This chapter delves into the intricate biomechanics that contribute to the emergence and management of swan neck deformity, shedding light on the mechanical forces at play in the affected joints. Furthermore, it examines contemporary research methodologies shaping our understanding of the condition. It outlines potential future directions for study and treatment, emphasizing the crucial role of an evidence-based approach. As medical professionals, particularly those in orthopedic surgery and rehabilitation, your continued contributions are vital in tackling this challenging ailment.