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The Kapandji score is a tool useful for assessing the opposition of the thumb, based on where on their hand the patient is able to touch with the tip of their thumb. [ 1 ] Scoring
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Ape hand deformity is a deformity in humans who cannot move the thumb away from the rest of the hand. It is an inability to abduct the thumb. [1] Abduction of the thumb refers to the specific capacity to orient the thumb perpendicularly to the ventral (palmar) surface of the hand.
Opposition of the thumb is a combination of actions that allows the tip of the thumb to touch the tips of other fingers. The part of apposition that this muscle is responsible for is the flexion of the thumb's metacarpal at the first carpometacarpal joint. This specific action cups the palm.
Abduction of the thumb is defined as the movement of the thumb anteriorly, a direction perpendicular to the palm. The abductor pollicis brevis does this by acting across both the carpometacarpal joint and the metacarpophalangeal joint. It also assists in opposition and extension of the thumb.
The thumb is the first digit of the hand, next to the index finger. [A] When a person is standing in the medical anatomical position (where the palm is facing to the front), the thumb is the outermost digit. The Medical Latin English noun for thumb is pollex (compare hallux for big toe), and the corresponding adjective for thumb is pollical.
The inferior surface is oval, concave from side to side, convex from before backward, so as to form a saddle-shaped surface for articulation with the base of the first metacarpal bone. This saddle-shaped articulation is partially responsible for the thumb's opposable motion. The dorsal surface is smooth. The palmar surface is narrow and rough.
When playing in thumb position, the use of the fourth finger is replaced by the third finger, as the fourth finger becomes too short to produce a reliable tone. Bass instruction books often teach thumb position by having the player place the left-hand thumb on the high (one-lined) G note. In this same position, notes below the G can also be played.