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Updated: Apr 4, 2026

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
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Posttraumatic Boutonnière and Swan Neck Deformities.

Kathleen E McKeon, Donald H Lee

    The Journal of the American Academy of Orthopaedic Surgeons
    |August 31, 2015
    PubMed
    Summary

    Posttraumatic boutonnière and swan neck deformities require accurate clinical assessment for proper treatment. Differentiating these from arthritis-related conditions is crucial for effective management and restoring finger joint function.

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    Area of Science:

    • Orthopedic Surgery
    • Hand Surgery
    • Traumatology

    Background:

    • Boutonnière and swan neck deformities can arise from finger trauma.
    • The extensor mechanism's complex anatomy complicates understanding these deformities.
    • Posttraumatic deformities differ from inflammatory arthritis, necessitating distinct treatments.

    Purpose of the Study:

    • To differentiate posttraumatic finger deformities from inflammatory conditions.
    • To highlight the importance of accurate clinical assessment for treatment selection.
    • To review diagnostic tools and treatment modalities for these deformities.

    Main Methods:

    • Clinical assessment including Elson and intrinsic-plus tests.
    • Plain radiography for diagnostic support.
    Keywords:
    boutonnière deformitycentral slipfinger deformityswan neck deformity

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  • Review of nonsurgical and surgical treatment options.

    • Main Results:

    • Accurate diagnosis is essential for appropriate treatment planning.
    • Physical examination and radiography are key diagnostic tools.
    • Various treatments aim to restore joint motion and rebalance forces.

    Conclusions:

    • Understanding anatomy, presentation, and treatment is vital for managing posttraumatic deformities.
    • Optimal outcomes depend on precise diagnosis and tailored treatment strategies.
    • Effective management restores function to the proximal and distal interphalangeal joints.