Boutonniere deformity

Case contributed by A.Prof Frank Gaillard

Presentation

Fall in bus. Painful [withheld] finger.

Patient Data

Age: 70 years
Gender: Female
X-ray

 Degenerative change is seen in multiple joints, with osteoarthritic characteristics, predominantly over the distal interphalangeal joint of the index finger, proximal interphalangeal joint of the middle finger and the lateral midcarpal joints.

The proximal interphalangeal joint of the fifth digit is flexed on all views, with slight hyperextension of the distal interphalangeal joint, in keeping with a boutonniere deformity and disruption of the extensor mechanism.      

Case Discussion

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Case information

rID: 18186
Case created: 18th Jun 2012
Last edited: 5th Nov 2015
Inclusion in quiz mode: Included

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