Question 1

What is swan neck deformity and how does it develop?

Accepted Answer

Swan neck deformity is a finger position where the middle joint bends backward and the fingertip bends down, resembling a swan's graceful neck curve. It develops when there's an imbalance in the forces acting on the finger joints. The most common cause is rheumatoid arthritis, which weakens the supporting ligaments. It can also result from untreated mallet finger (fingertip tendon injury), overly loose ligaments, or neurological conditions causing muscle imbalance.

Question 2

Is this different from boutonniere deformity?

Accepted Answer

Yes, they're opposite deformities. Swan neck: middle joint bent backward, fingertip bent down. Boutonniere: middle joint bent down, fingertip bent back. Both can result from arthritis or trauma but involve different underlying problems. Interestingly, an untreated mallet finger can lead to swan neck deformity over time.

Question 3

Can ring splints really help?

Accepted Answer

Yes, ring splints are very effective for flexible swan neck deformities. These custom-fitted rings block hyperextension of the middle joint while allowing normal bending. Many people experience immediate improvement in hand function. They're worn during activities and work best when the deformity is caught early and the joints aren't yet arthritic. They're a low-risk, non-surgical option that many patients use successfully long-term.

Question 4

Will I need surgery?

Accepted Answer

Not necessarily. Many people manage well with ring splints, hand therapy, and proper management of underlying conditions like rheumatoid arthritis. Surgery is considered when: the deformity significantly impairs hand function, non-surgical treatments have failed, arthritis is causing pain, or the deformity is rapidly progressing. The type of surgery depends on whether your deformity is flexible or fixed and whether arthritis is present.

Question 5

How long does recovery take after surgery?

Accepted Answer

Recovery varies by procedure type: Tendon procedures (tenodesis): 3-4 months for functional recovery. Intrinsic release: 2-3 months. Joint fusion: 6-8 weeks for bone healing, then 2-3 months of therapy. Joint replacement: 3-6 months. Maximum improvement is typically seen at 12 months. Some permanent limitation in motion is common, but most people achieve better overall hand function.

Medical Disclaimer

Swan Neck Deformity

📖What is Swan Neck Deformity?

🔬What Causes It?

⚠️Risk Factors

You may be at higher risk if:

🛡️Prevention