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Boutonierre deformity

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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A boutonierre deformity may be seen in patients with rheumatoid arthritis. It describes a finger that is held in flexion at the proximal interphalangeal joint and in slight hyperextension at the distal interphalangeal joint.

It results from disruption of the central slip of the extensor. The lateral slips gradually separate and the proximal phalanx slips through the gap.

A boutonniere deformity may also develop as a result of trauma and in such cases, is often correctible. That seen in rheumatoid arthritis is usually incorrectible.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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