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<meta name="keywords" content="C0239831, finding, hand muscle weakness, weakness of the hand muscles, autosomal dominant, autosomal recessive, birth defects, chromosomal disease, chromosome, clinical features, clinical findings, clinical genetics, clinical recommendations, clinvar, congenital chromosomal disease, consumer genetic resources, cytogenetic location, disease characteristics, disease definitions, disease descriptions, disease ontology, disease synonyms, disease vocabulary, dysmorphology, entrez, familial disease, gene, gene-disease relationship, genereviews, genetic disease, genetic disorder, genetic terminology, genetic testing registry, genetics home reference, genomic disease, gtr, hereditary disease, heritable disease, hpo, human phenotype ontology, inherited disease, management guidelines, maternal inheritance, medgen, medical genetics, medical subject headings, mesh, mitochondrial inheritance, mode of inheritance, national center for biotechnology information, national institutes of health, national library of medicine, ncbi, nih, nlm, omim, ordo, orphanet, paternal inheritance, phenome, position statements, professional practice guidelines, rare disease, reference sequence, refseq, snomed ct, syndrome, undiagnosed diseases, x-linked recessive" /><meta name="description" content="Reduced strength of the musculature of the hand." /><meta name="robots" content="index,nofollow,noarchive" />
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<!--
UID=66798
ConceptID=C0239831
-->
<!--imgCountBooks = 0--><h1 class="medgenTitle"><div class="MedGenTitleText">Hand muscle weakness</div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>66798</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0239831</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonym:</td>
<td>Weakness of the hand muscles</td></tr>
<tr><td><span class="bold">SNOMED CT: </span></td>
<td>Hand muscle weakness (298283006)</td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td>HPO:</td>
<td><a target="_blank" title="Human Phenotype Ontology" href="https://hpo.jax.org/app/browse/term/HP:0030237">HP:0030237</a></td></tr>
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<div class="portlet mgSection" id="ID_100">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Definition">Definition</h1><a sid="100" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln">Reduced strength of the musculature of the hand. [from <a title="Human Phenotype Ontology" href="http://www.human-phenotype-ontology.org" class="defSource" target="_blank">HPO</a>]</div>
</div>
<div class="portlet mgSection" id="ID_118">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Term_Hierarchy">Term Hierarchy</h1><a sid="118" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln HierarchyGTR"><div class="jig-ncbitabs"><ul><li><a href="#tabGTR">GTR</a></li><li><a href="#tabMGEN">MeSH</a></li></ul><div id="tabGTR"><div class="search_result"><div class="rprts"><div class="chiclet_legend"><span class="chiclet_list" style="position:static;"><span title="Clinical test" class="chiclet Ccolor round">C</span><span>Clinical test,  </span><span title="Research test" class="chiclet Rcolor round">R</span><span>Research test,  </span><span title="OMIM" class="chiclet Ocolor ">O</span><span>OMIM,  </span><span title="GeneReview" class="chiclet Gcolor">G</span><span><em>GeneReviews</em>,  </span><span title="ClinVar" class="chiclet Vcolor">V</span><span>ClinVar  </span></span></div><div id="hierarchy" class="margin_t1"><div class="ds_tree"><ul><li class="matched_ds"><span class="chiclet_list"><span class="chiclet unavailable round" title="Clinical test">C</span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet unavailable" title="OMIM">O</span><span class="chiclet unavailable" title="GeneReviews">G</span><span class="chiclet unavailable" title="ClinVar">V</span></span><span class="TLline">Hand muscle weakness</span></li></ul></div></div></div></div></div><div id="tabMGEN"><div class="ds_tree"><ul><li><span class="TLline"><a href="/medgen/867443" ref="tree=MeSH" title="MedGen record for Phenotypic abnormality">Phenotypic abnormality</a></span><ul><li><span class="TLline"><a href="/medgen/536898" ref="tree=MeSH" title="MedGen record for Abnormality of limbs">Abnormality of limbs</a></span><ul><li><span class="TLline"><a href="/medgen/870150" ref="tree=MeSH" title="MedGen record for Abnormality of the musculature of the limbs">Abnormality of the musculature of the limbs</a></span><ul><li><span class="TLline"><a href="/medgen/871291" ref="tree=MeSH" title="MedGen record for Abnormality of the musculature of the upper limbs">Abnormality of the musculature of the upper limbs</a></span><ul><li><span class="TLline"><a href="/medgen/871298" ref="tree=MeSH" title="MedGen record for Abnormality of the musculature of the hand">Abnormality of the musculature of the hand</a></span><ul><li><span class="matched_ds">Hand muscle weakness</span><ul><li><span class="TLline"><a href="/medgen/1378295" ref="tree=MeSH" title="MedGen record for Finger flexor weakness">Finger flexor weakness</a></span></li><li><span class="TLline"><a href="/medgen/330427" ref="tree=MeSH" title="MedGen record for Thenar muscle weakness">Thenar muscle weakness</a></span></li><li><span class="TLline"><a href="/medgen/1720697" ref="tree=MeSH" title="MedGen record for Weak grip">Weak grip</a></span></li><li><span class="TLline"><a href="/medgen/870168" ref="tree=MeSH" title="MedGen record for Weakness of long finger extensor muscles">Weakness of long finger extensor muscles</a></span></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></div></div></div></div>
</div>
<div class="portlet mgSection" id="ID_112">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Conditions_with_this_feature">Conditions with this feature</h1><a sid="112" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln clinfeat">
<div class="divPopper rprt" id="rdis_98290"><div><strong>Charcot-Marie-Tooth disease X-linked dominant 1</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>98290</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information."><span class="highlight" style="background-color:">C0393808</span></a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">GJB1 disorders are typically characterized by peripheral motor and sensory neuropathy with or without fixed CNS abnormalities and/or acute, self-limited episodes of transient neurologic dysfunction (especially weakness and dysarthria). Peripheral neuropathy typically manifests in affected males between ages five and 25 years. Although both men and women are affected, manifestations tend to be less severe in women, some of whom may remain asymptomatic. Less commonly, initial manifestations in some affected individuals are stroke-like episodes (acute fulminant episodes of reversible CNS dysfunction).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/98290">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_98291"><div><strong>Hereditary liability to pressure palsies</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>98291</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0393814</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Hereditary neuropathy with liability to pressure palsies (HNPP) is characterized by recurrent acute sensory and motor neuropathy in a single or multiple nerves. The most common initial manifestation is the acute onset of a non-painful focal sensory and motor neuropathy in a single nerve (mononeuropathy). The first attack usually occurs in the second or third decade but earlier onset is possible. Neuropathic pain is increasingly recognized as a common manifestation. Recovery from acute neuropathy is usually complete; when recovery is not complete, the resulting disability is mild. Some affected individuals also demonstrate a mild-to-moderate peripheral neuropathy.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/98291">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_334023"><div><strong>Charcot-Marie-Tooth disease dominant intermediate C</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>334023</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1842237</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">A rare hereditary motor and sensory neuropathy characterized by intermediate motor median nerve conduction velocities (usually between 25 and 60 m/s). It presents with moderately severe, slowly progressive usual clinical features of Charcot-Marie-Tooth disease (muscle weakness and atrophy of the distal extremities, distal sensory loss, reduced or absent deep tendon reflexes, feet deformities, extensor digitorum brevis atrophy). Findings in nerve biopsies include age-dependent axonal degeneration, reduced number of large myelinated fibers, segmental remyelination, and no onion bulbs.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/334023">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_375157"><div><strong>Neuronopathy, distal hereditary motor, type 7B</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>375157</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1843315</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">The spectrum of DCTN1-related neurodegeneration includes Perry syndrome, distal hereditary motor neuronopathy type 7B (dHMN7B), frontotemporal dementia (FTD), motor neuron disease / amyotrophic lateral sclerosis (ALS), and progressive supranuclear palsy. Some individuals present with overlapping phenotypes (e.g., FTD-ALS, Perry syndrome-dHMN7B). Perry syndrome (the most common of the phenotypes associated with DCTN1) is characterized by parkinsonism, neuropsychiatric symptoms, hypoventilation, and weight loss. The mean age of onset in those with Perry syndrome is 49 years (range: 35-70 years), and the mean disease duration is five years (range: 2-14 years). In most affected persons, the reported cause/circumstance of death relates to sudden death/hypoventilation or suicide.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/375157">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_461969"><div><strong>Neuronopathy, distal hereditary motor, type 2C</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>461969</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C3150619</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Distal hereditary motor neuropathy, type II is a progressive disorder that affects nerve cells (neurons) in the brain and spinal cord. This condition specifically affects motor neurons, which are specialized cells that control muscle movement. Damage to motor neurons results in muscle weakness that worsens over time. Distal hereditary motor neuropathy, type II weakness primarily affects movement in the legs.\n\nThe signs and symptoms of distal hereditary motor neuropathy, type II often begin in adolescence to mid-adulthood. The initial symptoms of the disorder are cramps or weakness in the muscles of the big toe and, later, the entire foot. During the next 5 to 10 years, affected individuals experience a gradual loss of muscle tissue (atrophy) in the lower legs, which can lead to problems with walking (gait disturbance) and high arches (pes cavus). Over time, the lower legs may become paralyzed. The thigh muscles may also undergo muscle atrophy, although this generally occurs later and is less severe than the muscle atrophy in the lower legs.\n\nPeople with distal hereditary motor neuropathy, type II can have exaggerated reflexes (hyperreflexia) or other minor disturbances in the nerves used to detect sensations (sensory neuropathy). Sensory neuropathy is uncommon in people with distal hereditary motor neuropathy, type II and is typically a feature of a disorder calledCharcot-Marie-Tooth disease. These two disorders have overlapping features and can also share a genetic\n\nSome individuals with distal hereditary motor neuropathy, type II can also experience weaken the muscles in the hands and forearms. This weakening is less severe than the weakening in the lower limbs and does not usually lead to paralysis. In rare cases, affected individuals experience hearing loss.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/461969">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_482073"><div><strong>Distal myopathy, Tateyama type</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>482073</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C3280443</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">CAV3-related distal myopathy is one form of distal myopathy, a group of disorders characterized by weakness and loss of function affecting the muscles farthest from the center of the body (distal muscles), such as those of the hands and feet. People with CAV3-related distal myopathy experience wasting (atrophy) and weakness of the small muscles in the hands and feet that generally become noticeable in adulthood. A bump or other sudden impact on the muscles, especially those in the forearms, may cause them to exhibit repetitive tensing (percussion-induced rapid contraction). The rapid contractions can continue for up to 30 seconds and may be painful. Overgrowth (hypertrophy) of the calf muscles can also occur in CAV3-related distal myopathy. The muscles closer to the center of the body (proximal muscles) such as the thighs and upper arms are normal in this condition.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/482073">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_813032"><div><strong>Charcot-Marie-Tooth disease X-linked dominant 6</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>813032</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C3806702</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">A rare genetic principally axonal peripheral sensorimotor neuropathy with an X-linked dominant inheritance pattern and the childhood-onset of slowly progressive, moderate to severe, distal muscle weakness and atrophy of the lower extremities, as well as distal, pan modal sensory abnormalities, bilateral foot deformities (pes cavus, clawed toes), absent ankle reflexes and gait abnormalities (steppage gait). Females are usually asymptomatic or only present mild manifestations (mild postural hand tremor, mild wasting of hand intrinsic muscles).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/813032">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_813851"><div><strong>Amyotrophic lateral sclerosis type 21</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>813851</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C3807521</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Amyotrophic lateral sclerosis-21 (ALS21) is an autosomal dominant neurodegenerative disorder affecting upper and lower motor neurons, resulting in muscle weakness and respiratory failure. Some patients may develop myopathic features or dementia (summary by Johnson et al., 2014).&#13; For a discussion of genetic heterogeneity of amyotrophic lateral sclerosis, see ALS1 (105400).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/813851">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_863889"><div><strong>Polyglucosan body myopathy type 2</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>863889</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4015452</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Polyglucosan body myopathy-2 is an autosomal recessive disorder characterized by proximal muscle weakness of the lower limbs resulting in gait disturbances. Some patients also have involvement of the upper limbs and/or distal muscle weakness. The age at onset is highly variable, and the disorder is slowly progressive. Muscle biopsy shows accumulation of polyglucosan, which contains abnormally long and poorly branched glucosyl chains and is variably resistant to digestion by alpha-amylase (summary by Malfatti et al., 2014).&#13; For a discussion of genetic heterogeneity of PGBM, see PGBM1 (615895).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/863889">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_906504"><div><strong>Charcot-Marie-Tooth disease axonal type 2U</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>906504</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4084821</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Charcot-Marie-Tooth disease type 2U (CMT2U) is an autosomal dominant neurologic disorder characterized by late-adult onset of distal sensory impairment resulting in distal muscle weakness and atrophy affecting the upper and lower limbs. The disorder is slowly progressive (summary by Gonzalez et al., 2013).&#13; For a phenotypic description and a discussion of genetic heterogeneity of axonal CMT, see CMT2A1 (118210).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/906504">Condition Record</a></div></div>
<div class="divPopper rprt" id="rdis_1861320"><div><strong>Muscular dystrophy, limb-girdle, autosomal recessive 29</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1861320</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C5935611</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Autosomal recessive limb-girdle muscular dystrophy-29 (LGMDR29) is a neuromuscular disorder characterized by onset of muscle weakness predominantly affecting the proximal lower limbs, although upper limb involvement also occurs. The disorder, which causes walking difficulties, is progressive and may result in loss of ambulation. Additional features include joint contractures, spinal abnormalities, and significant restrictive ventilatory dysfunction. Muscle biopsy shows dystrophic and myofibrillar changes, and serum creatine kinase is increased. Rare individuals have been reported to have central nervous system involvement, including cataracts, developmental delay, and brain imaging abnormalities (Nashabat et al., 2024 and Iruzubieta et al., 2024).&#13; For a discussion of genetic heterogeneity of autosomal recessive limb- girdle muscular dystrophy, see LGMDR1 (253600).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/1861320">Condition Record</a></div></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_813851" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Amyotrophic lateral sclerosis type 21</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_906504" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Charcot-Marie-Tooth disease axonal type 2U</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_334023" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Charcot-Marie-Tooth disease dominant intermediate C</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_98290" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Charcot-Marie-Tooth disease X-linked dominant 1</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_813032" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Charcot-Marie-Tooth disease X-linked dominant 6</a></div><div class="jig-moreless" data-jigconfig="class: 'moveDown', moreText: 'See full list (11)', lessText: 'Show less', nodeBefore: 0"><span id="clinMore">
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_482073" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Distal myopathy, Tateyama type</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_98291" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Hereditary liability to pressure palsies</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_1861320" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Muscular dystrophy, limb-girdle, autosomal recessive 29</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_461969" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Neuronopathy, distal hereditary motor, type 2C</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_375157" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Neuronopathy, distal hereditary motor, type 7B</a></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#rdis_863889" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Polyglucosan body myopathy type 2</a></div></span></div></div>
</div>
<div class="portlet mgSection" id="ID_105">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
<div class="nl"><a target="_blank" href="/pubmed/36792012">An elusive consensus definition of sarcopenia impedes research and clinical treatment: A narrative review.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Coletta G,
Phillips SM</span><br />
<span class="medgenPMjournal">Ageing Res Rev</span>
2023 Apr;86:101883.
Epub 2023 Feb 13
doi: 10.1016/j.arr.2023.101883.
<span class="bold">PMID: </span><a href="/pubmed/36792012" target="_blank">36792012</a></div>
<div class="nl"><a target="_blank" href="/pubmed/32487526">Neuralgic amyotrophy: a paradigm shift in diagnosis and treatment.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Gstoettner C,
Mayer JA,
Rassam S,
Hruby LA,
Salminger S,
Sturma A,
Aman M,
Harhaus L,
Platzgummer H,
Aszmann OC</span><br />
<span class="medgenPMjournal">J Neurol Neurosurg Psychiatry</span>
2020 Aug;91(8):879-888.
Epub 2020 Jun 2
doi: 10.1136/jnnp-2020-323164.
<span class="bold">PMID: </span><a href="/pubmed/32487526" target="_blank">32487526</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30292717">Anatomy, Etiology, and Management of Scapular Winging.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Didesch JT,
Tang P</span><br />
<span class="medgenPMjournal">J Hand Surg Am</span>
2019 Apr;44(4):321-330.
Epub 2018 Oct 3
doi: 10.1016/j.jhsa.2018.08.008.
<span class="bold">PMID: </span><a href="/pubmed/30292717" target="_blank">30292717</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(hand%20muscle%20weakness)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (76)</a></div></div>
</div>
<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
<div class="portlet mgSection" id="ID_103">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
<div class="nl"><a target="_blank" href="/pubmed/36066501">Efficacy and Safety of Botulinum Toxin in Adults with Raynaud's Phenomenon Secondary to Systemic Sclerosis: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Senet P,
Maillard H,
Diot E,
Lazareth I,
Blaise S,
Arnault JP,
Pistorius MA,
Boulon C,
Cogrel O,
Warzocha U,
Rivière S,
Malloizel-Delaunay J,
Servettaz A,
Sassolas B,
Viguier M,
Monfort JB,
Janique S,
Vicaut E;
BRASS collaborators</span><br />
<span class="medgenPMjournal">Arthritis Rheumatol</span>
2023 Mar;75(3):459-467.
Epub 2022 Dec 14
doi: 10.1002/art.42342.
<span class="bold">PMID: </span><a href="/pubmed/36066501" target="_blank">36066501</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35441772">The efficacy of botulinum toxin A in the treatment of Raynaud's phenomenon in systemic sclerosis: A randomized self-controlled trial.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Du W,
Zhou M,
Zhang C,
Sun Q</span><br />
<span class="medgenPMjournal">Dermatol Ther</span>
2022 Jul;35(7):e15529.
Epub 2022 Apr 27
doi: 10.1111/dth.15529.
<span class="bold">PMID: </span><a href="/pubmed/35441772" target="_blank">35441772</a></div>
<div class="nl"><a target="_blank" href="/pubmed/29097135">Apparent C8-T1 radiculopathy with hand weakness due to mid-cervical spondylosis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Sadeh M,
Dabby R</span><br />
<span class="medgenPMjournal">J Clin Neurosci</span>
2018 Jan;47:111-115.
Epub 2017 Oct 31
doi: 10.1016/j.jocn.2017.10.071.
<span class="bold">PMID: </span><a href="/pubmed/29097135" target="_blank">29097135</a></div>
<div class="nl"><a target="_blank" href="/pubmed/12475507">Hand muscle weakness in long-term vibration exposure.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Necking LE,
Lundborg G,
Friden J</span><br />
<span class="medgenPMjournal">J Hand Surg Br</span>
2002 Dec;27(6):520-5.
doi: 10.1054/jhsb.2002.0810.
<span class="bold">PMID: </span><a href="/pubmed/12475507" target="_blank">12475507</a></div>
<div class="nl"><a target="_blank" href="/pubmed/1468793">Vibration syndrome among Finnish forest workers between 1972 and 1990.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Koskimies K,
Pyykkö I,
Starck J,
Inaba R</span><br />
<span class="medgenPMjournal">Int Arch Occup Environ Health</span>
1992;64(4):251-6.
doi: 10.1007/BF00378282.
<span class="bold">PMID: </span><a href="/pubmed/1468793" target="_blank">1468793</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hand%20muscle%20weakness%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (12)</a></div><h3 class="subhead">Diagnosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/39691004">Isolated Shoulder Weakness as a Manifestation of Acute Ischemic Stroke: A Rare Presentation.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Arora T,
Velayutham SS,
Sowmini PR,
Mugundhan K</span><br />
<span class="medgenPMjournal">Neurol India</span>
2024 Nov 1;72(6):1267-1269.
Epub 2024 Dec 17
doi: 10.4103/neuroindia.NI_1015_20.
<span class="bold">PMID: </span><a href="/pubmed/39691004" target="_blank">39691004</a></div>
<div class="nl"><a target="_blank" href="/pubmed/38697734">Ulnar neuropathy.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Hannaford A,
Simon NG</span><br />
<span class="medgenPMjournal">Handb Clin Neurol</span>
2024;201:103-126.
doi: 10.1016/B978-0-323-90108-6.00006-5.
<span class="bold">PMID: </span><a href="/pubmed/38697734" target="_blank">38697734</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35441772">The efficacy of botulinum toxin A in the treatment of Raynaud's phenomenon in systemic sclerosis: A randomized self-controlled trial.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Du W,
Zhou M,
Zhang C,
Sun Q</span><br />
<span class="medgenPMjournal">Dermatol Ther</span>
2022 Jul;35(7):e15529.
Epub 2022 Apr 27
doi: 10.1111/dth.15529.
<span class="bold">PMID: </span><a href="/pubmed/35441772" target="_blank">35441772</a></div>
<div class="nl"><a target="_blank" href="/pubmed/29097135">Apparent C8-T1 radiculopathy with hand weakness due to mid-cervical spondylosis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Sadeh M,
Dabby R</span><br />
<span class="medgenPMjournal">J Clin Neurosci</span>
2018 Jan;47:111-115.
Epub 2017 Oct 31
doi: 10.1016/j.jocn.2017.10.071.
<span class="bold">PMID: </span><a href="/pubmed/29097135" target="_blank">29097135</a></div>
<div class="nl"><a target="_blank" href="/pubmed/19009977">Voluntary muscle testing and dynamometry in diagnosis of motor impairment in leprosy: a comparative study within the INFIR Cohort Study.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Suresh M,
Nicholls PG,
Das L,
Van Brakel WH</span><br />
<span class="medgenPMjournal">Lepr Rev</span>
2008 Sep;79(3):277-94.
<span class="bold">PMID: </span><a href="/pubmed/19009977" target="_blank">19009977</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hand%20muscle%20weakness%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (13)</a></div><h3 class="subhead">Therapy</h3>
<div class="nl"><a target="_blank" href="/pubmed/36066501">Efficacy and Safety of Botulinum Toxin in Adults with Raynaud's Phenomenon Secondary to Systemic Sclerosis: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Senet P,
Maillard H,
Diot E,
Lazareth I,
Blaise S,
Arnault JP,
Pistorius MA,
Boulon C,
Cogrel O,
Warzocha U,
Rivière S,
Malloizel-Delaunay J,
Servettaz A,
Sassolas B,
Viguier M,
Monfort JB,
Janique S,
Vicaut E;
BRASS collaborators</span><br />
<span class="medgenPMjournal">Arthritis Rheumatol</span>
2023 Mar;75(3):459-467.
Epub 2022 Dec 14
doi: 10.1002/art.42342.
<span class="bold">PMID: </span><a href="/pubmed/36066501" target="_blank">36066501</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35441772">The efficacy of botulinum toxin A in the treatment of Raynaud's phenomenon in systemic sclerosis: A randomized self-controlled trial.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Du W,
Zhou M,
Zhang C,
Sun Q</span><br />
<span class="medgenPMjournal">Dermatol Ther</span>
2022 Jul;35(7):e15529.
Epub 2022 Apr 27
doi: 10.1111/dth.15529.
<span class="bold">PMID: </span><a href="/pubmed/35441772" target="_blank">35441772</a></div>
<div class="nl"><a target="_blank" href="/pubmed/15610211">Augmentation mammoplasty and "silicone-osis".</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Englert H,
Joyner E,
Thompson M,
Garcia H,
Chambers P,
Horner D,
Hunt C,
Makaroff J,
O'Connor H,
Russell N,
March L</span><br />
<span class="medgenPMjournal">Intern Med J</span>
2004 Dec;34(12):668-76.
doi: 10.1111/j.1445-5994.2004.00670.x.
<span class="bold">PMID: </span><a href="/pubmed/15610211" target="_blank">15610211</a></div>
<div class="nl"><a target="_blank" href="/pubmed/12475507">Hand muscle weakness in long-term vibration exposure.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Necking LE,
Lundborg G,
Friden J</span><br />
<span class="medgenPMjournal">J Hand Surg Br</span>
2002 Dec;27(6):520-5.
doi: 10.1054/jhsb.2002.0810.
<span class="bold">PMID: </span><a href="/pubmed/12475507" target="_blank">12475507</a></div>
<div class="nl"><a target="_blank" href="/pubmed/1468793">Vibration syndrome among Finnish forest workers between 1972 and 1990.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Koskimies K,
Pyykkö I,
Starck J,
Inaba R</span><br />
<span class="medgenPMjournal">Int Arch Occup Environ Health</span>
1992;64(4):251-6.
doi: 10.1007/BF00378282.
<span class="bold">PMID: </span><a href="/pubmed/1468793" target="_blank">1468793</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hand%20muscle%20weakness%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (5)</a></div><h3 class="subhead">Prognosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/19009977">Voluntary muscle testing and dynamometry in diagnosis of motor impairment in leprosy: a comparative study within the INFIR Cohort Study.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Suresh M,
Nicholls PG,
Das L,
Van Brakel WH</span><br />
<span class="medgenPMjournal">Lepr Rev</span>
2008 Sep;79(3):277-94.
<span class="bold">PMID: </span><a href="/pubmed/19009977" target="_blank">19009977</a></div>
<div class="nl"><a target="_blank" href="/pubmed/8835764">Acute brachial neuropathy--electrophysiological study and clinical profile.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Kim KK</span><br />
<span class="medgenPMjournal">J Korean Med Sci</span>
1996 Apr;11(2):158-64.
doi: 10.3346/jkms.1996.11.2.158.
<span class="bold">PMID: </span><a href="/pubmed/8835764" target="_blank">8835764</a><a href="/pmc/articles/PMC3053927" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/1468793">Vibration syndrome among Finnish forest workers between 1972 and 1990.</a></div>
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Pyykkö I,
Starck J,
Inaba R</span><br />
<span class="medgenPMjournal">Int Arch Occup Environ Health</span>
1992;64(4):251-6.
doi: 10.1007/BF00378282.
<span class="bold">PMID: </span><a href="/pubmed/1468793" target="_blank">1468793</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hand%20muscle%20weakness%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (3)</a></div><h3 class="subhead">Clinical prediction guides</h3>
<div class="nl"><a target="_blank" href="/pubmed/36066501">Efficacy and Safety of Botulinum Toxin in Adults with Raynaud's Phenomenon Secondary to Systemic Sclerosis: A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Senet P,
Maillard H,
Diot E,
Lazareth I,
Blaise S,
Arnault JP,
Pistorius MA,
Boulon C,
Cogrel O,
Warzocha U,
Rivière S,
Malloizel-Delaunay J,
Servettaz A,
Sassolas B,
Viguier M,
Monfort JB,
Janique S,
Vicaut E;
BRASS collaborators</span><br />
<span class="medgenPMjournal">Arthritis Rheumatol</span>
2023 Mar;75(3):459-467.
Epub 2022 Dec 14
doi: 10.1002/art.42342.
<span class="bold">PMID: </span><a href="/pubmed/36066501" target="_blank">36066501</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35441772">The efficacy of botulinum toxin A in the treatment of Raynaud's phenomenon in systemic sclerosis: A randomized self-controlled trial.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Du W,
Zhou M,
Zhang C,
Sun Q</span><br />
<span class="medgenPMjournal">Dermatol Ther</span>
2022 Jul;35(7):e15529.
Epub 2022 Apr 27
doi: 10.1111/dth.15529.
<span class="bold">PMID: </span><a href="/pubmed/35441772" target="_blank">35441772</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33677946">Is there an association between upper limb claudication and handgrip strength in Takayasu arteritis?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Dos Santos AM,
Misse RG,
Borges IBP,
Pereira RMR,
Shinjo SK</span><br />
<span class="medgenPMjournal">Reumatismo</span>
2021 Jan 18;72(4):197-206.
doi: 10.4081/reumatismo.2020.1298.
<span class="bold">PMID: </span><a href="/pubmed/33677946" target="_blank">33677946</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27573046">Distal hereditary motor neuropathy type 7B with Dynactin 1 mutation.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Hwang SH,
Kim EJ,
Hong YB,
Joo J,
Kim SM,
Nam SH,
Hong HD,
Kim SH,
Oh K,
Lim JG,
Cho JH,
Chung KW,
Choi BO</span><br />
<span class="medgenPMjournal">Mol Med Rep</span>
2016 Oct;14(4):3362-8.
Epub 2016 Aug 22
doi: 10.3892/mmr.2016.5664.
<span class="bold">PMID: </span><a href="/pubmed/27573046" target="_blank">27573046</a></div>
<div class="nl"><a target="_blank" href="/pubmed/12475507">Hand muscle weakness in long-term vibration exposure.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Necking LE,
Lundborg G,
Friden J</span><br />
<span class="medgenPMjournal">J Hand Surg Br</span>
2002 Dec;27(6):520-5.
doi: 10.1054/jhsb.2002.0810.
<span class="bold">PMID: </span><a href="/pubmed/12475507" target="_blank">12475507</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Hand%20muscle%20weakness%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (9)</a></div></div>
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