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Boutonnière deformity

Boutonnière deformity

Boutonnière deformity is the result of an injury to the tendons that straightens the middle joint of your finger. The result is that the middle joint of the injured finger will not straighten, while the fingertip ...

Symptoms

Signs of boutonnière deformity can develop immediately following an injury to the finger or may develop a week to 3 weeks later.

• The finger at the middle joint cannot be straightened and the fingertip cannot be bent.
• Swelling and pain occur and continue on the top of the middle joint of the finger.

Causes

Boutonnière deformity is generally caused by a forceful blow to the top (dorsal) side of a bent (flexed) middle joint of a finger.

It also can be caused by a cut on the top of the finger, which can sever the central slip (tendon) from its attachment to the bone. The tear looks like a buttonhole ("boutonnière" in French). In some cases, the bone actually can pop through the opening.

Boutonnière deformities may also be caused by arthritis.

More about Treatment

Boutonnière deformity is the result of an injury to the tendons that straightens the middle joint of your finger. The result is that the middle joint of the injured finger will not straighten, while the fingertip bends back. Unless this injury is treated promptly, the deformity may progress, resulting in permanent deformity and impaired functioning.

FAQ

What movements are restricted in boutonniere deformity?
In boutonniere deformity, the finger is unable to straighten itself at the middle joint of the finger. Depending upon which finger is involved, it can restrict writing, typing, gripping among other activities.

Does boutonniere deformity get worse with time or age?
If treated earlier, the deformity can be fully corrected. IF untreated for longer periods, it can be difficult to restore normal movement. Age of presentation has no found correlation with degree of deformity.

How is boutonniere deformity diagnosed?
Mainly boutonniere deformity is diagnosed by clinical assessment and by performing movement assessing signs by the doctor – extending middle joint of the finger against resistance. X-ray is only ordered when there is suspicion of broken bones.

What is the treatment for boutonniere deformity?
Non-surgical treatment involves the use of splint – immobilises and straightens the joint to allow healing of the tendon. Exercises may also be advised for the same. Surgery may be needed in some cases.

For what duration of time is the splint put for boutonniere deformity?
A splint is mostly put for about 4 to 6 weeks. It may be vary depending upon various factors.

Who should get surgery for boutonniere deformity?
Surgery is recommended in cases of rheumatoid arthritis is the cause, if there is a broken or displaced bone due to the injury, or if splinting fails.

Is non-surgical treatment better than surgical treatment for boutonniere deformity?
Yes, splinting is preferred because surgery may leave behind abnormalities in appearance or motion. Whereas splinting restores normal function without invasion and to a greater degree of normalcy.

Can normal movement be restored completely after treatment for boutonniere deformity?
If medical attention is sought shortly after injury (recommended is 3 weeks) the deformity maybe completely reversed with minimal residual abnormalities like appearance. Delay can cause loss of function to some or all degree.

Top Doctors For Boutonnière deformity Treatment

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Dr. P. Suryanarayan Orthopedics | Gender: Male | Experience: 30 years | Hospital: SIMS Hospital, Chennai
Dr. V. J. Laheri Orthopedics | Gender: Male | Experience: 25 years | Hospital: Seven Hills Hospital, Mumbai
Dr. Sanyukta Phukan Banerjee Orthopedics | Gender: Female | Experience: 18 years | Hospital: Primus Super Speciality Hospital, Delhi
Dr. Vaibhav Jain Orthopedics | Gender: Male | Experience: 10 years | Hospital: Primus Super Speciality Hospital, Delhi
Dr. Shaloo Bhasin Gagneja Orthopedics | Gender: Female | Experience: 15 years | Hospital: Primus Super Speciality Hospital, Delhi
Dr. Nishant Gemini Orthopedics | Gender: Male | Experience: 20 years | Hospital: Primus Super Speciality Hospital, Delhi
Dr. Dattatreya Mohapatra Orthopedics | Gender: Male | Experience: 10 years | Hospital: Primus Super Speciality Hospital, Delhi
Dr. Deepak Thakur Orthopedics | Gender: Male | Experience: 15 years | Hospital: Primus Super Speciality Hospital, Delhi
Dr. Surya Bhan Orthopedics | Gender: Male | Experience: 35 years | Hospital: Primus Super Speciality Hospital, Delhi
Dr. Dinshaw Pardiwala Orthopedics | Gender: Male | Experience: 22 years | Hospital: Kokilaben Dhirubhai Ambani Hospital
Dr. Avinash Date Orthopedics | Gender: Male | Experience: 25 years | Hospital: Kokilaben Dhirubhai Ambani Hospital
Mr. Christopher Pedra Orthopedics | Gender: Male | Experience: 15 years | Hospital: Kokilaben Dhirubhai Ambani Hospital
Dr. Mani Venugopal Orthopedics | Gender: Male | Experience: 36 years | Hospital: Fortis Hospital, Bengaluru
Dr. Jayateerth Kulkarni Orthopedics | Gender: Male | Experience: 30 years | Hospital: Fortis Hospital, Bengaluru
Dr. Chander Shekhar Orthopedics | Gender: Male | Experience: 32 years | Hospital: Apollo Indraprastha
Prof. Dr. Semih Takka Orthopedics | Gender: Male | Experience: 10 years | Hospital: Hisar Intercontinental
Dr. Murat Cobanoglu Orthopedics | Gender: Male | Experience: 29 years | Hospital: Hisar Intercontinental
Dr. Prasan Deep Rath Orthopedics | Gender: Male | Experience: 10 years | Hospital: Max Super Speciality Hospital, Saket
Dr. H.N. Bajaj Orthopedics | Gender: Male | Experience: 25 years | Hospital: Max Super Speciality Hospital, Saket
Dr. Vikas Gupta Orthopedics | Gender: Male | Experience: 10 years | Hospital: Max Super Speciality Hospital, Saket
Dr. Ramneek Mahajan Orthopedics | Gender: Male | Experience: 15 years | Hospital: Max Super Speciality Hospital, Saket
Dr. J. Maheshwari Orthopedics | Gender: Male | Experience: 35 years | Hospital: Max Super Speciality Hospital, Saket
Dr. S.K.S. Marya Orthopedics | Gender: Male | Experience: 30 years | Hospital: Max Super Speciality Hospital, Saket
Dr. Mujeeb Mahammad Shaik Orthopedics | Gender: Male | Experience: 18 years | Hospital: Thumbay Hospital, Ajman
Dr. Mohammad Kamel Orthopedics | Gender: Male | Experience: 16 years | Hospital: Thumbay Hospital, Ajman
Dr. Manoj Kumar Poovakkattillathu Orthopedics | Gender: Male | Experience: 15 years | Hospital: Thumbay Hospital, Ajman
Dr. Mohamed Hanafy Mohamed Ahmed Salama Orthopedics | Gender: Male | Experience: 25 years | Hospital: Thumbay Hospital, Dubai
Dr. Rajesh Garg Orthopedics | Gender: Male | Experience: 5 years | Hospital: Thumbay Hospital, Dubai
Dr. Avinash Murlidhar Pulate Orthopedics | Gender: Male | Experience: 21 years | Hospital: Thumbay Hospital, Dubai
Ms. Rashi Sehgal Orthopedics | Gender: Female | Experience: 10 years | Hospital: RAK Hospital
Ms. Ajina V. Nazrudeen Orthopedics | Gender: Female | Experience: 6 years | Hospital: RAK Hospital
Dr. Shreerang Madhusudan Joshi Orthopedics | Gender: Male | Experience: 32 years | Hospital: RAK Hospital
Dr. John Ranjan Bera Orthopedics | Gender: Male | Experience: 20 years | Hospital: RAK Hospital
Dr. Adel Saad El Hawary Orthopedics | Gender: Male | Experience: 32 years | Hospital: Saudi German Hospital
Dr. Sharmila Tulpule Orthopedics | Gender: Female | Experience: 25 years | Hospital: Saudi German Hospital
Dr. Omar Elofi Orthopedics | Gender: Male | Experience: 18 years | Hospital: Saudi German Hospital
Dr. Mohammad Mansour Gaballa Orthopedics | Gender: Male | Experience: 37 years | Hospital: Saudi German Hospital
Dr. M. Tarek Adnan Orthopedics | Gender: Male | Experience: 10 years | Hospital: Saudi German Hospital
Dr. Lothar Fromund Reinhold Orthopedics | Gender: Male | Experience: 25 years | Hospital: Saudi German Hospital
Dr. Ashok Kumar Orthopedics | Gender: Male | Experience: 15 years | Hospital: Saudi German Hospital
Dr. Madian Al Terkawi Orthopedics | Gender: Male | Experience: 10 years | Hospital: Saudi German Hospital
Dr. Haroon Iqbal Khan Orthopedics | Gender: Male | Experience: 15 years | Hospital: Saudi German Hospital
Prof. Dr. Rady Warda Orthopedics | Gender: Male | Experience: 28 years | Hospital: Saudi German Hospital
Prof. Bruno Marelli Orthopedics | Gender: Male | Experience: 30 years | Hospital: Saudi German Hospital
Dr. Issam Mardini Orthopedics | Gender: Male | Experience: 20 years | Hospital: Saudi German Hospital
Dr. Mohamed Elhoussainy Orthopedics | Gender: Male | Experience: 10 years | Hospital: Saudi German Hospital
Dr. Nuket Demirok Orthopedics | Gender: Female | Experience: 15 years | Hospital: Saudi German Hospital
Dr. Ahmed Abogamal Orthopedics | Gender: Male | Experience: 20 years | Hospital: Saudi German Hospital
Dr. Eisa Omer Orthopedics | Gender: Male | Experience: 15 years | Hospital: Saudi German Hospital
Dr. Manjit Mohan Orthopedics | Gender: Male | Experience: 7 years | Hospital: NMC Royal AbuDhabi
Dr. Ashish R. Ashtekar Orthopedics | Gender: Male | Experience: 8 years | Hospital: NMC Royal AbuDhabi
Ms. Vijaya Sambamurthy Orthopedics | Gender: Female | Experience: 5 years | Hospital: NMC Royal AbuDhabi
Dr. Ahmed Kaabneh Orthopedics | Gender: Male | Experience: 14 years | Hospital: NMC Royal AbuDhabi
Dr. Ahmad Baashir Yagan Orthopedics | Gender: Male | Experience: 11 years | Hospital: NMC Royal AbuDhabi
Dr. Faiza Farsi Orthopedics | Gender: Female | Experience: 9 years | Hospital: NMC Royal AbuDhabi
Dr. Mohamed Mahmoud Ali Mahmoud Orthopedics | Gender: Male | Experience: 16 years | Hospital: NMC Royal AbuDhabi
Dr. Swaminath P.V. Orthopedics | Gender: Male | Experience: 14 years | Hospital: NMC Royal AbuDhabi
Dr. Sumitra Reddy Orthopedics | Gender: Female | Experience: 10 years | Hospital: NMC Royal AbuDhabi
Dr. Divyashree Pulak Puneet Orthopedics | Gender: Female | Experience: 13 years | Hospital: NMC Royal AbuDhabi
Dr. Omar Ibrahim Orthopedics | Gender: Male | Experience: 6 years | Hospital: Al Zahra Dubai
Dr. Uwe Nellessen Johannes Orthopedics | Gender: Male | Experience: 20 years | Hospital: Al Zahra Dubai
Dr. Deepak Bhatia Orthopedics | Gender: Male | Experience: 15 years | Hospital: Al Zahra Dubai
Dr. Amr Osman Orthopedics | Gender: Male | Experience: 14 years | Hospital: Al Zahra Dubai
Dr. Andreas Appelt Orthopedics | Gender: Male | Experience: 30 years | Hospital: Al Zahra Dubai
Dr. Mohamed Ragab Elsheshtawy Orthopedics | Gender: Male | Experience: 8 years | Hospital: Al Zahra Dubai
Dr. Sabyasachi Banerjee Orthopedics | Gender: Male | Experience: 20 years | Hospital: Al Zahra Dubai
Dr. Mohamed Elkabbani Orthopedics | Gender: Male | Experience: 17 years | Hospital: Al Zahra Dubai
Dr. Samih Tarabichi Orthopedics | Gender: Male | Experience: 35 years | Hospital: Al Zahra Dubai
Dr. Beena Hameed Orthopedics | Gender: Female | Experience: 30 years | Hospital: Al Zahra Dubai
Dr. William Andrew Hodge Orthopedics | Gender: Male | Experience: 30 years | Hospital: RAK Hospital
Dr. Amit Chaturvedi Orthopedics | Gender: Male | Experience: 20 years | Hospital: Thumbay Hospital, Ajman
Dr. Brijesh Valsalan Orthopedics | Gender: Male | Experience: 10 years | Hospital: Thumbay Hospital, Ajman
Dr. Alaa Eldin Orthopedics | Gender: Male | Experience: 27 years | Hospital: Al Zahra Dubai
Dr. Anshu Rajnish Sharma Orthopedics | Gender: Male | Experience: 25 years | Hospital: Kokilaben Dhirubhai Ambani Hospital
Dr. Anand T. Galagali Orthopedics | Gender: Male | Experience: 26 years | Hospital: Fortis Hospital, Bengaluru
Dr. Anoop Bandil Orthopedics | Gender: Male | Experience: 11 years | Hospital: Apollo Indraprastha
Dr. Murat Dökdök Orthopedics | Gender: Male | Experience: 10 years | Hospital: Anadolu Hospital
Dr. Nidhi Goyal Orthopedics | Gender: Female | Experience: 5 years | Hospital: Apollo Indraprastha

Top Hospitals For Boutonnière deformity Treatment

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Thumbay Hospital, Dubai With our Hospitals and Medical Centre in Ajman, Fujairah, Sharjah, Dubai and Hyderabad (India), Thum
Maharaja Agrasen Hospital, Bengaluru The Maharaja Agrasen Hospital is located in the heart of Bangalore and is known of its excellence in
Columbia Asia Hospital, Bengaluru Columbia Asia is an international healthcare group operating a chain of modern hospitals across Indi
Gleaneagles Global Hospital, Mumbai Gleneagles Global Hospital, Mumbai offers end-to-end clinical, surgical and diagnostic services. The
Kerala Institute of Medical Sciences (KIMS), Trivandrum KIMS HEALTHCARE GROUP is one of Asia’s leading multi-specialty hospital networks focussed on provi
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