Orthonotes
Orthonotes
by the.bonestories
v4.1 Fusion X
v4.1 Fusion X
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Swan Neck Deformity

Hyperextension of PIP with flexion of DIP joint. Caused by RA (most common), trauma, chronic mallet finger, spasticity. Clinical: finger looks like swan neck, loss of grip strength. Treatment: splints, silver rings, tendon balancing procedures, arthrodesis in severe cases. Differentiate from boutonniere (opposite deformity).