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Swan neck deformity has many of possible causes arising from the DIP, PIP, or even the MCP joints. In all cases, there is a stretching of the volar plate at the PIP joint to allow hyperextension, plus some damage to the attachment of the extensor tendon to the base of the distal phalanx that produces a hyperflexed mallet finger.
Dislocations can occur in any major joint (shoulder, knees, hips) or minor joint (toes, fingers). The most common joint dislocation is a shoulder dislocation. [1] The treatment for joint dislocation is usually by closed reduction, that is, skilled manipulation to return the bones to their normal position. Only trained medical professionals ...
Sprains are characterized by swelling of the joint, reduced range of motion, and pain. [5] A finger sprain involves damage to the ligaments attached to the affected joint. [11] Most often these include collateral ligaments. These are ligaments on the lateral and medial side of the finger joint. It is more common to injure both at the same time. [7]
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Heberden's nodes are hard or bony swellings that can develop in the distal interphalangeal joints (DIP) (the joints closest to the end of the fingers and toes). [1] They are a sign of osteoarthritis and are caused by formation of osteophytes (calcific spurs) of the articular (joint) cartilage in response to repeated trauma at the joint.
Boutonniere deformity is a deformed position of the fingers or toes, in which the joint nearest the knuckle (the proximal interphalangeal joint, or PIP) is permanently bent toward the palm while the farthest joint (the distal interphalangeal joint, or DIP) is bent back away (PIP flexion with DIP hyperextension).
Mallet finger is acquired due to injury to the thin extensor tendon that functions to straighten the end (DIP) joint of a finger. [8] Jamming of the finger induces a rupture of the extensor tendon or a broken bone at the tendon's site of attachment. [9] This results in a droopy and crooked appearance of the end joint of the finger, resembling a ...
If patients do have median nerve palsy, occupational therapy or wearing a splint can help reduce the pain and further damage. Wearing a dynamic splint, which pulls the thumb into opposition, will help prevent an excess in deformity. This splint can also assist in function and help the fingers flex towards the thumb.
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