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Master Thesis

Évaluation fonctionnelle des pollicisations de l’index dans les malformations congénitales : apport de la vidéo-assistance

Abstract : Introduction: The results of index finger pollicisation are usually assessed by performance in simple hand movements included in the Percival score. The purpose of this study was to examine the contribution of video assistance to assess the results of pollicisation in everyday life hand movements. Material and methods: We performed a retrospective study of 22 children who underwent index pollicisation between 1998 and 2012. The mean follow-up was 79 months (18-157 months) and the mean age at surgery was 30 months (12-192 months). The results were evaluated by the Percival score and by examination of functional hand movements in everyday life, as assessed by video assistance. Inter and intra observer concordance was assessed using kappa statistics. Results. Percival's average score was 14,9. Overall, the results of pollicisation were not as good on video-assistance as on the Percival score, in particular when "hidden camera" was used. In particular, functional analysis by video assistance showed that children tended to use their neo thumb in lateral pinch. As with the score of Percival, results were better in patients operated before the age of 2 years and in those without associated anomaly. Conclusion: This study shows that functional assessment by video assistance of hand movements in everyday life after index finger pollicisation provides additional information compared to the score of Percival.
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Master Thesis
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Submitted on : Friday, March 6, 2015 - 11:03:20 AM
Last modification on : Friday, March 27, 2020 - 2:37:20 AM
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  • HAL Id : dumas-01125238, version 1


Virginie Mas. Évaluation fonctionnelle des pollicisations de l’index dans les malformations congénitales : apport de la vidéo-assistance. Médecine humaine et pathologie. 2014. ⟨dumas-01125238⟩



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