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Tendon injuries can be frustrating for your child. And left untreated, can often lead to long-term problems. Fortunately, our orthopedic team is experienced in tendon injuries, including boutonniere deformity. And, because no two kids or injuries are alike, we'll develop a plan of care that is as unique as your child.
Boutonnière deformity is the result of an injury to the tendons that straightens the middle joint of your finger. The result is that the middle joint of the injured finger will not straighten, while the fingertip bends back. Unless this injury is treated promptly, the deformity may progress, resulting in permanent deformity and impaired functioning.
Other names for this condition are:
There are several tendons in your fingers that work together to bend and straighten the finger. These tendons run along the side and top of the finger. The tendon on the top of the finger attaches to the middle bone of the finger (the central slip of tendon). When this tendon is injured, the finger is not able to be fully straightened.
This problem may be caused by:
Rheumatoid arthritis can raise your child’s risk of developing this problem.
Signs of boutonnière deformity can develop immediately following an injury to the finger or may develop a week to 3 weeks later.
The doctor will ask about your child’s symptoms and health history. A physical exam will be done, paying close attention to the finger. You may be asked how the injury happened.
In some cases, an x-ray may be done to check for a fracture.
Boutonnière deformity must be treated early to help you retain the full range of motion in the finger.
Nonsurgical treatment is usually preferred, and may include:
People with boutonnière deformity caused by arthritis may be treated with oral medications or corticosteroid injections, as well as splinting.
While nonsurgical treatment of boutonnière deformity is preferred, surgery is an option in certain cases, such as when:
Surgery can reduce pain and improve functioning, but it may not be able to fully correct the condition and make the finger look normal. If the boutonniere deformity remains untreated for more than 3 weeks, it becomes much more difficult to treat.
If your child has been diagnosed, you probably have lots of questions. We can help. If you would like to schedule an appointment, refer a patient or speak to our staff, please call our offices at 682-885-4405.