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All conditions
Condition

Boutonnière deformity

An injury to the tendon that straightens the middle joint of a finger (the PIP joint). The middle joint stays bent while the fingertip bends back. Early treatment matters — it can become permanent if missed.

Common triggers

  • Forceful bending of a straight finger
  • Cuts or dislocations at the middle finger joint
  • Inflammation from rheumatoid arthritis

When to seek care

  • Inability to straighten the middle finger joint after injury
  • A finger that is locked in a bent position with the tip flexed back
  • Pain, swelling, or open wound at the middle joint

Related care

Splints often used

Sources