Boutonniere Deformity
- PMID: 29262145
- Bookshelf ID: NBK470323
Boutonniere Deformity
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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References
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- Pencle F, Doehrmann R, Waseem M. StatPearls [Internet] StatPearls Publishing; Treasure Island (FL): 2023. Jul 17, Fingertip Injuries.
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- Vedel PN, Tranum-Jensen J, Dahlin LB, Brogren E, Søe NH. [Deformities of the finger joints]. Ugeskr Laeger. 2017 Nov 27;179(48) - PubMed
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- 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