Munson Health
Boutonnire Deformity of Finger

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by Cresse M

(BD; Buttonhole Deformity; Central Slip Disruption; Central Slip Injury; Deformity of Finger, Boutonnière; Extensor Tendon Rupture; PIP Joint Sprain)


Risk Factors

These factors increase your chance of developing BD:
Tell your doctor if you have any of these risk factors.


Talk with your doctor about the best treatment plan for you. Treatment options include the following:


Your doctor may recommend the following medications:
  • Corticosteroids—to reduce inflammation
  • Nonsteroidal anti-inflammatory drugs (NSAIDS)—to reduce pain and inflammation


Surgery is needed in severe cases. For example, when the tendon is cut or when the deformity has lasted a long time. Surgery generally does not return your finger to the way it was working before the injury. But, you may have some improvement. After surgery, you will have to do exercises to strengthen the finger.


American Academy of Orthopaedic Surgeons

National Institutes of Arthritis and Musculoskeletal and Skin Diseases



Canadian Orthopaedic Foundation

Canadian Physiotherapy Association



Boutonniere deformity of the finger. Orthogate website. Available at: Updated July 27, 2006. Accessed October 24, 2012.

Dupuytren disease. EBSCO Publishing DynaMed website. Available at: Updated January 17, 2012. Accessed October 23, 2012.

Sports-related wrist and hand injuries. EBSCO Patient Education Reference Center website. Available at: Updated May 21, 2012. Accessed October 23, 2012.

To P, Watson JT. Boutonniere deformity. J Hand Surg Am. 2011 Jan; 36(1):139-42.


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