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Boutonniere Deformity of the Finger


Correction of Boutonniere Deformity of the Finger at world-class Orthopedic hospitals in India

The fingers are the most essential part of the human body. The extensor tendons enables each finger to straighten and motion of joints are also controlled through this. Sometimes control and balance is damaged thereby resulting in difficulty in movements. Later on this leads to contracture i.e. tightening of the tendons which ultimately permanently crooks the fingers. This deformity is called boutonniere deformity.

This boutonniere deformity is generally a result of some accident that affects the area called central slip where the extensor tendon is attached to the middle finger. A cut over the middle finger joint may also cause this irregularity. This deformity is sometimes also affected by hand burn, rheumatoid arthritis or by dupuytren's contracture.

In this condition swelling is found around the PIP joint, causing pain in finger and thus finger can not be straightened on its own but only with some help. Through X-ray the diagnosis of the condition is found out. Physical examination is another method. But X-ray gives clear picture to start treatment especially for any deviations from usual course like in avulsion fracture.

This deformity there is swelling around the PIP joint, which makes the finger painful and the finger cannot be straightened on its own but only with help.

For diagnosis of the condition, a physical examination is usually done accompanied with an X-ray. The x-ray ensures correct treatment, especially for any deviations from the usual course like in avulsion fracture.


Before suggesting the course of treatment, proper physical examination accompanied with X-rays is done. Remedial measures for this ailment can be decided upon by the time elapsed since the injury to the central slip or according to the cause of the deformity. Following are some of them:

  • If this deformity is caused by a deep cut in the finger than it is treated by repairing of the tendon followed by suturing of skin.

  • Deformity caused by tearing/avulsion of the tendon from the bone, is corrected by splinting the PIP joint for about six weeks. Improvement takes place in 8 to 12 weeks time.

  • If deformity is persisted for longer duration splint together with exercise is the ideal treatment. In cases where surgery is required, the PIP contracture be stretched first.

  • A surgical intervention is needed when a dislocation of the PIP joint causes boutonniere deformity and when splinting is not effective. Surgery gives good results in a soft joint instead of a stuck PIP joint. Joint fixation, soft issue repair and fusion surgeries are many kinds of surgeries to treat this deformity.

Joint Fixation Surgery : A pin is placed and put through PIP joint in this surgery, which enables the joints to fix in its place. This is maintained in the same position for 3 weeks. A splinter if also placed for protection for up to 3 weeks. This remedy is followed for the deformity as a result from dislocation of the PIP joint.

Soft Tissue Repair : In cases where treatment by the use of splints is not possible, the Soft tissue repair treatment is carried out. In this the reconstruction and rebalancing of the extensor hood is done. Well designed and rigorous exercise is the key to success of this procedure.

Joint Fusions : If the above two treatments do not cure the deformity, the fusion of the joint is the last remedy. In this procedure two joint surfaces of finger are bind together, to restrict the movement. This results in pain relief, stability of joint and stops further joint deformity.

After the surgical interventions fingers would be put in splint to keep them straight. Recuperation period is of around 3 weeks. Physiotherapy is advised to the patient to control the pain and swelling. Later on strengthening and motion exercises are recommended for speedy recovery.

Risk and Complications

As we can see the treatment methods of a Boutonniere Deformity are very simple and safe thus involve minimum amount of risk. Some basic risks involved are tenderness, swelling and pain. If the treatment has been done with the help of some surgery than the risk of infection also exists.

How to get started?

If you are looking for high quality and affordable treatment for Boutonniere Deformity of the Finger at some of the best orthopedic hospitals in India then you can get connected to top orthopedic surgeons in India and get a free no obligation expert opinion and quote. All you need to do is send the following details to us at info@mentorsethicare.com.

  • X-ray or MRI scan images of the affected area

  • Brief medical history of the patient

  • Age, name and sex of the patient

For more information on high quality and low cost orthopedic treatment in India, you can write to us at info@mentorsethicare.com or call us anytime at 0091 9611 231 188


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