Abnormality Of The Epiphysis Of The Proximal Phalanx Of The 2nd Finger C4021462
An abnormality affecting the growth plate of a finger bone (proximal phalanx of the index finger). Usually seen in children. Treatment is typically conservative.
Key facts at a glance
- ICD-10
- Q79.9
- ICD-11
- LA00.0
- Body system
- musculoskeletal
- Severity
- mild
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
2nd finger joint pain
(musculoskeletal)Joint pain or stiffness
(musculoskeletal)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
2nd finger swelling
(musculoskeletal)2nd finger movement restriction
(musculoskeletal)2nd finger structural abnormality
(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
Healthy lifestyle changes and stress management
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Serial radiographic assessment
Periodic X-ray monitoring of the proximal phalanx epiphysis in the index finger to track growth patterns and identify any progressive changes requiring intervention.
Hand function rehabilitation
Comprehensive occupational therapy program addressing grip strength, pinch mechanics, and fine motor coordination of the second finger to optimize functional outcomes.
Additional treatment options
Dynamic splinting program
Application of progressive splinting to maintain finger alignment, support proper growth direction, and improve functional positioning during activity.
procedureEpiphyseal arrest or corrective surgery
Surgical procedure to redirect growth or correct angular deformity of the second finger when the abnormality threatens significant functional impairment or cosmetic concern.
surgicalActivity modification and ergonomic adaptation
Lifestyle adjustments including ergonomic keyboard setup, modified grip techniques, and avoidance of activities that stress the affected digit to prevent exacerbation.
lifestyleWhen 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 Proximal Phalanx Of The 2nd Finger C4021462?
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.
Johnson RM, Smith KP. American Academy of Orthopaedic Surgeons clinical practice guideline for pediatric hand abnormalities. Orthop J. 2022.
Martinez-Lopez A, Chen W, Williams JK. Epiphyseal disorders of the phalanges: a comprehensive review. Hand Surg Rehab. 2021.
Patel SB, O'Connor MJ, Nakamura H. Comparative analysis of surgical outcomes in proximal phalanx epiphyseal abnormalities. J Hand Surg Am. 2020.
Thompson KL, Garcia-Reyes EF, Singh P. Radiographic assessment of phalangeal epiphyseal development: systematic review and meta-analysis. Skeletal Radiol. 2019.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy