Reconstruction of Post-Traumatic Boutonniere Deformity

HAND ◽  
1973 ◽  
Vol 5 (2) ◽  
pp. 145-148 ◽  
Author(s):  
KATSUMI SUZUKI
Keyword(s):  
Boutonniere Deformity ◽  
Post Traumatic ◽  
Boutonnière Deformity

Operative Treatment of the Post-Traumatic Boutonnière Deformity

1990 ◽  
Vol 15 (4) ◽  
pp. 410-415 ◽  
Author(s):  
A. CAROLI ◽  
S. ZANASI ◽  
P. B. SQUARZINA ◽  
M. GUERRA ◽  
G. PANCALDI
Keyword(s):  
Operative Treatment ◽  
Fibrous Tissue ◽  
Middle Phalanx ◽  
Passive Motion ◽  
Repair Technique ◽  
Boutonniere Deformity ◽  
Distal Edge ◽  
Central Slip ◽  
Post Traumatic ◽  
Boutonnière Deformity

We report 20 cases of post-traumatic boutonnière deformity treated by a modification of the direct anatomical repair technique, particularly indicated in late cases which have complete passive motion. A swallow-tailed flap is excised from the fibrous tissue between the two ends of the central slip. The proximal one is then advanced up to the coaptation with the distal edge of the scarred capsular tissue at the insertion on the middle phalanx to which it is sutured in correct tension. Excellent results have been obtained in 72% of cases and good in 5.5%. The 16% of fair results are probably due to the fact that patients didn't use the splint post-operatively and didn't cooperative with physiotherapy.

Repair of the Established Post Traumatic Boutonniére Deformity

HAND ◽  
1978 ◽  
Vol os-10 (3) ◽  
pp. 241-245 ◽  
Author(s):  
Alastair G. Rothwell
Keyword(s):  
Kirschner Wire ◽  
Full Extension ◽  
Boutonniere Deformity ◽  
Kirschner Wire Fixation ◽  
Wire Fixation ◽  
Post Traumatic ◽  
Distal Joint ◽  
Boutonnière Deformity

A technique is described for the repair of the chronic, post traumatic, uncomplicated boutonnière deformity which has given consistently good results. The fundamental steps are: Mobilisation and reefing of the lengthened middle slip; Kirschner wire fixation of the proximal joint in full extension and Replacement of the mobilised lateral slips with the distal joint flexed approximately 45°.

The Central Slip Tenodesis Test for Early Diagnosis of Potential Boutonnière Deformities

1994 ◽  
Vol 19 (1) ◽  
pp. 88-90 ◽  
Author(s):  
P. J. SMITH ◽  
D. A. ROSS
Keyword(s):  
Early Diagnosis ◽  
Conservative Management ◽  
Primary Defect ◽  
Non Invasive ◽  
Boutonniere Deformity ◽  
Invasive Method ◽  
Central Slip ◽  
Boutonnière Deformity

Disruption of the central slip is the primary defect leading to boutonnière deformity. In the closed injury early diagnosis of this lesion is rarely achieved due to the limitations of current methods and difficulties encountered in assessing a painful finger. We describe a simple, non-invasive method of diagnosis which can be carried out on all patients and with minimal discomfort. This test is also beneficial in monitoring the progress of conservative management of central slip disruption.

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