Boutonnière deformity

System: Muscles, Bones & Joints Signs · All muscles, bones & joints signs

What it is — and how it is elicited

The middle joint of a finger is bent (flexed) while the end joint is straightened (hyperextended), like a button pushed through a buttonhole ('boutonnière' in French).

What a positive finding suggests

Associated with injury to the central slip of the extensor tendon, and with rheumatoid arthritis.

Browse the B section of the A–Z list or return to the Clinical Signs hub.

Please note: This page is an educational reference about clinical examination signs. A clinical sign supports — and never replaces — a full clinical evaluation, examination and appropriate testing. A sign being present does not by itself prove a diagnosis, and an absent sign does not rule one out. If you have symptoms that worry you, see a health professional.