swan neck deformity

Upper limb

Indications for surgery

Spastic hemiplegia

- have voluntary grasp and release

Spastic quadriplegia

- many patients have sensory neglect for affected limbs

- won't use limb post surgery regardless

- may need some releases for hygiene / dressing

Conditions

1.  PIPJ Synovitis

- synovectomy via dorsomedial approach

2.  Flexor tenosynovitis

- may cause trigger finger

- trial HCLA

- remove synovits but don't release A1 pulley

- will worsen ulna drift

3.  DIPJ

- rarely affects