Elson's Test for Central Slip Injury

[@drkshitijagrawal1417]

In boutonniere deformity , as u say that the lateral band is slightly volar, but in injury of centeal slip- At pip joint their is displacement of lateral bad more volarly, that is why their is flexion at pip joint so it is also called as button hole deformity. This deformity is combination of flexion at pip joint and hyperextention at dip jt.

[@DrVinayKumarSingh]

Correct Kshitij.

[@احمدعبدالحميد-د9ع]

You are write

[@clay7391]

Correct.... In the case of central slip lateral bands act as flexors hence the boutonniere deformity....

[@dr.abhijitdeb8727]

Yes .

[@mrzackhan]

Excellent and simple explanation now I understand the mechanics.. thank you sir

[@DrVinayKumarSingh]

My pleasure.

[@Deepak2386rocks]

Amazing description as usual .
U are an amazing teacher 👍👌🙏🙏 .

[@DrVinayKumarSingh]

Thank you

[@Himanshu-iv7ul]

gud evening sir.....
How injury to central slip is leading to dorsal subluxation of lat bands...
Dorsal subluxation is prevented by transverse ret lig...
Secondly, there shud be volar subluxation of lat bands so when extrinsic extensors will contract, central slip will fail to act but lat bands will become taut n pull DIP into extension ... Floppyness at DIP will be lost....🙏

[@DrVinayKumarSingh]

You are correct

[@abdourisahndiaye6181]

Thanks u so much sir!
Hope to meet u One day!
Greetings from a senegalese surgeon living and working in France!

[@DrVinayKumarSingh]

Thank you. It would be an honour to meet you.

[@ehsanhaseeb]

Excellent explanation
Best wishes from Pakistan 🇵🇰

[@DrVinayKumarSingh]

Thank you. Love from 🇮🇳

[@reemeid3075]

There is volar displacement of the lateral bands not dorsal displacement with boutonniere deformity.

[@DrVinayKumarSingh]

Yes true

[@viharisasank254]

Extremely useful video sir...can u brief the treatment options for it sir

[@DrVinayKumarSingh]

I would recommend read about it in orthobullets.

[@viharisasank254]

@@DrVinayKumarSingh ok sir...thnq

[@drSJV]

Thank you, a great video!

[@DrVinayKumarSingh]

Glad you liked it!

[@dr.ankitlohiya]

Wonderful explanation… 👌🏻

[@DrVinayKumarSingh]

Thank you 🙂

[@anwarorakzai5916]

With due respect.... you said that after the central slip is torn :lateral slips move dorsally ...but I read in literature that the rest of the slips i-e lateral slips move anteriorly ....not dorsally

[@DrVinayKumarSingh]

Thank you for your kind input

[@Scousedoc]

Lovely explanation thank you !

[@DrVinayKumarSingh]

You're very welcome!

[@anilkumardwivedi4572]

Well-demonstrated sir.

[@DrVinayKumarSingh]

Thank you Anil

[@orthopod47]

The resistant by the clinician has to be given at Proximal or Middle phalanx??

[@DrVinayKumarSingh]

Middle phalanx

[@vinodrathod469]

Sir but extension of fingers occuers mainly due to interossei and lumbrical...and central slip through proxal phalanx extends at metacarpophalangeal joint.

[@DrVinayKumarSingh]

Yes you are correct. Extension is assisted by interossei muscle. Anatomy of exteriors is complex. What I have presented is simplified version to easily understand the test.

[@Himanshu-iv7ul]

Lumbricals n interossie acts as flexors at MCPJ n extensors at PIPJ
while extrinsic extensors are primary extensors at MCPJ only n secondary extensors at PIPJ ( primary being lumbricals n interossie)
Thats y when there is claw deformity( lumbrical minus) MCPJ extends but not PIPJ, flexors overpower at PIP but not MCPJ leading to claw( hyper extension at MCPJ nd flexion at pipj)

[@ابوالسعد-ه5ع]

the work of intrinsics is prevented by this test, we keep the mcp extended to isolate the central slip work

[@mohammadkhurram4262]

Amazing exp explained beautifully

[@DrVinayKumarSingh]

Glad you think so!

[@adigopplaavinash4229]

Superb explanation sir, thank you..

[@DrVinayKumarSingh]

Thank you. Please subscribe and share this channel so that it can benefit more people.

[@adigopplaavinash4229]

@@DrVinayKumarSingh definitely sir,i have already subscribed n shared ur channel in facebook n telegram...we need a teacher like u sir. Thank you...

[@DrVinayKumarSingh]

@@adigopplaavinash4229 thank you so much

[@vikramkumar-bt7jf]

How do you treat sir

[@DrVinayKumarSingh]

It's there on the channel

[@disheensolanki8141]

I went through a similar injury while playing cricket. my pinky finger is still deformed. I am splinting it. Is there any option other than surgery to fix it?

[@DrVinayKumarSingh]

Can't say much without consulting you

[@pepesilvia813]

Thank u sir

[@DrVinayKumarSingh]

So nice of you

[@moshiulislamshyamol4029]

thank you sir.

[@DrVinayKumarSingh]

My pleasure

[@gentertainer1324]

Sir I had a surgery got plate now I can't up to my first finger or thumb what I do

[@DrVinayKumarSingh]

Wait and watch.

[@aliafzal6261]

Wonderful

[@DrVinayKumarSingh]

Thank you! Cheers!

[@manmahuna1160]

Thanks Dr

[@DrVinayKumarSingh]

My pleasure

[@keplar560]

Thank you

[@DrVinayKumarSingh]

My pleasure Ashok

[@THANOS_-]

Sir where is your clinic

[@DrVinayKumarSingh]

Evaa Superspeciality Hospital Govind Marg Jaipur Rajasthan

[@AmitKumar-yb6os]

Very good job

[@DrVinayKumarSingh]

Thank you

[@DrChaitanyaPlastics]

Thanks a lot sir.

[@DrVinayKumarSingh]

My pleasure Krish

[@niazmuhammad4100]

Zabardast

[@DrVinayKumarSingh]

Thank you

[@baldevsaini4478]

Thanks sir 👍

[@DrVinayKumarSingh]

Thank you.

[@katytj643]

Thank u

[@DrVinayKumarSingh]

Welcome

[@shoniward2036]

Do this hurt

[@DrVinayKumarSingh]

No

[@hospitalboys8572]

Thanks sir

[@DrVinayKumarSingh]

My pleasure

[@aniyjo]

Thanks Master

[@DrVinayKumarSingh]

Thank you

[@kailashchandgurjar8118]

You are a really god

[@DrVinayKumarSingh]

Thank you.

[@احمدعبدالحميد-د9ع]

Exclent ...thanks

[@DrVinayKumarSingh]

Thank you

[@AmitKumar-yb6os]

Nice sir

[@bab221]

God bless you sir. Thanks a lot for the teaching

[@DrVinayKumarSingh]

My pleasure

[@ssclipnow1867]

Sir my middle finger is this situation

[@DrVinayKumarSingh]

Consultant Orthopaedic surgeon

[@GHGH-f7p]

LIFE MADE EASIER!

[@DrVinayKumarSingh]

Thank you

[@ShortsSS03]

R

[@DRASJADSIDDIQUI]

Thanks alot sir

[@DrVinayKumarSingh]

So nice of you

[@dr.achalgarg5044]

Thank you

[@DrVinayKumarSingh]

My pleasure Anchal

[@yogi4940]

R

[@birdhimeenagmail.combirdhi8559]

R

[@PrashantYadav-bu2ll]

R

[@skyogiraja2420]

R

[@dkmeena1763]

R

[@MaheshKumar-mc3mx]

R

[@jamsadkhan5684]

R

[@sumitff2.057]

R