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Wheeless' Textbook of Orthopaedics
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Quadriga



- Discussion:
    - may result from over advancement of the FDP following tendon rupture or
          repair, from from proximal FDP adhesions, or may result from arthrodesis of
          PIP joint of ring and long fingers;
    - the result is weak grasp in remaining fingers due to FDP tethering by scar at
          amputation site (eg suturing FDP to extensors);
          - if one FDP is tethered, the others can not shorten;
          - there is loss of flexion in other digits and patient may be unable to make a full fist;



Profundus tendon blockage: quadriga in finger amputations.

Syndrome of quadrigia.
    Verdan, C.
    Surgical Clinics of North America. Vol 40. 1960. p 425-426.








Original Text by Clifford R. Wheeless, III, MD.