The pathogenesis of the rheumatoid swan neck deformity

The Hand
A W Heywood

Abstract

Disappointment with the late results of intrinsic release for the rheumatoid "intrinsic-plus" hand has led to a re-appraisal of the role of intrinsic muscle contracture in the pathogenesis of the rheumatoid swan neck deformity. In cadaveric fingers, a properly placed suture typing the lateral band to the middle slip insertion causes a swan neck deformity. It is suggested that the usual "intrinsic-plus" hand and the fixed swan neck deformity of rheumatoid arthritis is caused by adhesions between the extensor tendons on the dorsum of the proximal interphalangeal joint, rather than by intrinsic muscle contracture and/or metacarpo-phalangeal dislocation.

References

Jun 1, 1977·The Hand·R P Welsh, D E Hastings
Mar 1, 1949·Annals of the Rheumatic Diseases·O C Kestler

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Citations

Jul 5, 2011·Operative Orthopädie und Traumatologie·N Borisch, P Haubmann
Jun 23, 2011·Zeitschrift für Rheumatologie·H Thabe
Sep 1, 1982·The Journal of Hand Surgery·J S Shapiro
May 1, 1985·The Journal of Hand Surgery·B J Gainor, G L Hummel
Nov 29, 2011·Hand Clinics·Nader Paksima, Basil R Besh
Dec 24, 2010·Hand Clinics·Sandeep J Sebastin, Kevin C Chung
Nov 1, 1983·Seminars in Arthritis and Rheumatism·J N Dreyfus, T J Schnitzer
Apr 3, 2016·Orthopaedics & Traumatology, Surgery & Research : OTSR·B CharruauY Saint-Cast
Aug 4, 2015·International Journal of Rheumatology·Umile Giuseppe LongoVincenzo Denaro
Feb 24, 2012·The Journal of Hand Surgery, European Volume·J J DiasJ Thompson
Apr 1, 1995·Plant Molecular Biology·I C BezerraD C Monte-Neshich
Aug 24, 2017·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Kassem SharifR Shane Tubbs

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