Surgical Management of Chronic Boutonniere Deformity

El-Sallakh, Sameh; Aly, Tarek; Amin, Osama Shukir Muhammad; Hegazi, Mostafa

doi:10.1142/s0218810412500311

Cited by 14 publications

(4 citation statements)

References 18 publications

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“… 6 Mobilizing the lateral bands dorsally with different techniques resulted in 93.7° after surgery and 101° of PIP joint flexion. 11 , 14 Central slip repair with an FDS tendon slip resulted in 80° after surgery of PIP joint flexion. 12 We achieved more PIP joint flexion range of motion than other studies.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Successful Boutonniere Reconstruction With Wide-Awake Local Anesthesia No Tourniquet

Baş¹,

Ayhan²,

Kunu³

et al. 2022

Journal of Hand Surgery Global Online

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Section: Discussionmentioning

confidence: 99%

“…The criteria for assessing standard functional results is based on active PIP joint flexion, PIP joint extension loss, and active DIP joint flexion measurements. 6 , 11 The scores were defined as poor, fair, good, and excellent. 11 …”

Section: Methodsmentioning

confidence: 99%

Successful Boutonniere Reconstruction With Wide-Awake Local Anesthesia No Tourniquet

Baş¹,

Ayhan²,

Kunu³

et al. 2022

Journal of Hand Surgery Global Online

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“…The conservative treatment of boutonniere deformity involves the use of dynamic splints and hand therapy. If conservative treatment fails, surgical reconstruction of the extensor mechanism can be considered [ 6 , 8 ]. However, the treatment for boutonniere deformity can be unsatisfactory [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Extension Mechanism of the Proximal Interphalangeal Joint of the Human Phalanx: A Cadaveric Biomechanical Study

Park

Lee

Choi

et al. 2020

BioMed Research International

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Our purpose was to compare the contributions of these two systems to assess PIP joint extension in fresh cadaver models. Nine middle fingers of fresh cadavers were used. The PIP joint angle was measured while an extension load was applied on the extensor tendons. Specimens on which extension load was applied on the extrinsic extensors were classified as the extrinsic group, and those on which extension load was applied on the intrinsic extensors were classified as the intrinsic group. Linear regression analyses were performed to obtain regression equation and the extension load-PIP joint angle curve. The mean of slope of the curve was compared between the two groups using paired t-test. The same experiments were done for the metacarpophalangeal (MP) joint in 0° and 60° flexion to evaluate the effect of MP joint flexion on PIP joint extension. The mean slope of the extension load-PIP joint angle curve of the extrinsic group was significantly greater than that of the intrinsic group. With the MP joint in 0° flexion, the mean slope of the extrinsic and intrinsic groups was -0.148 and -0.117, respectively (greater absolute value means greater slope, p=0.01). With the MP joint in 60° flexion, the mean slopes were -0.147 and -0.104, respectively (p=0.015). The contribution of the intrinsic extensor for PIP joint extension shows decreasing trends with MP joint flexion. The extrinsic extensors have greater contribution for PIP joint extension compared with the intrinsic extensors.

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“…When left untreated, disruption of the extensor mechanism over zone III and detachment of the central slip results in a boutonnière deformity characterized by flexion of the proximal interphalangeal (PIP) joint and hyperextension of the distal interphalangeal (DIP) joint due to volar subluxation of the lateral bands (Massengill, 1992). Disfigurement and impaired hand function are common following central slip injury and thus it represents a potential cause of significant morbidity (El-Sallakh et al., 2012).…”

Section: Introductionmentioning

confidence: 99%

Central slip extensor tendon injuries: a systematic review of treatments

Geoghegan

Wormald

Adami

et al. 2019

J Hand Surg Eur Vol

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This systematic review describes and compares outcomes of operative and non-operative management of central slip extensor tendon injuries. A PRISMA-compliant methodology identified 3785 studies. Of these, 29 underwent full text review. No randomized controlled trials were identified. Nine studies evaluated treatment modalities specific to cohorts with acute central slip injuries in adults. A range of operative and non-operative elements of management was identified although no studies directly compared the two. Where aspects of rehabilitation were studied, this was always after surgery. The evidence base regarding treatment of central slip injury is limited and the roles of different treatment strategies for open as well as closed injuries are not well-supported by evidence.

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Surgical Management of Chronic Boutonniere Deformity

Abstract: Therapeutic case series, level 1V.

Cited by 14 publications

References 18 publications

Successful Boutonniere Reconstruction With Wide-Awake Local Anesthesia No Tourniquet

Successful Boutonniere Reconstruction With Wide-Awake Local Anesthesia No Tourniquet

Extension Mechanism of the Proximal Interphalangeal Joint of the Human Phalanx: A Cadaveric Biomechanical Study

Central slip extensor tendon injuries: a systematic review of treatments

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