Dr. Jiwu Chen

Dr. Jiwu Chen
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Hand and Wrist Injuries

After a ball hit my finger, the middle joint gradually won't straighten. Can boutonniere deformity be treated with a splint?

Author: Dr. Jiwu Chen

Doctor’s answer

Central slip extensor tendon injury can cause middle joint flexion and distal joint hyperextension. Early closed injuries often respond to specialized extension splints and guided hand exercises. Open injuries, significant instability, or splint treatment failure may require surgery; delays can lead to fixed deformity.

References and sources

  1. https://www.assh.org/handcare/servlet/servlet.FileDownload?file=00P0a00000ocYCIEA2

This content is for education. Diagnosis, treatment, and rehabilitation require an individual assessment by a sports medicine specialist.