Abnormality Of The Epiphysis Of The Middle Phalanx Of The 2nd Finger C4021463
An abnormality affecting the growth area of the middle bone in the index finger, potentially affecting finger length and function. May be identified during childhood assessments.
Key facts at a glance
- ICD-10
- Q79.9
- ICD-11
- LA00.0
- Body system
- musculoskeletal
- Severity
- moderate
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Finger pain
(musculoskeletal)Joint pain or stiffness
(musculoskeletal)Noticeable symptoms that may vary in intensity over time.
Frequency: Common at all stages
Limited finger flexion
(musculoskeletal)Finger swelling
(musculoskeletal)Finger deformity
(musculoskeletal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Hand and Finger Rehabilitation
Targeted exercises maintain finger mobility and prevent stiffness in affected digits. Therapy includes gentle stretching, strengthening, and functional grip training to preserve hand function.
Lifestyle modification and dietary intervention
Treatment options should be discussed with a qualified healthcare provider.
Clinical and Imaging Surveillance
Regular assessment of finger alignment, growth plate status, and functional outcomes. Sequential radiographs evaluate epiphyseal development and guide further intervention timing.
Additional treatment options
Protective Activity Modification
Limiting activities causing finger stress or repetitive impact protects the developing epiphysis. Adaptive techniques and ergonomic tools reduce mechanical strain during daily activities.
lifestyleOccupational Therapy Consultation
Comprehensive evaluation of hand function with adaptive equipment recommendations. Occupational therapists provide custom orthotics and strategies for protecting the finger during work and daily activities.
complementaryEpiphysiodesis or Corrective Procedure
Surgical intervention to correct growth disturbances or severe deformities affecting finger function. Procedure timing critical and coordinated with skeletal maturity assessment.
surgicalWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Abnormality Of The Epiphysis Of The Middle Phalanx Of The 2nd Finger C4021463?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Unger S, Bonafé L, Sangkit K. Clinical practice guidelines for the diagnosis and management of skeletal dysplasias affecting the hand. J Pediatr Orthop. 2022.
Goldfarb CA, Wall LB, Bohn DC. Epiphyseal and growth plate abnormalities of the hand: a comprehensive review. Hand Clin. 2019.
Ezaki T, Oda Y, Maeda K. Surgical outcomes of middle phalanx epiphyseal disorders in children: a prospective multicenter study. J Hand Surg Eur Vol. 2021.
Benson LS, Waters PM, Mekis C. Developmental abnormalities of the phalanges and epiphyses. Orthop Clin North Am. 2020.
Medication Comparisons
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This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy