Managing Boutonniere and swan-neck deformities
نویسنده
چکیده
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 the splint, have the patient practice active extension of the PIP and active flexion of the DIP 3) After 8 weeks, start them on an 8 week course of:
منابع مشابه
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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PURPOSE OF REVIEW Hand deformities (ulnar drift, swan neck and boutonniere) are prevalent in rheumatoid arthritis and develop early in the disease process. These deformities cause significant functional impairment and impact quality of life. This review will provide a clinical perspective using the most recent evidence regarding the role of splinting and hand exercise in their management. The p...
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The present study examined the effectiveness of a 6-week experimental program of splinting and joint protection education in reducing the progression of the early boutonniere deformity. Nine patients with mild or moderately reducible boutonniere deformities were randomized into experimental and control groups and followed for 1 year. Improvements in active extension of the proximal interphalang...
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