Classification of VIC is good for information purposes. Here are these 5 classifications
- Bunnel
- Pedemonte
- Merle D’ Aubigne
- Seddon
- Tsuge
1. Bunnel’s classification – Bunnel 1944 – Surgery of the Hand
- Simple
- Severe
2. Pedemonte classification – 1948
- classic or favorable
- useless hand
3. Merle D’ Aubigne – 1955
- VIC without claw hand
- VIC with claw hand
4. Seddon Classification of VIC
- Diffuse ischemia, without infarct, spontaneous recovery
- Typical muscular infarct with or without nerve lesion
- Diffuse fibrosis, severe paralysis and deformity
5. Tsuge Classification of VIC – 1975


Stage | Affected muscle | Treatment |
Mild | Finger flexors No sensory disturbances | Dynamic splinting, tendon lengthening |
Moderate | Wrist and finger flexors Sensory disturbances of the medial and ulnar nerve | Excision of necrotic tissue, median and ulnar neurolysis, BR to FPL transfer ECRL to FDP transfer Distal slide of viable flexors |
Severe | Wrist / finger flexors and extensors | Same as above Free muscle transfer also possible |
Other Relevant contents
External Resources
- Pubmed – Tsuge Classification
- Classifications and Treatment