Extra-articular subcutaneous “inverted king post-truss” ligament reconstruction for severe swan neck deformity (snapping finger)

2017 ◽  
Vol 36 (1) ◽  
pp. 48-52
Author(s):  
X. de Soras ◽  
P. de Mourgues ◽  
P. Pradel ◽  
J.-P. Urien ◽  
E. Beaudoin
Hand ◽  
2019 ◽  
Vol 15 (5) ◽  
pp. 620-624
Author(s):  
Christian Deml ◽  
Aslan Baradaran ◽  
Neal Chen ◽  
Michael Nasr ◽  
Amir R. Kachooei

Background: The goal of this study is to biomechanically compare Fowler central slip tenotomy with spiral oblique retinacular ligament (SORL) reconstruction in correcting a chronic mallet deformity as part of a swan-neck deformity. Methods: We used 24 human cadaver fingers from 6 hands. Mallet finger and swan-neck deformities were created; then, Fowler tenotomy was done on one group including 3 hands with 12 fingers, and SORL reconstruction was done on the others. Results: During simulated finger extension, there was no significant difference between the 2 techniques in correcting the distal interphalangeal joint droop; however, Fowler tenotomy resulted in hyperflexion of the proximal interphalangeal (PIP) joint, whereas it remained straight after SORL reconstruction. Conclusions: This study supports the SORL reconstruction in correcting a chronic mallet deformity, especially when there is a concomitant PIP hyperextension deformity, which lowers the risk of reversing the deformity after a Fowler procedure.


Hand Surgery ◽  
2003 ◽  
Vol 08 (01) ◽  
pp. 119-120
Author(s):  
Alastair J. Graham ◽  
Anthony C. Berger

After a successful Littler procedure (spiral oblique retinacular ligament reconstruction) for swan-neck deformity, a 14-year-old patient developed progressive boutonnière deformity. We propose that the problem arose from gradual tightening of the tendon transfer as the finger grew.


2019 ◽  
Vol 43 (1) ◽  
pp. 61-66
Author(s):  
Ahmed Zeina ◽  
Reda Younes ◽  
Hossam Eldin Ismail ◽  
Ahmed Bahaa El Din ◽  
Mohamed El Hadidi

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