From the Research
Claw hand, also known as intrinsic minus hand, is a deformity that should be treated with the Zancolli-Lasso procedure, as it has been shown to be a simple and effective viable treatment for patients who suffer from hand clawing and have adapted to a weaker pinch, as demonstrated in a recent case study 1. The diagnosis of claw hand typically involves a clinical evaluation, including Bouvier's test, to determine the extent of the deformity and the most appropriate treatment option.
- The Zancolli-Lasso procedure is preferred for patients with a positive Bouvier's test, as it has been shown to be effective in correcting the deformity and improving hand function 2.
- Other treatment options, such as physical therapy, splinting, and anti-inflammatory medications, may also be considered, depending on the underlying cause and severity of the condition.
- In some cases, microinvasive percutaneous needle tenotomy of the finger flexors may be a useful alternative for treating claw hand in fragile older patients, as it can be performed in an ambulatory setting under local anesthesia and has been shown to be safe and effective 3. The goal of treatment is to improve hand function, reduce deformity, and enhance the patient's quality of life.
- A comprehensive approach to treating claw hand is essential, taking into account the patient's overall health, the extent of the deformity, and the potential for improvement with treatment, as highlighted in a study on the correction of ulnar claw hand and Wartenberg's sign 2.
- The choice of treatment should be individualized, based on the patient's specific needs and circumstances, and should involve a multidisciplinary approach, including input from orthopedic surgeons, physical therapists, and other healthcare professionals, as discussed in a review of the correction of the claw hand 4.