While non-surgical treatment of boutonnière deformity is preferred, surgery is an option in certain cases, such as when:
- The deformity results from rheumatoid arthritis.
- The tendon is severed.
- A large bone fragment is displaced from its normal position.
- The condition does not improve with splinting.
Surgery can reduce pain and improve functioning, but it may not be able to fully correct the condition and make the finger look normal. If the boutonniere deformity remains untreated for more than 3 weeks, it becomes much more difficult to treat.
Correction is not without complexity. While there is an attempt at the improvement in function, patients may experience any of the following:
For a boutonniere deformity that does not require surgery, a hand therapist will make a custom orthosis to place the finger in a proper position for correct healing. The therapist will also instruct the person in techniques to reduce swelling in the finger.
The hand therapist will also instruct the person in a specialized home exercise program that will assist with return to normal hand function.
If you are struggling with a boutonniere deformity, contact Nairobi Spine and Orthopaedic Centre in Kenya for a visit, and let’s get you on the road to recovery.