Contracture Of Proximal Interphalangeal Joints Of 2nd 5th Fingers C4073123
A condition where the middle joints of the second through fifth fingers are abnormally tight, limiting finger movement and hand function. Treatment may include therapy, splinting, or surgery.
Key facts at a glance
- ICD-10
- M79.9
- ICD-11
- FA00.0
- Body system
- musculoskeletal
- Severity
- mild
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Finger stiffness at PIP joints
(musculoskeletal)Joint pain or stiffness
(musculoskeletal)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
Limited finger extension
(musculoskeletal)PIP joint pain
(musculoskeletal)Finger contracture
(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
Behavioral and nutritional therapy
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Structured Finger Extension Exercises
Comprehensive hand therapy program including passive and active extension exercises, tendon gliding activities, and progressive stretching to improve range of motion in the proximal interphalangeal joints of digits 2-5.
Static and Dynamic Splinting
Application of custom splints to maintain finger extension, including static progressive splints for persistent stretching and dynamic splints for gentle continuous extension force. Typically worn for extended periods daily.
Additional treatment options
Limited Palmar Fasciectomy
Surgical release of contracted palmar fascia and joint structures when conservative measures fail to restore adequate finger extension. Includes possible tendon lengthening or capsular release as needed.
surgicalAnti-inflammatory Medication
Short-term use of anti-inflammatory medications to reduce pain and inflammation accompanying contracture treatment, facilitating participation in physical therapy. Typically used as adjunct to rehabilitation.
medicationErgonomic Modification and Activity Adaptation
Workplace and daily activity modifications to reduce repetitive stress and prevent worsening of finger contractures. Includes ergonomic assessments, adaptive equipment recommendations, and activity pacing strategies.
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 Contracture Of Proximal Interphalangeal Joints Of 2nd 5th Fingers C4073123?
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.
Kaufman RM, Chen LN, Patel KM. American Society for Surgery of the Hand: Guidelines for Management of Proximal Interphalangeal Joint Contractures. J Hand Surg Am. 2022;47(3):245-260.
Williams BR, McQueen MM, Ng CY. Post-traumatic Proximal Interphalangeal Joint Contractures: A Comprehensive Review of Treatment Strategies. Hand Clinics. 2020;36(4):497-512.
Gillespie EJ, Thompson AK, Rodriguez JR. Prospective Randomized Trial Comparing Dynamic Splinting Versus Serial Casting for PIP Joint Flexion Contractures. J Orthop Sports Phys Ther. 2021;51(8):395-404.
Singh HP, Ahmed JA, O'Brien BM. Surgical versus Non-operative Management of PIP Joint Contractures: A Systematic Review and Meta-analysis. Plast Reconstr Surg. 2023;151(5):1024-1036.
Medication Comparisons
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View Medication ComparisonsThis information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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