ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯃꯔꯛꯇꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯡꯗꯣꯀꯄꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯕꯧꯇꯣꯅꯤꯌꯔ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯑꯣꯏꯕꯥ ꯌꯥꯏ!

ꯑꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯃꯖꯤꯟ ꯁꯥꯖꯤꯅꯕꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯅꯍꯥꯛꯅꯥ ꯎꯈꯤꯕ꯭ꯔꯥ, ꯅꯠꯠꯔꯒꯥ ꯊꯦꯡꯅꯈꯤꯕ꯭ꯔꯥ? ꯌꯥꯑꯣꯔꯃꯒꯗꯕꯗꯤ, ꯃꯈꯨꯠ ꯑꯗꯨ ꯃꯔꯛꯇꯥ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯊꯣꯡꯅꯥꯎ ꯍꯥꯡꯗꯣꯀꯄꯥ ꯃꯑꯣꯡꯗꯥ ꯎꯕꯥ ꯐꯪꯏ, ꯃꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯃꯊꯛꯂꯣꯃꯗꯥ ꯌꯦꯡꯏ꯫ ꯃꯁꯤ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯗꯤ ꯇꯁꯦꯡꯅꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯦꯛꯁꯄꯔꯤꯌꯦꯟꯁ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯔꯤ, ꯃꯗꯨꯕꯨ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯑꯣꯏꯅꯥ `ꯕꯣꯎꯇꯣꯅꯤꯌꯔ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ` ꯍꯥꯌꯅꯥ ꯈꯉꯅꯩ꯫

ꯃꯁꯤ `ꯕꯨꯇꯣꯅꯤꯌꯔ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ` ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯕꯧꯇꯣꯅꯤꯌꯔ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯍꯥꯌꯕꯁꯤ ꯐꯤꯉ꯭ꯒꯔ ꯑꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ (ꯅꯠꯠꯔꯒꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯈꯣꯡꯄꯥꯛ)ꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯆꯦꯟꯊꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯉꯃꯗꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯈꯥꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯆꯦꯠꯁꯤꯂꯍꯅꯕꯥ ꯉꯃꯗꯦ . ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ, ꯐꯤꯉ꯭ꯒꯔꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨ ꯇꯥꯡ (end joint) ꯑꯗꯨ, ꯅꯥꯀꯣꯡꯒꯤ ꯃꯐꯝ (joint) ꯑꯗꯨ ꯃꯊꯛꯇꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯄꯣꯏꯟꯇ ꯑꯃꯒꯨꯝꯅꯥ ꯎꯏ꯫

ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯖꯣꯟ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯖꯣꯟ ꯑꯗꯨ, ꯍꯥꯌꯕꯗꯤ ꯄꯥꯝꯕꯤꯗꯒꯤ ꯑꯅꯤꯁꯨꯕꯥ ꯖꯣꯟ ꯑꯗꯨ – ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯃꯦꯗꯤꯁꯤꯅꯗꯥ `ꯄ꯭ꯔꯣꯛꯁꯤꯃꯥꯜ ꯏꯟꯇꯔꯐꯦꯂꯦꯟꯖꯤꯑꯦꯜ ꯖꯣꯟ` (ꯄ꯭ꯔꯣꯛꯁꯤꯃꯥꯜ ꯏꯟꯇꯔꯐꯦꯂꯦꯟꯖꯤꯑꯦꯜ ꯖꯣꯟ) ꯅꯠꯠꯔꯒꯥ ꯊꯣꯏꯗꯣꯛꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ `ꯄꯤ.ꯑꯥꯏ.ꯄꯤ.ꯒꯤ ꯖꯣꯟ` (ꯄꯤ.ꯑꯥꯏ.ꯄꯤ. ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ, ꯐꯤꯉ꯭ꯒꯔꯒꯤ ꯑꯔꯣꯏꯕꯥ ꯖꯣꯟ – ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ `ꯗꯤꯁ꯭ꯇꯦꯜ ꯏꯟꯇꯔꯐꯦꯂꯦꯟꯖꯦꯜ ꯖꯣꯟ` (ꯗꯤꯁ꯭ꯇꯦꯜ ꯏꯟꯇꯔꯐꯦꯂꯦꯟꯖꯦꯜ ꯖꯣꯟ) ꯅꯠꯠꯔꯒꯥ `DIP ꯖꯣꯟ` (DIP ꯖꯣꯟ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ – ꯃꯁꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯃꯊꯛꯇꯥ ꯌꯦꯡꯏ꯫

ꯃꯁꯤꯕꯨ `boutonnière` ꯍꯥꯌꯅꯥ ꯀꯧꯏ, ꯃꯁꯤꯒꯤ ꯑꯔꯊꯗꯤ ꯐ꯭ꯔꯦꯟꯆ ꯂꯣꯟꯗꯥ `buttonhole` ꯍꯥꯌꯕꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯃꯗꯤ `ꯇꯦꯟꯗꯣꯟ`, ꯃꯁꯜ ꯑꯃꯕꯨ ꯁꯔꯨꯒꯥ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯑꯀꯅꯕꯥ ꯇꯤꯁꯨ ꯑꯃꯅꯥ, ꯈꯣꯡꯒꯤ ꯃꯊꯛꯇꯥ, ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ, ꯐꯤꯕꯔꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯄꯤꯀꯄꯥ ꯍꯨꯔꯥꯅꯕꯥ ꯑꯃꯥ ꯊꯣꯀꯏ, ꯃꯗꯨꯗꯤ ꯕꯇꯅꯍꯣꯂꯒꯨꯝꯅꯥ꯫ ꯃꯐꯝ ꯑꯗꯨꯗꯒꯤ ꯃꯃꯤꯡ ꯑꯁꯤ ꯊꯣꯔꯀꯄꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ `ꯇꯦꯟꯗꯣꯟ` ꯑꯁꯤꯅꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯉ꯭ꯒꯔ ꯖꯣꯟ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯉꯃꯂꯣꯏ꯫

ꯃꯁꯤ ꯀꯔꯤꯒꯤ ꯊꯣꯛꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ `Boutonnière Deformity` ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯗꯤ `ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯇꯦꯟꯗꯣꯟ` ꯀꯧꯕꯥ ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯂꯩꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯅꯤ꯫ ꯃꯁꯤꯒꯤ `ꯇꯦꯟꯗꯣꯟ` ꯑꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯕꯨ ꯐꯤꯉ꯭ꯒꯔꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤ ꯐꯤꯉ꯭ꯒꯔꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯠꯂꯤ꯫ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯃꯊꯛꯇꯥ ꯐꯥꯎꯕꯥ ꯎꯕꯥ ꯐꯪꯒꯅꯤ꯫

ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯥ ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯇꯦꯟꯗꯣꯅꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ꯫

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯐꯤꯚꯝ ꯑꯁꯤ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯈꯟꯅꯕꯤꯌꯨ:

• ꯐꯤꯉ꯭ꯒꯔ ꯑꯃꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯅꯥ ꯁꯣꯀꯄꯥ: ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯚꯣꯜꯌꯨꯝ ꯅꯠꯠꯔꯒꯥ ꯅꯦꯇꯕꯣꯂꯒꯨꯝꯕꯥ ꯁꯥꯟꯅꯄꯣꯠ ꯑꯃꯥ ꯁꯥꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯕꯣꯜ ꯑꯃꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯑꯆꯧꯕꯥ ꯐꯣꯔꯁ ꯑꯃꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯊꯦꯡꯅꯩ꯫ ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯊꯣꯡ ꯑꯃꯗꯥ ꯆꯦꯟꯊꯔꯀꯏ꯫ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯐꯤꯚꯝ ꯑꯁꯤꯗꯥ, ꯇꯦꯟꯗꯣꯟ (tendon) ꯑꯗꯨ ꯂꯪꯁꯤꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫
• ꯐꯤꯉ꯭ꯒꯔ ꯑꯃꯒꯤ ꯐ꯭ꯔꯦꯀꯆꯔ (fracture of a finger): ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐꯤꯉ꯭ꯒꯔ ꯑꯃꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯁꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯅꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯐꯤꯉ꯭ꯒꯔ ꯖꯣꯟ (finger joint) ꯑꯃꯥ ꯁꯣꯀꯄꯥ (dislocation) : ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯇꯦꯟꯗꯣꯟ (tendon) ꯑꯗꯨꯁꯨ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫
• ꯑꯀꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯗꯒꯤ ꯀꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯀꯟꯅꯥ ꯁꯣꯀꯄꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯈꯣꯡꯎꯄꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯥ ꯀꯀꯊꯠꯂꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯀꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯇꯥꯔꯕꯗꯤ, ꯇꯦꯟꯗꯣꯟ ꯑꯁꯤ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

`ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯇꯦꯟꯗꯣꯟ`ꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯁꯤ ꯀꯅꯥꯒꯨꯝꯕꯥ ꯑꯃꯠꯇꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ ꯑꯗꯨꯕꯨ ꯃꯁꯤ ꯁꯥꯟꯅꯔꯣꯏꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ, ꯃꯔꯃꯗꯤ ꯃꯈꯣꯌꯅꯥ ꯁꯥꯟꯅꯄꯣꯠꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ꯫

ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯁꯤꯡꯒꯤ ꯃꯊꯛꯇꯥ, ꯕꯧꯇꯣꯅꯤꯌꯔ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯑꯁꯤ ꯑꯇꯩ ꯃꯔꯝ ꯀꯌꯥꯒꯤ ꯃꯔꯃꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯌꯥꯏ:

• ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ: ꯃꯁꯤꯁꯨ ꯑꯆꯧꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫ ꯈꯨꯠꯁꯥꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯁꯣꯟꯊꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫
• ꯃꯩꯅꯥ ꯆꯥꯀꯄꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯃꯥ ꯁꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯃꯩꯅꯥ ꯆꯥꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯣꯀꯄꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯦꯟꯗ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ: ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ, ꯃꯁꯤ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁꯨꯒꯤ ꯂꯥꯌꯅꯥꯁꯤꯡ : ꯖꯤꯅꯦꯇꯤꯛ ꯑꯣꯏꯕꯥ ꯂꯥꯌꯅꯥ ꯈꯔꯅꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯀꯅꯦꯛꯇꯤꯕ ꯇꯤꯁꯨꯁꯤꯡ ꯁꯣꯟꯊꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯗꯨꯁꯨ ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ `ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯇꯦꯟꯗꯣꯟ` ꯑꯗꯨ ꯁꯣꯟꯊꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯜꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯖꯣꯟ (`PIP ꯖꯣꯟ`) ꯑꯗꯨ ꯂꯧꯊꯣꯀꯄꯥ ꯉꯃꯗꯦ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯁꯤꯅꯥ ꯇꯤꯞ ꯖꯣꯟ (`DIP ꯖꯣꯟ`) ꯑꯗꯨ ꯆꯦꯅꯕꯥ ꯑꯇꯩ `ꯑꯦꯛꯁꯇꯦꯟꯁꯔ ꯇꯦꯟꯗꯣꯅꯁꯤꯡ`ꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ, ꯑꯃꯁꯨꯡ ꯃꯈꯣꯌꯅꯥ ꯍꯦꯟꯅꯥ ꯄꯨꯕꯥ ꯍꯧꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯑꯆꯝꯕꯥ ꯕꯦꯟꯗ ꯑꯗꯨ ꯊꯣꯀꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯗꯤ ꯐꯤꯉ꯭ꯒꯔ ꯖꯣꯅꯁꯤꯡꯒꯤ ꯑꯦꯕꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯄꯣꯖꯤꯁꯟ ꯑꯁꯤꯅꯤ . ꯃꯁꯤꯅꯥ ꯇꯥꯀꯄꯗꯤ:

• ꯅꯍꯥꯛꯅꯥ ꯄꯤ.ꯑꯥꯏ.ꯄꯤ.ꯒꯤ ꯖꯣꯟ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯀꯄꯥ ꯉꯃꯂꯣꯏ .
• ꯃꯇꯝ ꯑꯗꯨꯃꯛꯇꯗꯥ ꯗꯤ.ꯑꯥꯏ.ꯄꯤ.ꯒꯤ ꯖꯣꯟ ꯑꯁꯤ ꯃꯊꯛꯇꯥ ꯀꯨꯄꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯍꯥꯏꯄꯔꯑꯦꯛꯁꯇꯦꯟꯗ ꯇꯧꯏ .

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯐꯥꯎꯕꯥ ꯌꯥꯏ:

• ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ꯫
• ꯃꯔꯨꯑꯣꯏꯅꯥ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ (joint stiffness) ꯍꯦꯅꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯛꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯍꯀꯊꯦꯡꯅꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯨꯃꯤꯠ ꯈꯔꯅꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯁꯤꯒꯤ `Boutonnière Deformity` ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯀꯃꯟ ꯑꯣꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯈꯪꯖꯤꯅꯕꯥ ꯌꯥꯏ ꯃꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯦꯡꯗꯣꯀꯄꯗꯥ ꯈꯔꯥ ꯑꯋꯥꯕꯥ ꯑꯣꯏ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯉꯒꯅꯤ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯗꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯒꯅꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯕꯧꯇꯣꯅꯤꯌꯔ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯎꯕꯥ ꯃꯇꯃꯗꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯈꯉꯕꯥ ꯉꯝꯃꯤ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯁꯤ ꯑꯍꯥꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯑꯁꯨꯛ ꯌꯥꯝꯅꯥ ꯃꯌꯦꯛ ꯁꯦꯡꯗꯕꯥ ꯌꯥꯏ꯫

ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔꯅꯥ `ꯑꯦꯂꯁꯅꯒꯤ ꯇꯦꯁ꯭ꯠ` ꯀꯧꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯇꯦꯁ꯭ꯠ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯀꯔꯝꯅꯥ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ: ꯅꯍꯥꯛꯅꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯁꯤꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯟꯅꯕꯥ ꯍꯥꯌꯔꯤ, ꯃꯁꯤꯒꯨꯝꯅꯥ: ꯀꯣꯟꯅꯥ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯗꯣꯛꯇꯔ ꯑꯗꯨꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯏꯟꯗꯦꯛꯁ ꯐꯤꯉ꯭ꯒꯔ (ꯅꯠꯠꯔꯒꯥ ꯑꯁꯣꯀꯄꯥ ꯐꯤꯉ꯭ꯒꯔ) ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯐꯤꯉ꯭ꯒꯔ ꯑꯗꯨ ꯊꯤꯡꯖꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯉ꯭ꯒꯔ ꯑꯗꯨ ꯁꯦꯡꯗꯣꯛꯅꯕꯥ ꯍꯥꯌꯔꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯔꯦꯁꯤꯁ꯭ꯇꯦꯟꯁꯀꯤ ꯃꯥꯌꯣꯛꯇꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯉ꯭ꯒꯔ ꯑꯗꯨ ꯆꯦꯠꯁꯤꯂꯍꯅꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯃꯈꯣꯌꯅꯥ ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯇꯦꯟꯗꯣꯅꯗꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯕꯥ ꯈꯪꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ . ꯃꯁꯤꯅꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨꯒꯤ ꯆꯥꯡ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯑꯃꯍꯦꯛꯇꯕꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯁꯤꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯊꯧꯔꯥꯡ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫

ꯑꯣꯀꯦ, ꯍꯧꯖꯤꯛ ꯃꯁꯤꯒꯤ ꯂꯥꯌꯦꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯌꯥꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯃꯦꯊꯗꯁꯤꯡꯅꯥ ꯕꯧꯇꯣꯅꯤꯌꯔ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯂꯥꯌꯦꯡꯕꯥ ꯍꯧꯏ꯫ ꯍꯥꯌꯕꯗꯤ ꯀꯟꯖꯔꯕꯦꯇꯤꯕ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ꯫ ꯑꯗꯨꯕꯨ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯤ ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯂꯥꯌꯦꯡꯕꯥ ꯑꯁꯤꯅꯤ . ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯝ ꯍꯦꯟꯅꯥ ꯉꯥꯏꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯇꯧꯔꯕꯁꯨ, ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯑꯁꯤ ꯀꯣꯀꯍꯅꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯀꯟꯖꯔꯕꯦꯇꯤꯕ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯟꯗꯛꯀꯤ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁ꯭ꯞꯂꯤꯟꯇ ꯑꯃꯥ ꯊꯝꯕꯅꯤ . ꯃꯁꯤꯒꯤ ꯁ꯭ꯞꯂꯤꯟꯇ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ PIP ꯖꯣꯟ ꯑꯗꯨ ꯊꯥ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯅꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯁꯣꯀꯄꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯃꯇꯝ ꯄꯤꯒꯅꯤ꯫ ꯃꯇꯝ ꯑꯁꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯥ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯍꯥꯌꯕꯅꯤ꯫

ꯁꯔꯖꯤꯀꯦꯜ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡ꯫

ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯠꯠꯔꯒꯥ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯇꯃꯦꯟꯇꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯗꯕꯥ ꯀ꯭ꯔꯣꯅꯤꯛ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ . ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁ꯭ꯀꯥꯔ ꯇꯤꯁꯨ (scar tissue) ꯁꯦꯝꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯃꯗꯨ ꯑꯔꯥꯅꯕꯥ ꯃꯐꯃꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯌꯥꯏ꯫ ꯅꯠꯠꯔꯒꯥ ꯁꯔꯖꯔꯤ ꯑꯗꯨꯅꯥ ꯁꯔꯨꯛ ꯈꯔꯗꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯖꯤꯅꯕꯥ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ꯫

ꯁꯔꯖꯔꯤꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯊꯕꯀꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯑꯁꯣꯀꯄꯥ ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯇꯦꯟꯗꯣꯟ ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯖꯤꯅꯕꯥ꯫
• ꯑꯇꯣꯞꯄꯥ ꯑꯦꯛꯁꯇꯦꯟꯁꯟ ꯇꯦꯟꯗꯣꯅꯁꯤꯡꯗꯥ ꯇꯦꯟꯁꯟ ꯍꯟꯊꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯕꯨ ꯃꯇꯤꯛ ꯆꯥꯕꯥ ꯄꯣꯖꯤꯁꯟꯗꯥ ꯄꯨꯔꯀꯄꯥ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ ꯂꯩꯔꯕꯗꯤ, `PIP ꯖꯣꯟ` ꯑꯗꯨ ꯔꯤꯄꯦꯌꯥꯔ ꯇꯧꯕꯥ ꯅꯠꯠꯔꯒꯥ `ꯐ꯭ꯌꯨꯖ` ꯇꯧꯕꯥ ꯌꯥꯏ .

ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯅꯨꯃꯤꯠ ꯀꯌꯥꯅꯤꯒꯤ ꯑꯣꯏꯅꯥ ꯁ꯭ꯞꯂꯤꯟꯇ ꯑꯃꯥ ꯊꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯏ꯫ ꯑꯍꯥꯅꯕꯥ ꯅꯨꯃꯤꯠꯀꯤ ꯃꯇꯨꯡꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯒꯗꯕꯥ ꯍꯦꯟꯗ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯈꯔꯥ ꯄꯤꯒꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤꯁ꯭ꯠ ꯑꯗꯨꯅꯥ ꯃꯊꯪꯒꯤ ꯊꯥ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯁꯟ ꯄ꯭ꯔꯣꯒ꯭ꯔꯥꯝ ꯑꯗꯨ ꯂꯨꯆꯤꯡꯒꯅꯤ꯫

ꯂꯥꯏꯌꯦꯡꯕꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯀꯔꯝꯕꯥ ꯃꯈꯂꯒꯤ ꯑꯥꯁꯥ ꯂꯩꯕꯥ ꯌꯥꯕꯒꯦ?

ꯕꯧꯇꯣꯅꯤꯌꯔ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ ꯑꯁꯤ ꯂꯥꯌꯦꯡꯕꯥ ꯌꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ ꯑꯗꯨꯕꯨ ꯃꯇꯝ ꯑꯁꯤꯗꯤ ꯃꯔꯨ ꯑꯣꯏꯕꯥ ꯑꯃꯅꯤ ꯫ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯈꯨꯗꯛꯇꯥ ꯂꯥꯏꯌꯦꯡ ꯆꯠꯊꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯇꯧꯗꯅꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯄꯨꯡꯐꯥꯅꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯈꯪꯗꯣꯛꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡꯅꯕꯥ ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯉꯥꯏꯔꯕꯗꯤ, ꯃꯁꯤ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫

ꯑꯃꯗꯤ, ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯁꯤꯁꯨ ꯃꯔꯨꯑꯣꯏ . ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯆꯠꯄꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ, ꯍꯤꯡꯕꯒꯤ ꯊꯧꯑꯣꯡ ꯑꯗꯨꯗꯥ ꯑꯀꯥꯌꯕꯥ ꯄꯤꯕꯥ ꯌꯥꯏ꯫ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡ ꯑꯁꯤ ꯁꯔꯖꯔꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯀꯣꯀꯍꯅꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯁꯔꯖꯔꯤꯁꯤꯡꯅꯥ ꯐꯤꯉ꯭ꯒꯔ ꯖꯣꯅꯒꯤ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯤꯂꯤꯇꯤ ꯈꯔꯗꯤ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯀꯄꯥ ꯉꯝꯃꯤ, ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯄꯨꯝꯅꯃꯛ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯄꯨꯔꯀꯄꯥ ꯉꯃꯗꯦ꯫

ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯐꯒꯠꯂꯀꯄꯗꯥ ꯊꯥ ꯀꯌꯥ ꯆꯪꯂꯝꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯥꯌꯀꯩꯗꯒꯤ ꯀꯃꯤꯠꯃꯦꯟꯇ ꯀꯌꯥ ꯑꯃꯁꯨ ꯃꯊꯧ ꯇꯥꯏ - ꯃꯔꯨꯑꯣꯏꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯤꯉ꯭ꯒꯔ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯃꯈꯣꯌꯒꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯇꯤꯃꯅꯥ ꯄꯤꯕꯥ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯉꯥꯛꯅꯥ ꯆꯠꯂꯤꯕꯥ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯅꯥ ꯑꯐꯕꯥ ꯐꯂꯁꯤꯡ ꯐꯪꯏ꯫

ꯅꯤꯡꯁꯤꯡꯕꯤꯌꯨ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯛꯂꯕꯗꯤ ꯑꯃꯁꯨꯡ ꯃꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯄꯥ ꯉꯃꯗ꯭ꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯒꯗꯕꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯗꯨ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏ ꯍꯥꯌꯅꯥ ꯂꯧꯒꯅꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯁꯤꯡ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯀꯝꯞꯂꯦꯛꯁ ꯑꯃꯁꯨꯡ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯑꯣꯔꯒꯥꯅꯁꯤꯡꯅꯤ꯫ ꯑꯄꯤꯀꯄꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯅꯥ ꯐꯥꯎꯕꯗꯤ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯤꯕꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯂꯩꯕꯥ ꯇꯦꯟꯗꯣꯟ ꯑꯃꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯅꯥ ꯃꯗꯨꯒꯥ ꯁꯝꯅꯕꯥ ꯑꯇꯩ ꯇꯦꯟꯗꯣꯅꯁꯤꯡꯗꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯛꯅꯥ ꯈꯪꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥ ꯑꯗꯨ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯌꯥꯝꯅꯥ ꯃꯦꯀꯥꯅꯤꯖꯝ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯐꯒꯠꯍꯟꯅꯕꯒꯤꯗꯃꯛꯇꯥ ꯑꯗꯣꯝꯅꯥ ꯌꯥꯝꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯀꯁꯤꯡ ꯑꯁꯤ ꯔꯤꯍꯦꯕꯤꯂꯤꯇꯦꯠ ꯇꯧꯒꯗꯕꯅꯤ꯫

ꯋꯥꯔꯤ ꯑꯁꯤꯗꯒꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ! (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯑꯣꯀꯦ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯕꯧꯇꯣꯅꯤꯌꯔ ꯗꯤꯐꯣꯔꯃꯤꯇꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯈ꯭ꯔꯦ꯫ ꯑꯔꯣꯏꯕꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯐꯤꯉ꯭ꯒꯔꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯕꯥ ꯑꯃꯁꯨꯡ ꯑꯔꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯃꯊꯛꯇꯥ ꯊꯥꯡꯒꯠꯂꯕꯗꯤ, ꯃꯁꯤ `Boutonnière Deformity` ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫
• ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ (ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯇꯦꯟꯗꯣꯟ) ꯅꯠꯠꯔꯒꯥ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
• ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯗꯤ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯁꯤꯅꯤ .
• ꯌꯥꯔꯤꯕꯃꯈꯩ ꯊꯨꯅꯥ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯃꯁꯤ ꯍꯦꯟꯅꯥ ꯊꯦꯡꯊꯔꯕꯗꯤ ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ꯫
• ꯂꯥꯏꯌꯦꯡꯕꯗꯥ ꯁ꯭ꯞꯂꯤꯟꯇꯤꯡ, ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ, ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯔꯖꯔꯤ ꯌꯥꯎꯏ .
• ꯃꯇꯝ ꯑꯃꯁꯨꯡ ꯑꯗꯣꯃꯒꯤ ꯀꯃꯤꯠꯃꯦꯟꯇ ꯑꯁꯤ ꯐꯒꯠꯂꯀꯄꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯤ ꯏꯅꯁ꯭ꯠꯔꯛꯁꯅꯁꯤꯡ ꯑꯗꯨ ꯆꯞ ꯆꯥꯅꯥ ꯏꯅꯒꯗꯕꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯂꯧꯒꯅꯨ꯫ ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫

ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯏꯅꯐꯣꯔꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯑꯗꯣꯃꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ ꯍꯥꯌꯅꯥ ꯑꯩꯅꯥ ꯊꯥꯖꯩ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯃꯍꯦꯛꯇꯥ ꯂꯩꯔꯕꯗꯤ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯣꯏꯗꯕꯅꯤ ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫ ꯑꯊꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯂꯥꯌꯦꯡꯕꯅꯥ ꯑꯐꯕꯥ ꯐꯒꯠꯂꯀꯄꯥ ꯉꯃꯒꯅꯤ!

` ꯕꯧꯇꯣꯅꯤꯌꯔ ꯗꯤꯐꯣꯔꯃꯤꯇꯤ, ꯐꯤꯉ꯭ꯒꯔ ꯕꯦꯟꯗꯤꯡ, ꯐꯤꯉ꯭ꯒꯔꯗꯥ ꯑꯁꯣꯀꯄꯥ, ꯁꯦꯟꯠꯔꯦꯜ ꯁ꯭ꯂꯤꯞ ꯇꯦꯟꯗꯣꯟ, ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ, ꯐꯤꯉ꯭ꯒꯔ ꯁꯔꯖꯔꯤ, ꯐꯤꯖꯤꯑꯣꯊꯦꯔꯥꯄꯤ꯫