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Goose neck deformity ( Swan neck deformity is a disorder that makes radius shapes hands look like goose necks. If you experience it, don't worry, because there are treatments that can relieve symptoms improve the shape of your fingers.
Goose neck deformity occurs when some of the joints in your fingers bend in an unnatural position due to a certain disease or injury. In addition to making the finger shape abnormal, this condition can also cause finger pain, and limited finger and hand movement.
Causes of goose neck deformity
Your fingers have many components, including finger bones, joints, tendons, which are the tissue that attaches muscles to bones, and ligaments, which are elastic connective tissues between bones. Goose neck deformity occurs when two of your finger joints point in an unnatural direction and cannot be straightened into a normal position.
There are various conditions that can cause swan neck deformity, including:
- Rheumatoid arthritis
- Cerebral palsy
- Scleroderma
- Psoriatic arthritis
- Stroke
- Parkinson's disease
- Injury or trauma to the hand
Of the various conditions above, rheumatoid arthritis is a condition that quite often causes goose neck deformity. This is because inflammation in rheumatoid arthritis generally occurs in small joints, such as the joints of the fingers or toes.
The inflammation can cause joint damage and weakness of tendons and ligaments. As a result, there is an imbalance of the forces acting on the joints, which in turn can cause deformities in the joints, including goose neck deformities in the fingers.
Goose neck finger deformities caused by rheumatoid arthritis are more common in women than in Men. In addition, this disorder also does not occur in the thumb. An abnormally bent thumb is a different disorder called a mallet finger.
Diagnosis of Goose Neck Deformity
Usually, doctors can diagnose goose neck deformity simply by knowing the patient's symptoms, medical history of the patient, and seeing the shape of the patient's hand during the physical examination.
However, doctors sometimes need to perform investigations with X-rays to confirm the diagnosis. This procedure also allows the doctor to detect abnormalities or injuries to the bones and joints in the patient's fingers.
Management of Goose Neck Deformity
Treatment for finger neck deformity geese vary from nonoperative to operative. The treatment given by the doctor will be adjusted to the severity of the condition you are suffering from.
The following are some types of treatment that can be given to treat swan neck finger deformities:
Physical therapy and occupation
If your goose neck deformity is mild, your doctor may recommend physical or occupational therapy as the first line of treatment.
Both therapies involve exercise, stretching, and massage to help your fingers and hands develop balance and regain normal strength and movement.
If you are having surgery to treat a swan neck finger deformity, physical and occupational therapy are also generally recommended to support postoperative recovery.
Installation splint
The doctor may recommend a splint or splint for several weeks to repair and stabilize the affected finger. goose neck deformity. Therapy with this splint can be done in conjunction with physical and occupational therapy.
The splint can be used to wrap around the entire finger or only certain joints. A splint that wraps around a particular joint is called a ring splint. This splint is shaped like a figure eight and does not cover the entire finger, so you can still bend the finger joint down while using it.
Operation
Operations can be performed to repair soft tissue (skin, tendons and ligaments) or affected joints.
Soft tissue repair surgery can only be used to treat moderate swan neck deformities, and not for severe cases. Meanwhile, joint repair surgery or joint arthroplasty is performed to replace joints that experience stiffness.
In addition, there is also a finger joint fusion operation, where a joint is performed. joints so that they can straighten out but become immovable. Usually, this surgery is chosen because the joint is no longer able to function properly.
Recovery After Goose Neck Deformity Surgery
Recovery after surgery on the finger can take some time for weeks or months. The doctor will usually place a splint or splint on the operated finger until it heals.
You will likely also be given a weekly schedule of physical and occupational therapy to reduce swelling and pain and regain good finger strength and movement.
If during therapy the swelling and pain that appears very disturbing, do not wait for the next therapy schedule and see a doctor immediately.
Written by:
Sonny Seputra, M.Ked.Klin, Sp.B, FINACS
(Surgeon)
Label : Health
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