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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.
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).
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 ...
The extent of hand therapy is depending on the patient and the corrective procedure. [80] Besides hand therapy, many surgeons advise the use of static or dynamic splints after surgery to maintain finger mobility. The splint is used to provide prolonged stretch to the healing tissues and prevent flexion contractures.
There are different types of acquired hand deformities, each with distinct characteristics and underlying causes, such as boutonnière deformity, Dupuytren's contracture, gamekeeper's thumb, hand osteoarthritis deformity, mallet finger, swan-neck deformity, ulnar claw hand, among many others.
Dislocations can be categorized based on the direction that the fingertip moves in relation to the knuckle. [6] If in the direction of the palm, it is a volar dislocation. If in the direction of the back of the hand, it is a dorsal dislocation. [6] If in the direction to either side, it is a lateral dislocation. [2]
The hope is that this will slow the pace of development of osteoarthritis. There is no evidence that this procedure can modify the natural course of TMC OA. Osteotomy may be considered for people with mild arthritis. [24] During osteotomy, the metacarpal is cut and a wedge shape bone fragment is removed to move the bone away from the hand. [35]
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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