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ARTICLE |

DISABILITIES OF HAND RESULTING FROM LOSS OF JOINT FUNCTION

SUMNER L. KOCH, M.D.
JAMA. 1935;104(1):30-35. doi:10.1001/jama.1935.02760010032006.
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In suggesting the subject of disabilities of the hand resulting from loss of joint function I wish to submit a problem for consideration and discussion rather than a report of facts ascertained and results accomplished. To attempt to secure improvement of function in a hand with its joints fixed in flexion or extension has been difficult and often unsuccessful. An important complicating factor in many cases has been injury and fixation of tendons as a result of the original injury or infection. Not uncommonly the inability on the part of the patient to perform active movements and the failure to maintain passive movements have been quite as important factors in contributing to the joint fixation as have the injury or infection. Once joint function has been lost, the problem of restoration has presented so many difficulties that one constantly recurs in his mind to what might have been, and the

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