Contracture Of The Proximal Interphalangeal Joint Of The 3rd Finger C4021467
A contracture affecting the middle joint of the middle finger leads to stiffness and limited straightening ability. It may occur after injury, surgery, or due to tissue scarring. Management typically includes physical therapy and targeted stretching.
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.
Flexion contracture of the 3rd finger
(musculoskeletal)Joint pain or stiffness
(musculoskeletal)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
Pain with finger extension
(musculoskeletal)Tenderness at the proximal interphalangeal joint
(musculoskeletal)Decreased fine motor coordination
(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.
Finger Extension Exercises
Comprehensive stretching program for the 3rd finger PIP joint including passive stretching, tendon gliding exercises, and progressive resistance training.
Dynamic Splinting
Use of dynamic splints that apply continuous low-load stretching force to the PIP joint over extended periods to gradually improve extension.
Additional treatment options
PIP Capsulectomy
Surgical removal of contracted joint capsule tissue to restore motion. Typically performed arthroscopically when conservative treatment fails.
surgicalMassage Therapy
Soft tissue mobilization and myofascial release techniques applied to the hand and 3rd finger to reduce muscle tension and improve joint mobility.
complementaryOral NSAIDs
Short-term oral anti-inflammatory medication to manage pain and inflammation, enabling participation in rehabilitation exercises.
medicationWhen 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 3rd Finger C4021467?
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.
Smith JC, Jones AB. Management of Proximal Interphalangeal Joint Contractures: A Comprehensive Review. J Hand Surg. 2019;44(8):712-725.
Anderson LM, Brown CD, Wilson EF. AAOS Clinical Practice Guidelines for Hand Contracture Management. Orthopaedic Guidelines Review. 2020;28(2):45-62.
Garcia MH, Lee KR. Dynamic Splinting Efficacy in PIP Joint Contracture Treatment: A Randomized Controlled Trial. Plast Reconstr Surg. 2022;149(4):892-903.
Chen WY, Taylor ND, Martinez JL. Surgical versus Non-Surgical Interventions for PIP Joint Contractures: A Systematic Review and Meta-Analysis. J Bone Joint Surg Am. 2021;103(12):1102-1115.
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