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10 hours ago · Each joint has a prime flexor and extensor, and these functions can and should be tested. In the fingers, the Flexor Digitorum Superficialis [FDS] flexes the proximal interphalangeal [PIP] joints and Flexor Digitorum Profundus [FDP] is the sole flexor of the distal joints.
10 hours ago · If performed distally at the interphalangeal joint, it is important to ensure that the nail matrix is fully removed when performing the dorsal portion of the fishmouth incision. The distal phalanx is then disarticulated, and full-thickness plantar flap in then pulled dorsally and closed without tension with nonabsorbable suture (Fig. 27.5a–c).
10 hours ago · In this study, 73% of patients had EHOA, defined as having at least one proximal (PIP) or distal interphalangeal joint (DIP) in the erosive or remodeling phase according to the Verbruggen–Veys score . The frequency of NP was higher in younger subjects and was associated with less radiographic damage and a lower Short Form Health Survey 36 (SF ...
10 hours ago · A scleroderma-like syndrome develops in 8–50% of diabetic patients. Skin on the dorsal part of the hand can thicken, resulting first in stiffness of the metacarpophalangeal and proximal interphalangeal joints of the fingers . Thickened skin on the fingers, known as Huntley’s papules or finger pebbles, appears as grouped indurate papules on ...
10 hours ago · In the presence of sensory neuropathy, ulcerations often develop over the proximal interphalangeal joint, at the distal tip of a toe or on adjacent sides of toes. With the exception of the second toe, amputation of a lesser toe rarely results in long-term complications.
