Figure 4From: Results and current approach for Brachial Plexus reconstruction Intra-operative view of a pulley dermodesis for correction of metacarpophalangeal hyperextension in a patient with a lower type palsy of the right brachial plexus. After resection of a cutaneous ellipse centered on the distal palmar crease, the A1 pulley was sutured to the palmar aponeurosis and proximal dermis.Back to article page