- Training
- 11/02/2022
- USA
Flexor Digitorum Superficialis Tenodesis for Swan Neck Deformity Reconstruction
Description
This video features a surgical presentation by Dr. Kanu Goyal from the Ohio State University's Division of Hand and Upper Extremity Surgery, discussing the procedure of FDS tenodesis for the correction of swan neck deformity. Dr. Goyal is joined by resident Craig Luplow during the surgical demonstration, with editing contributions from medical student Parth Vaghani. The presentation begins with an overview of swan neck deformities, characterized by PIP joint hyperextension and DIP joint flexion, commonly associated with rheumatoid arthritis and sometimes due to traumatic injuries or genetic conditions such as Ehlers-Danlos syndrome.
Dr. Goyal explains the indications for surgical correction, particularly in symptomatic cases where patients experience snapping of the digits during movement. He discusses contraindications like severe PIP joint stiffness and incongruity. The case presented involves a 66-year-old female patient with rheumatoid arthritis who opted for surgery after unsuccessful conservative treatments.
The surgical technique demonstrated involves careful dissection and identification of the FDS tendon, its division, and subsequent fixation to correct the deformity. The video illustrates steps in the procedure, highlights the importance of proper surgical exposure, and mentions pitfalls to avoid during tenodesis. Post-operative care includes the use of a splint to stabilize the digits during recovery.
The presentation concludes with the follow-up results of the patient's digit flexibility months after surgery, indicating a successful outcome. Dr. Goyal emphasizes the importance of technique and previous studies supporting the effectiveness of this surgical intervention.
Part of: Surgical Techniques and Training Collection
"Flexor Digitorum Superficialis Tenodesis for Swan Neck Deformity Reconstruction" is included in the following Surgical Techniques and Training playlist: