The boutonniere deformity finger: Patho-anatomy, etiology, staging and management

[@shrutipandey2285]

Beautifully explained. It is like reading the key points given in text books. Thank you once again Sir for making such an extensive effort to teach. 🙏

[@utkarshsrivastava1681]

Thank you Sir Wishing you a very happy teacher’s day Sir

[@drabhishekorthpaedics]

Great explanation sir 😃

[@nikhilb4284]

Fantastic explanation ever..

[@vmanjunath1801]

Excellent summary. 🙏🏼

[@ademirbejaranosalazar1078]

Good video !! Thanks from Peru

[@trazodone_dreams]

Very helpful. For early stage boutonnière deformity in rheumatoid arthritis, does splinting actually help straighten out the finger or does it help prevent further deformity or is it only to help with discomfort?

[@GuitarDoco]

Very informative What about the neurovascular bundles in the digit, in a chronic case? When we try to extend the PIP surgically, is there a risk of vascular compromise by stretching of the neurovascular bundle? What do we do at that time?

[@dimitarhristov2243]

Thanks for your great education job! What do you think about use of one of pediculs superficial flexor tendon with bone tunel?

[@mahmoudshariat7541]

Very informative

[@murthy611]

Excellent,sir.

[@GKHandSurgery]

Thank you very much, sir!

[@dr.kaderkalathingal5698]

Excellent sir

[@nilanthabandara7676]

Very good explanation 👏. Thank you

[@rupalnanda9583]

Sir, where can I get the management of acute boutonniere deformity as you mentioned in the video?

[@GKHandSurgery]

You can consult an orthopaedic surgeon / plastic surgeon in your place.

[@zephune9506]

At 15:20 you said if surgery is permitted only if you have full passive range of motion at PIP joint. However what if the adhesions is stopping passive range of motion. I had a previous surgery where they k wired pip joint with open reduction, now the joint doesn’t flex much and also dip joint is stiff. However when i try to push finger down passively , I can see tendon bulging at the back of my hand which doesnt happen on my good fingers. Am I right to assume this means tendon is stuck and surgery will fix it.

[@GKHandSurgery]

Yes, in some situations when therapy is not able to get supple joints surgery can be done, but the results may not be predictable

[@fobin1985]

Thank you sir

[@flowerpower1054]

If you have had surgery for this deformity but your knuckle bone collapsed causing the finger to drift can you have the surgery again?

[@GKHandSurgery]

Your doctor will be the best person to decide.

[@Empress11ki]

Dr I have psoriatic arthritis and I am on dialysis...even my fingers are like this...I want to ask if I am eligible for surgery

[@GKHandSurgery]

You have to consult a doctor. He will be able to assess your general condition first!

[@riyasriyas4401]

Sir, boutonniere deformity has been coming for 2 years and it came due to a sprain. There is a curve in the finger. Can you change the curve?

[@drtgopalakrishnan]

Good 👍

[@otugodumebi8507]

Dr, I had a hand surgery… my ulner nerve and artery were sutured… this is 5weeks now and I can’t make a fist or extend my fingers… also my palms at rest makes a claw sign… please what do I do???

[@GKHandSurgery]

Your surgeon will guide you with the physiotherapy.

[@otugodumebi8507]

@@GKHandSurgery thank you so much Doctor.. But is the claw sign normal after a hand surgery?

[@GKHandSurgery]

@@otugodumebi8507 Yes

[@otugodumebi8507]

@@GKHandSurgery thank you very much

[@guruprasads2657]

👌🙏

[@essarsystems]

Dr may i know your location?

[@essarsystems]

Can I get the appointment for consulting?

[@drshafeen2130]

Thank you sir