Boutonniere Deformity

Definition:
'Boutonniere deformity' is a deformed position of the fingers or toes, in which the joint nearest the knuckle (PIP) is permanently bent toward the palm while the farthest joint (DIP) is bent back away (proximal interphalangeal joint flexion with distal interphalangeal joint hyperextension). It is commonly caused by injury or by an inflammatory condition like rheumatoid arthritis.
Purchase 3 Phases

Symptoms
  • Joint nearest the knuckle (PIP) is permanently bent toward the palm while the farthest joint (DIP) is bent back away (PIP flexion with DIP hyperextension)
  • Decreased ROM in the affected finger
  • Cannot fully straighten finger
  • Swelling and pain in the finger
Causes
  • Rheumatoid arthritis
  • Forceful blow to a bent finger
  • Deep cut to top of finger
Treatment
  • Finger splint
  • Finger ROM and stretching
  • Hand intrinsic muscle strengthening
Boutonniere Deformity Phase I

Purchase Phase

  • Soft Tissue Mobilization Finger

  • Finger Extensor Stretch

  • Finger Self Mobilization
  • Finger Extensor Strengthening Yoga
  • Finger Stretch

Boutonniere Deformity Phase II

Purchase Phase

  • Putty Scales

  • Finger Extensor Strengthening Yoga

  • Finger Flexor Strengthening Yoga

  • Tendon Gliding

Boutonniere Deformity Phase III

Purchase Phase

  • Ulnar Radial Deviation

  • Rice Wrist Flexion And Extension

  • Wrist Curls

  • Rice Wrist Pronation Supination

  • Rice Hand Opening Closing

  • Eccentric Wrist Flexion

  • Eccentric Wrist Extension