|L1 syndrome patient, left hand. Note the position of the thumb (somewhat hidden) and fingers around the wheelchair wheel.|
|The thumb in L1 syndrome. The right hand is more mildly affected here but cannot be straightened or positioned differently.|
|L1 syndrome. Left hand x-rays. The thumb is close to the fingers but the most impressive finding is the position of the fingers. They are deviated away from the thumb, a "windswept" hand.|
|Patient with L1 syndrome. Note his hand position.|
In this patient, we will plan to address the thumb with surgery (he has been splinted and in therapy for years). Hopefully, repositioning the thumb will allow improved overall function.