Publication date: May 14, 2019
Hand deformities have been recognized since the XIX century as part of the postural abnormalities observed in Parkinson’s disease (PD). However, their pathogenesis and clinical correlations are poorly understood.
We evaluated 104 hands of 52 consecutive patients with PD by high resolution photographs taken from the radial aspect of each hand; the degree of flexion of the 2 metacarpophalangeal (MCP) joint was measured by software. The presence of classical striatal hand deformity (CSHD) was also evaluated, defined as MCP flexion, proximal interphalangeal joint extension and distal interphalangeal joint flexion.
Patients with PD had a mean age of 63.3 +/- 12.7 years and 29 (56%) were males. The degree of MCP joint flexion in both hands showed moderate correlation with the MDS-UPDRS-III motor score (r=0.518, P
Baizabal-Carvallo, J.F., Alonso-Juarez, M., Murillo Ortiz, B., and Fekete, R. Clinical Correlations of Striatal Hand Deformities in Parkinson’s Disease. 20767. 2019 Acta Neurol Scand.
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