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. 2011 Aug;36(8):1388-93.
doi: 10.1016/j.jhsa.2011.05.029. Epub 2011 Jul 13.

Treatment of boutonniere finger deformity in rheumatoid arthritis

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Treatment of boutonniere finger deformity in rheumatoid arthritis

Keoni Williams et al. J Hand Surg Am. 2011 Aug.

Abstract

Boutonniere finger deformities occur frequently in patients with rheumatoid arthritis. The deformity consists of flexion of the proximal interphalangeal joint and hyperextension of the distal interphalangeal joint. Treatment decisions are based on the degree of joint deformity, joint motion, passive joint correctability, and the status of the articular surface. Treatment options can then be based on the classification of the deformity; options consist of corrective splinting, injections, synovectomy, terminal tenotomy, extensor reconstruction, or salvage surgery (arthrodesis or arthroplasty).

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