Operative Correction of Boutonniere Deformities in the Rheumatoid Hand

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...

Hand deformities in rheumatoid disease.

This is a study of hand deformities in rheumatoid disease: their incidence, their causes, and their effects on function. Three hundred patients with this disease have been examined. There can be no doubt of the importance of hand deformities to the rheumatoid patient, nor of the importance of preventing hand deformities when treating this disease. Consequently it is surprising to find that ther...

Correction of paralytic hand deformities

The ulnar nerve is most commonly involved in leprosy and is affected at or just above the elbow. The outcome of this damage is paralysis of the intrinsic muscles of the hand with the exception of the thenar group, together with paresis of ring and little finger flexor digitorum profundus (FDP). Although the obvious deformity is clawing of the fingers, other deformities are produced: 1. Hollowin...

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...

Revisiting the Curtis Procedure for Boutonniere Deformity Correction