International Journal of Physical Medicine & Rehabilitation
Open Access

Division of Plastic & Reconstructive Surgery, Virginia Commonwealth University, Richmond, VA, USA

Publications

• Mini Review   
  A Novel Management Technique for Acute and Chronic Boutonniere Deformity that Permits Immediate Active Motion and Functional Hand use
  Author(s): Wyndell H. Merritt*
  
  Introduction: Conventional management of acute boutonniere deformity usually involves immobilization and typically results in two to four months out of work. Chronic fixed boutonniere often defies any acceptable correction with surgical or nonsurgical efforts. This is likely due to the delicately balanced interwoven but moveable shroud of supportive dense connective tissue at the extrinsic-intrinsic interface, which can adhere to the underlying bony phalanges during immobilization. We propose a safe method for early motion and hand use that can reduce adherence. Methods: An understanding of the normal extrinsic-intrinsic anatomic relationships of adjacent digits takes advantage of variable forces at the inter phalangeal level when the Meta Carp Phalangeal (MCP) joints are in differing positions relative to one another. We call this the &ldqu.. View More»
  DOI: 10.35248/2329-9096.24.12.720

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