DEAR EDITOR Boutonnière deformity (BD) is a debilitating deformity where the proximal interphalangeal (PIP) joint of the finger is flexed, and the distal interphalangeal (DIP) joint is hyperextended.1-3 BD is commonly seen after injury and also as a sequela of progressive inflammatory conditions such as rheumatoid arthritis.1-3 Various techniques have been described to address the imbalance bet...

From the functional standpoint, the hand is one of the most important organs of the body. However, its significance depends largely upon the pincer action of the thumb-index. The management of traumatic lesions of the hand is nowadays' subject of numerous scientific discussions. We present here the case of a patient with a recent laceration of the central slip of the extensor tendon with bouton...

INTRODUCTION One of the most devastating complications of deep burn injuries to the hand and finger is the exposure of joint, tendon, and neurovascular structures. The inevitable consequence of such injuries is severe deformity, often requiring joint fusions and digital amputations. Complicating this scenario is the anatomic limitation of few local and reliable soft tissue flaps available for t...

To cite: Harb A, Shawwa K, Alraiyes AH, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013009884 DESCRIPTION A 49-year-old woman with a medical history of hypertension and rheumatoid arthritis presented with severe bilateral hand pain due to arthritis. She was diagnosed with rheumatoid arthritis at the age of 20 years and has been on anti-inflammatory med...

We randomized patients with open finger injury and central slip insertion defects into a proximal turn-down group (final n = 28) and a palmaris longus tendon graft group (final n = 20). In the proximal turn-down group, the dorsal central slip of the extensor tendon in the proximal phalanx was split, leaving it attached distally. We turned the strip from proximal to distal and fixed it using the...