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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).
Medications, occupational/physical therapy, splinting, surgical procedures Acquired hand deformity refers to the structural or functional abnormalities that develop in the hand. There are multiple varying causes of acquired hand deformity, triggering significant consequences and complications.
Treatment is generally with a splint that holds the first joint of the finger straight continuously for 8 weeks. [3] This should begin within a week of the injury. [3] The splint may be worn just at night for a few additional weeks after this. [3] The splint acts to immobilize flexing of the joint. Surgery generally does not improve outcomes. [2]
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.
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 ...
[4] [16] As a result of frequent tissue injury, there can be an early onset of advanced osteoarthritis, [45] chronic degenerative joint disease, [45] swan-neck deformity of the fingers, [46] and Boutonniere deformity of the fingers. Tendon and ligament laxity offer minuscule protection from tearing in muscles and tendons, but these problems ...
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