In response to a recent request for clarification on the Quadriga effect: The hand relies on a finely tuned balance of tissue length and tension to produce coordinated motion. Even slight disruptions to this balance—whether from injury, surgery, or immobilization—can have significant consequences. The Quadriga effect is one such consequence: it occurs when one flexor tendon is overtightened or shortened, limiting flexion in adjacent digits due to the shared musculotendinous unit. This concept co
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