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ORL tightness test
Dip flexion measured with pip in extension and then flexion
If ORL tight dip flexion will be more limited when pip in extension than flexion
When is ORL tight
In a finger with fixed boutonnière def
Or during immob periods limiting dip passive fx
What is Richie cannieu anastomoses
Cross over of nerve fibres from deep branch of ulnar nerve to recurrent branch of median nerve
Found to be present in up to 83 percent people
Can cause sparing of median nerve innervated intrinsics in severe cases of carpal tunnel
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