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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.
Splint for the left little (pinky) finger of a 7-year-old child. If a contracture is less than 30 degrees, it may not interfere with normal functioning. [7] The common treatment is splinting and occupational therapy. [12] Surgery is the last option for most cases as the result may not be satisfactory. [13]
When removing the splint to assess the skin underneath, it is important that the digit remain in the splinted position. [3] These complications can be reduced by including a layer of tubular gauze or a moleskin lining between the splint and the skin of the finger. [13] If no splints are easily available, buddy taping can be employed. [1]
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. [11]
Jaccoud arthropathy (JA), is a chronic non-erosive reversible joint disorder that may occur after repeated bouts of arthritis. [1] [2] It is caused by inflammation of the joint capsule and subsequent fibrotic retraction, causing ulnar deviation of the fingers, through metacarpophalangeal joint (MCP) subluxation, [1] [3] primarily of the ring and little-finger. [3]
A broken finger may or may not require surgery. In simple cases, the bone may be put back in place and the finger may then be put in a splint, or strapped to another finger ("buddy taping"). [3] If the wrap that splints the finger is too tight, there is a risk of compartment syndrome. If the finger is numb, tingling, more painful, more swollen ...
Illustration of an Ankle Stirrup Splint Finger splint. Ankle stirrup – Used for the ankles. [2] Finger splints – Used for the fingers. A "mallet" or baseball finger is a rupture of the extensor tendon and sometimes including a fracture. While surgery may be necessary such an injury may heal if placed in a finger splint. [3] Nasal splint [4]
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).
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