Condition: Finger Deformity (Boutonniere & Swan Neck)
Expert Care in Paramus, NJ with Dr. Steven Ugras
What Are Boutonniere and Swan Neck Deformities?
Boutonniere and Swan Neck deformities are conditions that affect the alignment and function of the fingers. These deformities often develop after injury or as a result of underlying joint disease. Both conditions alter the way the finger bends and straightens, making everyday activities such as gripping, typing, and holding objects difficult.
At Paramus Hand Surgery, Dr. Steven Ugras provides advanced diagnosis and treatment for these finger deformities, helping patients restore hand function and relieve pain.
What Causes These Finger Deformities?
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Trauma: A direct blow or cut to the finger can damage tendons and ligaments, altering joint alignment.
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Rheumatoid arthritis: Chronic joint inflammation can weaken tendons and soft tissues.
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Untreated sprains or fractures: Improper healing may lead to deformity over time.
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Neurological conditions: Certain nerve injuries can cause muscle imbalance leading to deformity.
Symptoms of Boutonniere and Swan Neck Deformities
Boutonniere deformity:
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Bent middle joint (PIP joint) with inability to straighten fully
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Hyperextended end joint (DIP joint)
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Swelling and pain over the injured joint
Swan Neck deformity:
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Hyperextended middle joint (PIP joint)
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Bent end joint (DIP joint)
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Stiffness and difficulty gripping objects
Both deformities can cause discomfort, weakness, and functional limitations if untreated.
How Are These Conditions Diagnosed?
Dr. Ugras will evaluate your hand through a physical exam and may order X-rays to assess joint alignment or MRI to examine tendon injuries. Early diagnosis is key to preventing permanent stiffness and maintaining finger function.
Treatment Options for Finger Deformities
Non-Surgical Treatments:
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Splinting to realign the joints and allow healing
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Physical therapy to restore range of motion and strength
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Anti-inflammatory medications for pain and swelling
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Corticosteroid injections for inflammatory causes such as rheumatoid arthritis
Surgical Treatments:
If conservative care does not restore function or if the deformity is severe, Dr. Ugras may recommend surgical correction. Surgery may involve tendon repair, joint realignment, or soft tissue reconstruction to restore proper finger mechanics.
How Common Are These Deformities?
Boutonniere and Swan Neck deformities are relatively common in individuals with rheumatoid arthritis and in athletes who sustain finger trauma. Prompt treatment improves long-term outcomes and helps preserve hand function.
Frequently Asked Questions
Q: Can these deformities be fixed without surgery?
A: Many early cases respond well to splinting and therapy if treated promptly. Severe or chronic cases may require surgery to restore function.
Q: How long is recovery after treatment?
A: Recovery time depends on the severity of the deformity and treatment method. Splinting and therapy may take several weeks, while surgical recovery can take several months with therapy.
Q: Is this condition painful?
A: Pain levels vary. Early injury may cause significant pain and swelling, while long-standing deformities may be more associated with stiffness and functional limitations.
Specialized Care in Bergen County, NJ
If you are experiencing finger stiffness, deformity, or difficulty using your hand, early evaluation is essential. Paramus Hand Surgery offers advanced care for Boutonniere and Swan Neck deformities, helping patients in Paramus, Ridgewood, Hackensack, and throughout Bergen County restore hand function.
Call Paramus Hand Surgery today to schedule an appointment with Dr. Steven Ugras, a skilled hand surgeon experienced in treating complex finger deformities.