scholarly journals Anatomic Repair of the Central Slip with Anchor Suture Augmentation for Treatment of Established Boutonniere Deformity

2021 ◽  
Vol 13 ◽  
Author(s):  
Jun-Ku Lee ◽  
Soonchul Lee ◽  
Minwook Kim ◽  
Seongmin Jo ◽  
Jin-Woo Cho ◽  
...  
Keyword(s):  
Anatomic Repair ◽  
Boutonniere Deformity ◽  
Central Slip ◽  
Boutonnière Deformity ◽  
Anchor Suture

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.

Restoration of the Central Slip in Congenital Form of Boutonniere Deformity: Case Report

2014 ◽  
Vol 39 (10) ◽  
pp. 1978-1981 ◽  
Author(s):  
Jong-Pil Kim ◽  
Jai-Hyang Go ◽  
Chang-Hwan Hwang ◽  
Won-Jeong Shin
Keyword(s):  
Case Report ◽  
Congenital Form ◽  
Boutonniere Deformity ◽  
Central Slip ◽  
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.

scholarly journals Boutonniere Deformity: A Review of Considerations before Treatment and Current Treatment Options

2020 ◽  
Vol 25 (4) ◽  
pp. 249-258
Author(s):  
Jun-Ku Lee ◽  
Choongki Kim ◽  
Soo-Hong Han
Keyword(s):  
Functional Limitations ◽  
Treatment Options ◽  
Current Treatment ◽  
Boutonniere Deformity ◽  
Appropriate Treatment ◽  
Pip Joint ◽  
Central Slip ◽  
Clear Guideline ◽  
Surgical Treatments ◽  
Boutonnière Deformity

Central slip injury is a common occurrence in hand trauma. When the base of the middle phalanx, which is the contact part of the central tendon, is weakened or damaged, extension lag or restriction would be found in the proximal interphalangeal (PIP) joint and the distal interphalangeal joint becomes hyperextended, presenting buttonhole or boutonniere deformation. Buttonhole deformation has limited cases that a hand surgeon can experience, and there is still no clear guideline for treatment, so treatment tends to depend on the knowledge and experience of the treating doctor. In this review, the factors to be considered in determining the treatment of boutonniere deformity are discussed, and nonsurgical or surgical treatment is considered. Treatment of the PIP joint in boutonniere deformity is a difficult task. Understanding the cause of the deformity, the time point and the stage of deformity, the relationship to the biomechanical changes in adjacent joints, the patient’s functional limitations, and the condition of the joint will improve treatment decisions and outcomes. Based on these considerations, an appropriate treatment should be chosen among nonsurgical or surgical treatments. Various surgical options were introduced but none of method guarantee the optimal outcome. Sufficient understanding of deformity and sufficient consultation and cooperation with the patient regarding the treatment process, outcome, and rehabilitation are necessary.

Reconstruction of the Central Slip by the Transverse Retinacular Ligament for Boutonnière Deformity

1990 ◽  
Vol 15 (4) ◽  
pp. 407-409 ◽  
Author(s):  
I. OHSHIO ◽  
T. OGINO ◽  
A. MINAMI ◽  
H. KATO
Keyword(s):  
Conservative Treatment ◽  
Severe Limitation ◽  
Lateral Band ◽  
Boutonniere Deformity ◽  
Central Slip ◽  
Boutonnière Deformity

A method of repair of boutonnière deformity is described, using the transverse retinacular ligament. Six fingers in five patients were treated by this procedure. The deformity was improved in all fingers; complete or almost complete correction was obtained in four fingers and incomplete correction in two. However, severe limitation of flexion of the D.I.P. joint appeared in two fingers after surgery. This procedure is not indicated for boutonnière deformities with severe contracture of the lateral band; its best indication is in cases in which the central slip is defective and conservative treatment is not effective.

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