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Flexor sheath infection leading to acute digital ischaemia

claw position. It should be noted that the secondary complications of a claw position, such as hyperlaxity of the MCP joints or flexion contractures of the PIP joints did not occur. A year after injury, when he had some motor (MRC grade 3) and sensory reinnervation, he was so used to the ‘trick’ movement to obtain the intrinsic plus position that training the intrinsic muscles was more difficult than expected. In summary, a patient with intrinsic paralysis was able to obtain and maintain an intrinsic plus position due to bowstringing at the MCP joint. This ability to maintain the intrinsic plus position should not to be mistaken for early reinnervation.