Orthonotes
Orthonotes
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Boutonniere Deformity

Flexion of PIP joint with hyperextension of DIP joint. Caused by central slip rupture of extensor tendon at PIP. Mechanism: forceful blow, RA, laceration. Clinical: inability to extend PIP; DIP hyperextends via lateral bands. Treatment: splinting PIP in extension 6 weeks; surgery for chronic cases.

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Flexion of PIP joint with hyperextension of DIP joint. Caused by central slip rupture of extensor tendon at PIP. Mechanism: forceful blow, RA, laceration. Clinical: inability to extend PIP; DIP hyperextends via lateral bands. Treatment: splinting PIP in extension 6 weeks; surgery for chronic cases.
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