ボタン穴変形
WordNet
- an affliction in which some part of the body is misshapen or malformed (同)malformation, misshapenness
- a flower that is worn in a buttonhole
PrepTutorEJDIC
- 〈U〉(身体の)奇形,変形,不具;醜さ / 〈C〉(身体の)奇形部 / 〈C〉(…の)欠陥
- ブートニエール(上着のえりの折返しのボタンホールにさす花または小さな花束)
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/06/12 19:51:51」(JST)
[Wiki en表示]
|
|
This article needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. (October 2008) |
| Boutonniere deformity |
|
Human hand bones (Joints visible but not labeled.)
|
| Classification and external resources |
| ICD-10 |
M20.0 |
| ICD-9 |
736.21 |
| eMedicine |
orthoped/24 |
Boutonniere deformity is a deformed position of the fingers or toes, in which the joint nearest the knuckle (PIP) is permanently bent toward the palm while the farthest joint (DIP) is bent back away (PIP flexion with DIP hyperextension). It is commonly caused by injury[1] or by an inflammatory condition like rheumatoid arthritis, or genetic conditions like Ehlers Danlos Syndrome.
Contents
- 1 Stages
- 2 Pathophysiology
- 3 References
- 4 External links
Stages
- Mild extension lag, passively correctable
- Moderate extension lag, passively correctable
- Mild flexion contracture
- Advanced flexion contracture
Higher numbers indicate a more severe problem and greater likelihood of a poor final outcome.
Pathophysiology
Boutonniere deformity in a patient with rheumatoid arthritis
This flexion deformity of the proximal interphalangeal joint is due to interruption of the central slip of the extensor tendon such that the lateral slips separate and the head of the proximal phalanx pops through the gap like a finger through a button hole (thus the name, from French boutonnière "button hole"). The distal joint is subsequently drawn into hyperextension because the two peripheral slips of the extensor tendon are stretched by the head of the proximal phalanx (note that the two peripheral slips are inserted into the distal phalanx, while the proximal slip is inserted into the middle phalanx). This deformity makes it difficult or impossible to extend the proximal interphalangeal joint.
References
- ^ http://orthoinfo.aaos.org/topic.cfm?topic=A00004&return_link=0
- "Boutonniére Deformity". Your Orthopaedic Connection. American Academy of Orthopaedic Surgeons.
External links
- Boutonniere_deformity_of_the_thumb_mp_joint at the Duke University Health System's Orthopedics program
- http://medicine.ucsd.edu/clinicalimg/upper-hand-boutonniere.html
- http://www.merck.com/mmpe/sf/multimedia/Photo2sec04ch34/t/sec04-ch034-ch034b.html
- Boutonniere Deformity at eMedicine
- MRI sequence of disruption of the extensor tendon slip
|
Musculoskeletal disorders: Acquired musculoskeletal deformities (M20–M25, M95, 734–738)
|
|
| Upper limb |
| shoulder |
- Winged scapula
- Adhesive capsulitis
- Rotator cuff tear
- Subacromial bursitis
|
|
| elbow |
- Cubitus valgus
- Cubitus varus
|
|
| hand deformity |
- Wrist drop
- Boutonniere deformity
- Swan neck deformity
|
|
|
| Lower limb |
| hip |
- Protrusio acetabuli
- Coxa valga
- Coxa vara
|
|
| leg |
|
|
| patella |
- Luxating patella
- Chondromalacia patellae
- Patella baja
- Patella alta
|
|
| foot deformity |
- Bunion/hallux valgus
- Hallux varus
- Hallux rigidus
- Hammer toe
- Foot drop
- Flat feet
- Club foot
|
|
| knee |
|
|
|
| Head |
|
|
| General terms |
- Valgus deformity/Varus deformity
- Joint stiffness
- Ligamentous laxity
|
|
|
Index of joint
|
|
| Description |
- Anatomy
- head and neck
- cranial
- arms
- torso and pelvis
- legs
- bursae and sheathes
- Physiology
|
|
| Disease |
- Arthritis
- acquired
- back
- childhood
- soft tissue
- Congenital
- Injury
- Symptoms and signs
- Examination
|
|
| Treatment |
- Procedures
- Drugs
- rheumatoid arthritis
- gout
- topical analgesics
|
|
|
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
- 1. 中節骨骨折 middle phalanx fractures
- 2. 関節リウマチの臨床的特徴 clinical features of rheumatoid arthritis
- 3. 指、手、および手首の骨折の概要 overview of finger hand and wrist fractures
- 4. 指脱臼の整復 digit dislocation reduction
- 5. 手指の解剖学 finger and thumb anatomy
English Journal
- Current status of ultrasonography of the finger.
- Lee SA1, Kim BH1, Kim SJ2, Kim JN3, Park SY4, Choi K5.
- Ultrasonography (Seoul, Korea).Ultrasonography.2015 Nov 24. doi: 10.14366/usg.15051. [Epub ahead of print]
- The recent development of advanced high-resolution transducers has enabled the fast, easy, and dynamic ultrasonographic evaluation of small, superficial structures such as the finger. In order to best exploit these advances, it is important to understand the normal anatomy and the basic pathologies
- PMID 26753604
- Posttraumatic Boutonnière and Swan Neck Deformities.
- McKeon KE, Lee DH.
- The Journal of the American Academy of Orthopaedic Surgeons.J Am Acad Orthop Surg.2015 Oct;23(10):623-32. doi: 10.5435/JAAOS-D-14-00272. Epub 2015 Aug 28.
- Boutonnière and swan neck deformities of the finger can be the result of trauma. The complex anatomy of the extensor mechanism of the finger makes understanding the pathomechanics of these deformities challenging. These posttraumatic deformities should not be confused with those associated with inf
- PMID 26320165
- Treatment of chronic extensor tendons lesions of the fingers.
- Bellemère P1.
- Chirurgie de la main.Chir Main.2015 Sep;34(4):155-81. doi: 10.1016/j.main.2015.05.001. Epub 2015 Jul 14.
- Chronic finger extensor apparatus injuries are the result of the initial acute treatment having failed or being flawed. Because of their chronic nature, these injuries present various amounts of tendon retraction, tendon callus lengthening, peritendinous scar adhesions, static and dynamic imbalances
- PMID 26184651
Japanese Journal
- 脳血管障害例の手指変形, ボタン穴, 白鳥頚変形発生の考察
- 島津 晃,中土 保,五谷 寛之,米田 昌弘
- 日本手の外科学会雑誌 = The Journal of Japanese Society for Surgery of the Hand 20(5), 564-569, 2003-11-25
- NAID 10012750725
- VALLEJO G. Ivan,藤 哲,三浦 一志,新井 弘一,工藤 悟
- 東北整形災害外科紀要 = Tohoku Archives of Orthopaedic Surgery & Traumatology 45(2), 208-211, 2001-12-01
- NAID 10013023341
- 指PIP関節伸展障害に対する側索移行による再建の検討
- 吉津 孝衛,牧 裕,坪川 直人
- 日本手の外科学会雑誌 = The Journal of Japanese Society for Surgery of the Hand 16(2), 263-266, 1999-08-31
- NAID 10010060869
Related Links
- Boutonniere deformity is a deformed position of the fingers or toes, in which the joint nearest the knuckle (PIP) is permanently bent toward the palm while the furthest joint (DIP) is bent back away (PIP flexion with DIP hyperextension).
★リンクテーブル★
[★]
- 英
- buttonhole deformity, boutonniere deformity
[★]
- 形態の異常さ、奇形のもの。(医)(肢体の)変形部、奇形部。醜さ。不行跡、腐敗。疎ましさ、おぞましさ