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Book

Boutonniere Deformity

In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
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Affiliations
Book

Boutonniere Deformity

Justin T. Binstead et al.

Excerpt

Boutonniere deformity describes a medical condition in which the finger is flexed at the proximal interphalangeal joint (PIP) and hyperextended at the distal interphalangeal joint (DIP). This is usually a result of trauma in the acute setting and is caused by a rupture of the PIP central slip. This results in damage to the extensor function of the affected digit. A boutonniere deformity can also result from laceration injury to the central slip and dorsal capsule. Boutonniere deformities can also occur secondary to burn injury, with tension ischemia representing a possible etiology for tendon rupture. Overall, Boutonniere deformities common represent sequela of inflammatory arthritides, such as rheumatoid arthritis.

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Conflict of interest statement

Disclosure: Justin Binstead declares no relevant financial relationships with ineligible companies.

Disclosure: Dawood Tafti declares no relevant financial relationships with ineligible companies.

Disclosure: Jason Hatcher declares no relevant financial relationships with ineligible companies.

References

    1. Pencle F, Doehrmann R, Waseem M. StatPearls [Internet] StatPearls Publishing; Treasure Island (FL): 2023. Jul 17, Fingertip Injuries.
    1. Boussakri H, Azarkane M, Dahmani O, Elidrissi M, Shimi M, Elibrahimi A, Elmrini A. Unusual combination of lesions of the traumatic hand: closed central slip laceration of the extensor and interphalangeal thumb joint's dislocation (a case report). Pan Afr Med J. 2014;18:230. - PMC - PubMed
    1. Sabapathy SR, Bajantri B, Bharathi RR. Management of post burn hand deformities. Indian J Plast Surg. 2010 Sep;43(Suppl):S72-9. - PMC - PubMed
    1. Vedel PN, Tranum-Jensen J, Dahlin LB, Brogren E, Søe NH. [Deformities of the finger joints]. Ugeskr Laeger. 2017 Nov 27;179(48) - PubMed
    1. Grau L, Baydoun H, Chen K, Sankary ST, Amirouche F, Gonzalez MH. Biomechanics of the Acute Boutonniere Deformity. J Hand Surg Am. 2018 Jan;43(1):80.e1-80.e6. - PubMed

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