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Case Report



The treatment of focal dystonia of index finger of the hand with tendon transfer

Ahmet Adnan Karaarslan, Hakan Aycan, Tolga Karci, Erhan Sesli.




Abstract

Dystonia is a disorder of motion; accompanied by unintentional muscle spasms leading to repetitive movements and/or aberrant posture that appears during a specific activity. Examples of focal task-specific dystonia (TSD) are “writer’s cramp” and “musician’s dystonia”, and it specifically involves the hand. A 54-year-old male presented with a complaint that the index finger of his right hand moved repetitively that scratched the wrist and palm when he shook hands. He could not find a solution to his problem through non-surgical treatment options. Based on the fact that the problem was limited to the index finger, non-progressive (stable) and refractory to non-surgical treatment, it was attempted to treat the patient with a tendon transfer as a last option. A case of focal TSD of the right index finger treated with tenotomy and tendon transfer is presented here.

Key words: Dystonia, focal dystonia, task specific dystonia, treatment, tendon transfer





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