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. 2022 Oct 23;5(1):58–65. doi: 10.1016/j.jhsg.2022.09.004

Table 1.

Health Status and Impairments of Patients According to the International Classification of Functioning, Disability, and Health4

Components Patient A Patient B Patient C
Health status
 Age (y) 41 51 38
 Sex M F M
 Occupation Carpenter, skilled worker Farmer, housewife, laborer Fruit seller, laborer
 Dominant side Right Left Right
 Affected side Right Left Right
 Residence Urban area near hospital Rural area, different district Rural area, different state
 Mechanism of injury Sharp glass cut at the mid arm while working Fall from a bike on the elbow Bike accident
 Duration of paralysis 2.3 y 2.5 y 1.5 y
 Surgical procedure FDS 4-tail transfer FDS 4-tail transfer Zancolli lasso transfer
Body structure Complete transection of the brachial artery and basilic vein, partial laceration of the median nerve, complete transection of the ulnar nerve and medial antebrachial cutaneous nerve of the arm and triceps muscle, and partial laceration of the biceps muscle (primary repair of all structures to regain sensory and motor functions) Olecranon fracture operated with tension-band wiring, partial injury of the ulnar nerve at the elbow C5–T1 cord level injury of the brachial plexus (conservatively managed), fracture of the greater tubercle of the humerus (open reduction internal fixation)
Body function
  • Weakness in the ulnar nerve muscles more than median nerve muscles of the hand

  • • FDS, FDP, thenar muscles - MRC grade 4

  • • Hypothenar, interossei, and lumbricals- MRC grade 0

  • • Ulnar claw

  • Weakness in the ulnar nerve muscles of the hand

  • • Ring and little finger FDP - MRC grade 4

  • • Hypothenar, interossei, and lumbricals- MRC grade 0

  • • Ulnar claw

  • Weakness in the ulnar nerve muscles more than median nerve muscles of the hand. Weakness of median nerve muscles equal to radial nerve muscles of the hand

  • • Thenar muscles - MRC grade 3, lumbrical 1st, 2nd- MRC grade 2

  • • Hypothenar, interossei, and lumbricals- MRC grade 0

  • • Complete claw

Bouvier maneuver Negative Negative Negative

MRC, Medical Research Council scale.