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For the government, the new post represents a palpable extension of its reach, a triumph however modest.
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We studied 164 consecutive hands with DC, palpable cord, and extension deficit of ≥ 20º in the metacarpophalangeal (MCP) and/or proximal interphalangeal (PIP) joint (mean patient age 70 years, 82% men).
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Even the simulation of receiving the extensions is palpable.
The eligibility criteria for CCH injections were the presence of a palpable cord and a total extension deficit of ≥ 20º in the metacarpophalangeal (MCP) and/or proximal interphalangeal (PIP) joint in at least 1 finger.
Treatment with collagenase was given during two standard outpatient clinic visits (injection of 0.9 mg, distributed at multiple sites in a palpable cord, and next-day finger extension under local anaesthesia) followed by night-time splinting.
All resected esophageal specimens were examined macroscopically for extension of the primary tumor and palpable lymph nodes while keeping the specimen intact.
A score was given according to the following scale: 0 = no contraction, 1 = palpable contraction, 2 = visible contraction, 3 = slight knee extension against gravity, 4 = full knee extension [24].
A score was given according to the following scale: 0 = no contraction, 1 = palpable contraction, 2 = visible contraction, 3 = slight knee extension against gravity, 4 = full knee extension [ 24].
Physical examination revealed eccymosis of the dorsal side of the thigh, with less strength at extension of the hip and flexion of the knee, and a palpable defect of the proximal hamstring musculature.
Palpable nonsense.
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