SWAN-NECK DEFORMITY

Course overview

SWAN NECK DEFORMITY IS CHARACTERIZED BY PROXIMAL INTERPHALANGEAL (PIP) JOINT HYPEREXTENSION AND THE DISTAL INTERPHALANGEAL (DIP) JOINT FLEXION. THERE IS ALSO RECIPROCAL FLEXION NOTED OF THE METACARPOPHALANGEAL (MCP) JOINT. THIS IS A RESULT OF AN IMBALANCE OF THE EXTENSOR MECHANISM OF THE DIGIT. THE IMBALANCE COULD BE DUE TO A SIGNIFICANT LACERATION OR STRETCHING OF THE EXTRINSIC TENDON FORCES ON THE DISTAL PHALANX OR FROM TIGHTNESS AND PULLING OF THE EXTENSOR MECHANISM, BOTH INTRINSIC AND EXTRINSIC, AT THE PIP JOINT. THIS ACTIVITY REVIEWS THE PATHOPHYSIOLOGY AND PRESENTATION OF SWAN NECK DEFORMITY AND HIGHLIGHTS THE ROLE OF THE INTERPROFESSIONAL TEAM IN ITS MANAGEMENT.