International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 12 | Case Report | Open Access DOI
Saman Babar*
Saman Babar1, Farah Shaheen2, Talha Shahid Malik3, Samra Saleem4, Anam Rehman5, Syed Naeem Abbas6
1DPT, Physiotherapist, Punjab Institute of Neurosciences Lahore, Pakistan
2MS-OMPT, PPDT, BS-PT Hons, Chief Coordinator Physiotherapy, Shalamar Hospital Lahore
3DPT, House Officer, Century Hospital Gujranwala
4MS-WHPT, DPT, Physiotherapist, Punjab Institute of Neurosciences Lahore
5DPT, Clinical Physiotherapist, Shalamar Hospital Lahore
6DPT, MSN, MPT, Consultant Physiotherapy, Shalamar Hospital Lahore
*Correspondence to: Saman Babar
Fulltext PDFIntroduction: Claw hand is a condition in which fingers remain bent and unable to straighten up with hyperextension at metacarpophalangeal joint (MCP) and flexion at interphalangeal joint (IP). Partial clawing of hand is a condition that results due to damage of ulnar nerve leading to weakness of hand resulting in imbalance between lumbricals and dorsal interossei.
Patient concerns: A 31-year-old female noticed loss of sensation along with the medial border of wrist and last two fingers for 6 months after tendon repair and nerve repair surgery at the level of wrist due to trauma. right hand with difficulty in grasping and holding after her nerve repair.
Diagnosis: She was diagnosed with partial clawing of right hand due to damage of ulnar nerve at wrist joint. Interventions: Physiotherapy sessions was given for five weeks and 6 days session per week. These interventions was included, lumbrical blockage splint, electrical muscle stimulation, passive range of motion, sensory reeducation, active assisted range of motions, mobilization of joints grade1 and 2, trans frictional massage, active ranges, ulnar nerve glides, strengthening exercises.
Outcomes: All combined intervention helped in early gain of sensation, ROM, hand strength and restored grasping activities. patient after rehabilitation was able to performs activities of daily life with right hand. Conclusion: Combined physiotherapy interventions used in this case for partial clawing of right hand following ulnar nerve trauma at wrist and helped in early gain of sensation, ROM, hand strength and restore grasping activities. Therefore, neve repair followed by extensive physiotherapy after tendon injury should be the mainstay of treatment.
Tendon repair; Claw hand; Physiotherapy interventions; Wrist trauma
Saman Babar, Farah Shaheen, Talha Shahid Malik, Samra Saleem, Anam Rehman, et al. Effect of Combined Intervention of Physiotherapy Rehabilitation on Partial Clawing of Hand after Ulnar Nerve Repair: A Case Report. Int Clinc Med Case Rep Jour. 2024;3(12):1-5.