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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.
Additionally, swan-neck deformity can be caused by weakening or tearing of the ligament and tendon on the middle joint of a finger. [10] Other causes of swan-neck deformity include untreated mallet finger, muscle spasticity, physical hand trauma, and many others.
A mallet finger, also known as hammer finger or PLF finger or Hannan finger, is an extensor tendon injury at the farthest away finger joint. [2] This results in the inability to extend the finger tip without pushing it. [3] There is generally pain and bruising at the back side of the farthest away finger joint. [3]
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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).
These are especially concerning, as it may indicate a complete tear of the extensor digitorum tendon. If left untreated, this may lead to permanent DIP extensor lag (inability to fully straighten the finger). [8] A variation of the jammed finger where the extensor tendons on the back of the fingers are damaged is known as 'mallet finger'. [9]
Hand contractures as seen in Freeman–Sheldon syndrome. In pathology, a contracture is a shortening of muscles, tendons, skin, and nearby soft tissues that causes the joints to shorten and become very stiff, preventing normal movement.
Ankylosis (from Greek ἀγκύλος (ankulos) 'bent, crooked') is a stiffness of a joint due to abnormal adhesion and rigidity of the bones of the joint, which may be the result of injury or disease.
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