| Type | Description | Treatment |
| 1 | Boutonniere (most common) | Synovectomy with extensor hood reconstruction; MCP fusion or arthroplasty |
| 2 | Boutonniere with CMC subluxation (uncommon; Type 1 + Type 3) | Same as type 1 and type 3 |
| 3 | Swan neck deformity (2nd most common) | Splinting vs CMC arthroplasty; MCP fusion |
| 4 | Gamekeeper deformity | Synovectomy/UCL reconstruction or Fusion |
| 5 | Swan neck with MCP disease | Fusion of MCPJ |
| 6 | Arthritis mutilans | Arthrodesis |
Clinically, the Van Beek classification system denominates 5 principal nail bed injuries, subclassified by location within the nailbed (involving either the sterile and/or germinal matrix, respectively) and the extent of injury. Germinal Matrix Injury GI: Small subungual hematoma proximal nail (<25%) GII: Germinal matrix laceration, large subungual hematoma (>50%) GIII:…
A. Superficial Group (Appendicular group) Arise from vertebral column and attach to shoulder (assist in movement of limbs) a. Most superficial: Trapezius (From external occipital protuberance, ligamentum nuchae and spinous process C7-T12) Latissimus dorsi (From spinous process T7-T12, thoracolumbar fascia and iliac crest) b. Covered by trapezius: Levator scapulae (From…
Alterations in the relationships between the balanced extrinsic and intrinsic musculature of the hand due to trauma or secondary to the effects of systemic disease may cause the development of functional deformities such as a boutonnière or swan-neck deformity. Swan-neck deformity Boutonniere deformity Deformity PIPJ Hyperextension PIPJ Flexion DIPJ Flexion…