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This flexion deformity of the proximal interphalangeal joint is due to interruption of the central slip of the extensor tendon such that the lateral slips separate and the head of the proximal phalanx pops through the gap like a finger through a button hole (thus the name, from French boutonnière "button hole").
Central slip is the tendon on the top of the finger attached to the middle bone of the finger, aiding the straightening of the middle PIP joint [1] The primary cause of boutonnière deformity is trauma, such as blunt force, lacerations, or dislocations.
The earlier the condition is identified, the better the chance of getting full range of motion of the finger. However, finger stiffness, Boutonniere deformity, deep space infection, tendon necrosis, adhesions, persistent infection, and need for amputation of the finger can occur. Tendon adhesion and finger stiffness are caused by the violation ...
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]
Haglund's deformity; Hill–Sachs lesion; Iselin's disease; Kashin–Beck disease; Kienbock's disease; Köhler disease; Legg–Calvé–Perthes syndrome; Morton's neuroma; O'Donoghue's triad; Osgood–Schlatter disease; Paget's disease of bone; Panner disease; Perthes Lesion; Preiser disease; Sever's disease; Stener lesion; Sudeck's atrophy ...
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It is thought to be caused by the inability to switch on and switch off antagonising muscle groups in a coordinated fashion due to hypotonia, secondary to the central lesion. [7] Dysdiadochokinesia is also seen in Friedreich's ataxia and multiple sclerosis, as a cerebellar symptom (including ataxia, intention tremor and dysarthria). It is also ...
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