Traitement des déformations des doigts longs en col-de-cygne dans les affections rhumatismales par ténodèse de l’articulation interphalangienne proximale à l’aide d’un hémi-tendon fléchisseur superficiel. À propos de 23 doigts à 61 mois de recul

Brulard, C; Sauvage, A.; Marès, Olivier; Wavreille, G.; Fontaine, C.

doi:10.1016/j.main.2012.04.010

Cited by 18 publications

(2 citation statements)

References 26 publications

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“…[ 1 ] Moreover, this unique combined method of volar plate plication with FDS hemitenodesis has not been previously reported. Predictable and satisfactory outcomes have been reported after FDS hemitenodesis in correctable swan neck deformities in rheumatoid arthritis[ 7 ] and swan neck deformities occurring subsequent to unconstrained type PIP joint replacement. [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

A novel surgical correction and innovative splint for swan neck deformity in hypermobility syndrome

Vishwanathan

Ganjiwale

2018

J Family Med Prim Care

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Splinting is a great domain of occupational therapy profession. Making a splint for the patient would depend on the need or requirement of the problems and deformities. Swan neck deformity is an uncommon condition, and it can be seen in rheumatoid arthritis, cerebral palsy, and after trauma. Conservative treatment of the swan neck deformity is available by different static splints only. There are very few reports of surgical correction of swan-neck deformity in benign hypermobility syndrome. This case report describes the result of novel surgical intervention and an innovative hand splint in a 20-year-old female with a history of cardiovascular stroke with no residual neurological deficit. She presented with correctable swan neck deformity and failed to improve with static ring splints to correct the deformity. She underwent volar plate plication of the proximal interphalangeal joint of the left ring finger along with hemitenodesis of ulnar slip of flexor digitorum superficialis (FDS) tendon whereby, the ulnar slip of FDS was passed through a small surgically created rent in A2 pulley and sutured back to itself. Postoperatively, the patient was referred to occupational therapy for splinting with the instruction that the splint would work sometimes for as static and some time as dynamic for positional and correction of the finger. After occupational therapy intervention and splinting, the patient had a full correction of the swan-neck deformity with near full flexion of the operated finger and can work independently.

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Section: Discussionmentioning

confidence: 99%

A novel surgical correction and innovative splint for swan neck deformity in hypermobility syndrome

Vishwanathan

Ganjiwale

2018

J Family Med Prim Care

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“…Previous literature has demonstrated satisfactory operative outcomes with correction of the swan-neck deformity after FDS tenodesis. 109-111 In one example, Catalano et al 110 reviewed their 15 years of experience treating patients with post-traumatic chronic hyperextension of the PIP joint using FDS tenodesis (Figure 16). Out of 12 total patients, 10 returned with a good or excellent outcome, and the average ROM improved from 31°-92° preoperatively to 12°-100° postoperatively.…”

Section: Swan-neck Deformitymentioning

confidence: 99%

Complications of Proximal Interphalangeal Joint Injuries

2018

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Proximal interphalangeal joint injuries are one of the most common injuries of the hand. The severity of injury can vary from a minor sprain to a complex intra-articular fracture. Because of the complex anatomy of the joint, complications may occur even after an appropriate treatment. This article provides a comprehensive review on existing techniques to manage complications and imparts practical points to help prevent further complications after proximal interphalangeal joint injury.

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Rheumatoid arthritis of the hand and wrist

Ayers

2015

Plastic and Reconstructive Surgery

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Traitement des déformations des doigts longs en col-de-cygne dans les affections rhumatismales par ténodèse de l’articulation interphalangienne proximale à l’aide d’un hémi-tendon fléchisseur superficiel. À propos de 23 doigts à 61 mois de recul

Cited by 18 publications

References 26 publications

A novel surgical correction and innovative splint for swan neck deformity in hypermobility syndrome

A novel surgical correction and innovative splint for swan neck deformity in hypermobility syndrome

Complications of Proximal Interphalangeal Joint Injuries

Rheumatoid arthritis of the hand and wrist

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