Managing Boutonniere and swan-neck deformities

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Managing Boutonniere and swan-neck deformities

This is how we successfully treat chronic boutonnieres 1) serial cast them until full or near full extension of the PIP joint is obtained and the DIP joint is able to flex as much as the DIP joint of the same finger on the other hand. The lateral bands are still volar to the axis of the PIP joint if the DIP is still hyperextending. 2) start an 8 week full time (24/7) PIP extension splint. In th...

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Operative correction of swan-neck and boutonniere deformities in the rheumatoid hand.

A swan-neck or boutonniere deformity occurs in approximately half of patients with rheumatoid arthritis. The cause of boutonniere deformity is chronic synovitis of the proximal interphalangeal joint. Swan-neck deformity may be caused by synovitis of the metacarpophalangeal, proximal interphalangeal, or distal interphalangeal joints. Numerous procedures are available for the operative correction...

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Swan neck deformities in rheumatoid arthritis: a qualitative study on the patients' perspectives on hand function problems and finger splints.

OBJECTIVE  To identify hand function problems and the reasons for choosing a specific finger splint in patients with rheumatoid arthritis (RA) and swan neck deformities. METHODS  A qualitative study was performed alongside a randomized, controlled cross-over trial comparing the effectiveness of two types of finger splints (the silver ring splint [SRS] and the prefabricated thermoplastic splin...

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Swan-Neck Deformity in Cerebral Palsy

Figure 1. Preoperative view of the left hand demonstrating swan-neck deformity of the index finger. DESCRIPTION A 34-year-old woman with cerebral palsy presented with swan-neck deformity of the left index and long fingers (Fig 1). The proximal interphalangeal (PIP) joint was found locked in hyperextension, but the patient could actively flex it if the hyperextension was corrected. The patient w...

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Pathogenesis and differential diagnosis of the swan-neck deformity.

T HE MECHANISMS and clinical settings of the swan-neck deformity (SND) have interested physicians for more than a century. Archibald E. Garrod, son of the famed Sir Alfred Garrod, in his 1890 Treatise on Rheumatism and Rheumatoid Arthritis,’ published an illustrated description of an arthritic deformity of the hand, characterized by “[flexion of] the terminal phalanges upon those of the second ...

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ژورنال

عنوان ژورنال: BMC Proceedings

سال: 2015

ISSN: 1753-6561

DOI: 10.1186/1753-6561-9-s3-a50