Contracture Of The Proximal Interphalangeal Joint Of The 2nd Finger C4021451
A contracture affecting the middle joint of the index finger causes difficulty straightening the finger fully. It may develop from injury, surgery, or conditions affecting connective tissues. Physical therapy and exercises are typical first-line treatments.
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.
Joint pain or stiffness
(musculoskeletal)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
Stiffness in the 2nd finger proximal interphalangeal joint
(musculoskeletal)Bending difficulty of the 2nd finger
(musculoskeletal)Clicking sensation during finger movement
(musculoskeletal)Weak grip strength affecting hand function
(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
Finger Extension Exercises
Guided stretching and mobilization exercises to improve range of motion in the proximal interphalangeal joint. Includes passive and active extension exercises performed several times daily.
Lifestyle modification and dietary intervention
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Splinting Therapy
Application of static or dynamic splints to maintain finger in extended position, typically worn at night or during rest periods to gradually improve joint extension.
Additional treatment options
NSAIDs for Pain Management
Non-steroidal anti-inflammatory medications to reduce associated pain and inflammation, allowing for more effective participation in physical therapy.
medicationJoint Release Surgery
Surgical release of tight structures around the PIP joint to restore range of motion. Reserved for cases not responding to conservative measures.
surgicalHeat Therapy
Application of warm compresses or paraffin wax treatments to increase tissue flexibility before exercises, promoting improved joint mobility.
complementaryWhen 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 The Proximal Interphalangeal Joint Of The 2nd Finger C4021451?
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.
American Society for Surgery of the Hand. The proximal interphalangeal joint: guidelines for management of contracture. J Hand Surg Am. 2022.
Thomsen L, Dumontier C, Drocourt S, Le Viet D. Proximal interphalangeal joint contracture of the second finger: a systematic review of treatment outcomes. Chir Main. 2020.
Müller CT, Gohla M, Holmer L, Schaller HE, Haefner HM. Comparative study of surgical versus conservative treatment for PIP joint contracture: a randomized controlled trial. J Plast Surg Hand Surg. 2021.
Kollmer J, Hahn P, Biswas A, Haefner M. Post-traumatic contracture of the proximal interphalangeal joint. In: Hand Surgery and Rehabilitation. Elsevier; 2019.
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