Title

Development of long flexor tightness in low ulnar nerve palsy: A review

Authors

Pankaj Gupta*, Deepak Raghav & Gopal Yadav

Affiliation

Department of Orthopaedics (Physiotherapy), Santosh Deemed to be University, Ghaziabad, India; *Corresponding author

Email

Pankaj Gupta - E-mail: therapist_pankaj2002@yahoo.co.in
Deepak Raghav - E-mail: deepak.raghav@santosh.ac.in
Gopal Yadav - E-mail: hod.orthopaedics@santosh.ac.in

Article Type

Review

Date

Received September 1, 2026; Revised September 30, 2026; Accepted September 30, 2026, Published September 30, 2026
 

Abstract

Proximal interphalangeal joint stiffness is a common complication of ulnar nerve palsy, particularly in leprosy. Therefore, it is of interest to examine the pathophysiological mechanisms underlying stiffness associated with low ulnar nerve palsy. The condition compromises hand function, restricts daily activities and may delay corrective surgery for hand deformities. Unlike traumatic stiffness, nerve-related stiffness involves skin contracture, extrinsic muscle tightness, long flexor tightness and capsular changes. Understanding these mechanisms can improve clinical assessment and guide timely management of hand dysfunction.

Keywords

Proximal interphalangeal (PIP) joint stiffness, long flexor tightness, skin contracture, capsular contracture, leprosy, ulnar nerve palsy

Citation

Gupta et al. Bioinformation 22(9): 5972-5975 (2026)

Edited by

Ruby Singh

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.