Boutonniere Deformity

What is Boutonniere deformity?

Tendons in your fingers connect the finger bones to finger muscles and help bend and straighten the finger at the joint when the muscles contract. Boutonnière deformity is a condition in which a tendon injury to the middle joint of the fingerresults in the inability to straighten the affected finger.

What are the causes of Boutonniere deformity?

Boutonnière deformity can occur because of forceful trauma to the top of the middle joint when bent, laceration to the middle joint or from arthritis. Symptoms associated with this deformity may appear immediately or after a few weeks and mayinclude swelling, pain and restricted movement. In severe cases, a fragment of the bone may be displaced from its original position.

Diagnosis of Boutonniere deformity

The condition can be diagnosed by physical examination of the hand, and an X-ray may be recommended to confirm diagnosis.

Treatment of Boutonniere deformity

Boutonnière deformity can be treated both surgically and non-surgically.

Non-surgical treatments include:

  • Application of a splint to the middle joint of the affected finger to straighten it and allow the tendon to heal
  • Exercises to improve the flexibility and strength of your fingers
  • Protecting your finger by taping it or using protective splints
  • Use of oral medications or corticosteroid injections

Surgery is performed when the injury is caused due to rheumatoid arthritis, the tendon is severed, presence of bone displacement, or if non-surgical treatments fail to provide relief. Surgical treatments improve the functioning of the finger butmay not always correct the appearance depending on how soon surgery is initiated.