77th ASSH Annual Meeting - Back to Basics: Practice and Education-IC15: Demystifying Complex Finger Deformities (AM22)

Video Transcription

Video Summary

In this video, the speaker discusses the diagnosis and treatment options for common causes of finger and hand stiffness. They start by discussing joint contractures, which can be caused by joint congruity, collateral ligaments, and the volar plate. Non-operative treatment options include prolonged stretching, splinting, and edema control. Surgical options involve releasing the volar plate, accessory collateral ligaments, and the flexor sheath. The speaker also discusses flexion and extension contractures, as well as intrinsic and extrinsic tightness. They explain the anatomy of the hand and how each muscle group contributes to finger movement. Treatment options for intrinsic tightness include splinting and surgical procedures like intrinsic tenotomy. Similarly, treatment for extrinsic tightness involves tenolysis, muscle slides, and/or joint releases. The speaker also touches on bony contributions to finger stiffness, such as rotational malalignment and malunion of fractures. Surgical options for bony stiffness include osteotomies and lengthening procedures. The speaker concludes by emphasizing the importance of understanding anatomy and performing a systematic physical exam when diagnosing and treating finger and hand stiffness.

Meta Tag

Session Tracks Arthritis

Session Tracks Fracture

Session Tracks Ligament

Session Tracks Pediatrics/Congenital

Session Tracks Skin Soft Tissue

Session Tracks Tendon

Speaker Jennifer Lynn D'Auria, MD

Speaker John R. Fowler, MD

Speaker Robert J. Goitz, MD

Keywords

finger and hand stiffness

diagnosis

treatment options

joint contractures

collateral ligaments

volar plate

non-operative treatment

surgical options

anatomy of the hand