Boutonnière Deformity

Boutonnière Deformity

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Recommended Exercise

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Orthotic Device And Benefits

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Boutonnière Deformity

Hand

What is Boutonnière Deformity?

Boutonnière deformity, also known as boutonniere deformity or boutonniere finger (British English), is a condition in which the middle joint of a finger or toe is bent involuntarily toward the palm of the hand.

The deformity can sometimes be caused by arthritis or rheumatoid disorders. It can also develop as a result of a traumatic injury to the joint that result in ligament damage. The injury can be caused by an accident or repetitive stress injuries such as typing on a keyboard.

What are the types of Boutonnière Deformity?

There are two types of Boutonnière deformity:

1) Boutonnière contracture

This type of Boutonnière deformity causes the skin of the finger to become thin, dry, and inflamed due to repetitive use of the hand. This can lead to pain in the hand when gripping objects or performing tasks such as manipulating door handles or turning keys in locks. The skin becomes contracted due to an inability for blood vessels to stretch out during periods of rest between periods of activity; this causes itchy discomfort which leads sufferers to avoid using their hands altogether.

2) Boutonnière hypertrophy

This type describes when there is excessive growth around one or more joints in the fingers due to overuse. This may occur following an injury or accident where there is damage done to tendons and ligaments surrounding joints; however, it can also happen due to overuse without any known cause (idiopathic).

What are the causes of Boutonnière Deformity?

Boutonnière deformity is caused by a combination of factors:

  • Trauma to the hand or wrist
  • Osteoarthritis (wear-and-tear arthritis)
  • Deformity of the bones in the hand or wrist, such as those present at birth
  • Infection in the bone (osteomyelitis)
  • Bone tumors (osteogenic sarcoma)

What are the symptoms of Boutonnière Deformity?

Boutonnière deformity is a condition that causes the fingers to bend inwards, towards the palm. The symptoms of Boutonnière deformity include:

  • The fingers bend inward, away from the palm
  • The finger joints are stiff and often painful
  • The thumb may be bent inward or outward
  • There may be thickening of tissues and scarring on the palm side of the hand

What are the risk factors for Boutonnière Deformity?

The risk factors for boutonnière deformation include:

Rheumatoid arthritis

Patients with rheumatoid arthritis are at a higher risk of developing boutonnière deformity. The condition is often associated with Dupuytren’s contracture and palmar hidradenitis.

Dupuytren’s contracture

This condition involves thickening of the skin on the palms of your hands, which can cause your fingers to curl inward. This can lead to boutonnière deformity, as well.

Participating in direct contact sports

People who play sports that involve frequent hand-to-hand contact or direct contact with other players are more likely to develop boutonnière deformity.

Recommended Exercise

Hand

What are the exercises for Boutonnière Deformity?

There are a few exercises you can do to help improve the appearance of your Boutonnière Deformity.

Active and passive flexion to the DIP joint will help strengthen the muscles around your finger.

  • Flexion is an active movement that involves bringing your fingers towards your palm. It is most commonly used to play musical instruments, such as a piano or violin, but can also be practiced as part of a daily routine.
  • Passive flexion refers to bending at the DIP joint without using any force from your own muscles. This would be achieved by placing pressure on your finger with something like a rubber band or rope tied tightly around it.

What are the treatments for Boutonnière Deformity?

Boutonnière deformity is a condition in which one of the fingers curls inward and rests against the palm. It’s caused by an injury to the ulnar collateral ligament in the hand, which is responsible for stabilizing the joint between your finger and palm.

There are several treatments for Boutonnière Deformity, including:

  • Finger splinting
  • This can help keep your finger straight while it heals, as well as prevent further injury.
  • Ulnar shortening osteotomy
  • This surgery involves cutting out part of your bone and repositioning it so that your finger sits in a straighter position. This procedure is usually done with other surgeries if you need them.
  • Needle release

This procedure involves injecting cortisone into the ulnar collateral ligament to reduce swelling and pain.

Explanation of Recommended Orthotic Device

Hand

What brace or Splint is used for Boutonnière Deformity?

The Oval-8 Finger Splint is a great option for those suffering from Boutonnière Deformity. The splint is made of a rigid plastic that provides support to the finger, and it also includes a strap that goes around the base of your thumb. This helps keep the fingers in place as well as reduces pain.

The Oval-8 Finger Splint can be worn for six hours at a time, but it should not be worn overnight or while you sleep. While wearing this brace, do not engage in any activities that will cause pressure on your fingers or hand, such as typing on a keyboard or using tools like scissors.

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