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BOUTONNIERE: Operative Treatment Requirements - Acute, Chronic

a) Acute: Dynamic Splinting, Chronic: Tendon Grafting
b) Acute: Immediate Repair, Chronic: Corticosteroid Injection
c) Acute: Surgical Reconstruction, Chronic: Conservative Management
d) Acute: Cast Immobilization, Chronic: Physical Therapy

Answer :

Final answer:

Treatment for a Boutonniere deformity varies with the condition's acuteness. Acute cases may require dynamic splinting or immediate repair, while chronic conditions could need tendon grafting or surgical reconstruction. The optimal treatment is determined by the extent of the injury and may involve various orthopedic approaches, including conservative management.

Explanation:

Boutonniere Deformity Treatment Requirements

When addressing a Boutonniere deformity, which is a condition in the finger that can result from tendon injury, treatment varies depending on whether the condition is acute or chronic. The options given in the question are:

  • Acute: Dynamic Splinting, Chronic: Tendon Grafting
  • Acute: Immediate Repair, Chronic: Corticosteroid Injection
  • Acute: Surgical Reconstruction, Chronic: Conservative Management
  • Acute: Cast Immobilization, Chronic: Physical Therapy

Based on medical practice, acute management often includes measures such as dynamic splinting to reduce deformity and maintain range of motion, and may include immediate repair if the tendon damage is significant.

In chronic cases, where healing and adaptive changes have occurred, treatment options such as tendon grafting or surgical reconstruction may be considered to restore function.

Corticosteroid injections and conservative management, which can involve physical therapy and other non-invasive methods, may be indicated based on the individual case and extent of injury.

Orthopedic sports medicine is a sub-specialty that deals with these types of injuries, where treatment ranges from exercise, splinting and therapy to surgery, depending on the severity and duration of the condition.