This sqadia.com medical lecture talks extensively about leprosy. Our medical specialist, Dr Hammad Haider has elaborated about various hand deformities including claw-finger and the triple paralysis. Whereas, foot anomalies encompass drop foot and claw foot. Moreover, plantar ulceration is also a malady in which ulcers are formed in neurologically compromised feet. Furthermore, neuropathic tarsal disorganization has also been extensively talked about comprehensively.
Hand in Leprosy
Hand in leprosy has been shed light upon in this section. Claw-finger, as indicated from its name, is the clawing of the patient’s fingers. It is treated via Lasso operation of Zancolli. In addition to the fingers, thumb is also greatly influenced. This occurs due to flexor pollicis brevis paresis. Furthermore, another medical condition entitled combined ulnar and median nerve paralysis has been described. In the end, triple paralysis has been elaborated.
Foot in Leprosy
This section highlights the foot in leprosy. One of the commonest conditions in foot leprosy is the drop foot in which damage to common peroneal nerve occurs. It can either be a dorsiflexor paralysis or evertor paralysis. Mobile and fixed drop foot deformity has also been shed light upon. Claw toes, another disorder, is more common than drop foot. It can either be first degree (mild), second degree (moderate) or third degree (severe). Treatment options include open reduction of metatarsophalangeal joint or via surgical syndactyly.
The medical aspect of plantar ulceration has also been elucidated in this section. This is the ulceration in the soles of neurologically compromised feet. Necrotic blisters have also been conferred about. Some of the management techniques employed include compression bandaging, antibiotics, surgery, castings, triple arthrodesis and many more. Additionally, posterior tibial neovascular decompression and tibiocalcaneal fusion have been delineated.
Neuropathic Tarsal Disorganization
This section emphasizes upon the neuropathic tarsal disorganization. Its subdivisions include aseptic disorganization and septic tarsal disorganization. The former can be diagnosed through X-rays and is treated by operative stabilization, casting or appropriate orthosis. Whereas, the latter is owing to the infection spread. Furthermore, amputations have also been highlighted.