Boutonniere Deformity – Carrollton, TX
Dr. Neagle is a leading hand surgeon serving the community of Carrollton, TX. He has extensive experience in diagnosing as well as treating a wide range of orthopedic conditions affecting the hand and wrist. The surgeon provides effective treatment for Boutonniere Deformity, a medical problem of the fingers.

Boutonniere Deformity

Boutonniere Deformity refers to a medical condition in which the middle joint of the finger is affected due to an injury or as a result of Arthritis. It involves disruption of the movement of the extensor tendons that enable the movement of the fingers and keep them straight. An injury, particularly, to the middle joint (knuckles) can damage the extensor tendons and lead to the bending of the finger in the middle. Over a period of time, it may lead to further tightening or the tendons resulting in a crooked looking finger.

Causes Of Boutonniere Deformity

  • Direct hit or injury to the middle joint of the finger while it is flexed
  • A deep cut that can damage the tendon in the middle joint
  • Arthritis may also be a contributing factor in the development of the deformity
  • Congenital disorders
  • Sports injuries
  • Tendon damage due to burns

Symptoms Of Boutonniere Deformity

  • Limited movement
  • Tenderness
  • Visibly deformed finger or toe
  • Pain which can be mild to severe
  • Swelling may be observed near the PIP  (proximal interphalangeal) joint
  • The affected finger cannot straighten on its own

Diagnosis Of Boutonniere Deformity

  • Thorough physical examination of the affected finger
  • The doctor may move the finger joints to assess the extent of deformity
  • Evaluation of the patient’s medical history and cause of injury
  • X-ray imaging may be done to check for bone damage or displacement
  • Neurovascular tests may be recommended to assess joint’s functionality and level of sensation

Treatment For Boutonniere Deformity

  • The finger may be put in a cast or splint to immobilize and support it besides allowing the tendon to heal. This may be required for 6-7 weeks until the joint sets back.
  • Protective splints may be recommended for additional protection during physical activity particularly for the sportspersons
  • Physical therapy may help to strengthen the joint and supporting tendons
  • Corticosteroid injections may be given in some cases
  • Specific oral medication may be prescribed
  • External fixation using screws and wires
  • Surgical fusion of two finger joints to provide stability and restore movement
  • Surgical repair of soft tissue damage

For treatment of Boutonniere Deformity, visit Dr. Neagle. To schedule an appointment with the hand surgeon in Carrollton, TX, you can call at (972) 492 – 1334.