Kenneth Kee

Boutonniere Deformity, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions (eBook, ePUB)

• Format: ePub

Produktbeschreibung

This book describes Boutonniere Deformity, Diagnosis and Treatment and Related Diseases
Boutonniere deformity is a medical disorder where the finger is flexed at the proximal inter-phalangeal joint (PIP), with hyperextension at the distal inter-phalangeal joint (DIP).
This is normally a result of injury in the acute setting and is produced by force applied to the top of a bent middle joint of a finger.
There is a direct trauma to the central slip that damages the extensor function of the affected digit.
A boutonniere deformity can also happen from a laceration on the top of a finger, which can cut the tendon and detach it from the bone.
It can also happen if the patient would have a full-thickness burn resulting in direct damage to the central slip.
More often, it is due to an inflammatory disorder, such as rheumatoid arthritis.
Boutonniere deformity is often due to damage to the tendons that straightens the middle joint of the finger.
The result is that the middle joint of the injured finger will not extend or straighten, while the fingertip flexes back.
Unless this damage is treated rapidly, the deformity may go on, causing permanent deformity and impaired functioning.
The deformity got its name because the injury caused the proximal phalanx to protrude through like a finger through a buttonhole (hence the term, from French boutonniere, which is translated into buttonhole).
Football and basketball are the most frequent cause of sports-related boutonniere deformities.
Boutonniere deformity is normally produced by a forceful blow to the top (dorsal) side of a bent (flexed) middle joint of a finger.
Symptoms
Symptoms can be instant or delayed for several weeks.
If the injury happens as a result of a laceration, the area needs to be completely cleansed and examined in a "bloodless field" for tendon reliability.
This can easily be achieved by using a glove.
The doctor simply cuts the finger off a glove and places on the affected digit and then cuts a small hole at the distal aspect of the finger glove.
The doctor then rolls the finger glove proximally until it forms a "ring" at the base of the digit which will work as a tourniquet.
The status of the tendon will decide treatment methods.
If rheumatoid arthritis produces a boutonniere deformity, a comprehensive history should involve the length of symptoms, medicines (previous and current), level of pain and degree of disability.
Signs of boutonniere deformity can form instantly after an injury to the finger or may form a week to 3 weeks later.
The finger at the middle joint cannot be extended and the fingertip cannot be flexed.
Swelling and pain happen and go on the top of the middle joint of the finger.
Diagnosis
Elson test is the most dependable way to diagnose a central slip injury before the deformity is evident
X-rays are indicated to find if there are any broken bones attached to the central slip of tendon.
Lateral radiographs can be used to find out the degree of hyperextension
Treatment
Boutonniere deformity must be treated early to help the patient keep the full range of motion in the finger.
The purpose of treatment is to regain full range of movement of the affected finger.
Treatment methods are both surgical and non-surgical methods.
A splint will be applied to the finger at the middle joint to keep it straight.
This prevents the ends of the tendon from dividing as it heals.
It also permits the end joint of the finger to bend.
The doctor may advise stretching exercises to increase the strength and flexibility in the fingers.
If non-surgical measures are not successful, surgical joint replacement or bone fusion may be required
Surgery can decrease pain and increase function.

TABLE OF CONTENT
Introduction
Chapter 1 Boutonniere Deformity
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagn...

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Produktdetails

• Verlag: Kenneth Kee
• Erscheinungstermin: 31. August 2019
• Englisch
• ISBN-13: 9780463762790
• Artikelnr.: 75905381

Autorenporträt

Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...