigma associated with deformities and it also helps in restoring patient's ability to carry out some basic functions. The selection criteria for optimal outcome in reconstructive surgery for Hansen's disease patients must be strictly followed in order to have a good outcome.

Keywords: Clawing, Lasso procedure, Reconstruction, Ulnar nerve


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Author Contributions:
Isaac Olusayo Amole – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Stephen Adesope Adesina – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Adewumi Ojeniyi Durodola – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Adenike Adeniran – Substantial contributions to conception and design, Drafting the article, Critical revision of the article, Final approval of the version to be published
Olufemi Timothy Awotunde – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Samuel Uwale Eyesan – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Isaac Olusayo Amole et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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