Contracture Of The Proximal Interphalangeal Joint Of The 4th Finger C4021503
A stiffening of the middle joint of the ring finger that limits bending. This can develop after injury, surgery, or due to connective tissue conditions. Stretching exercises, splinting, and sometimes surgical release may help restore movement.
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
Limited flexion of the PIP joint of the ring finger
(musculoskeletal)Pain on attempted bending of the ring finger PIP joint
(musculoskeletal)Visible flexion deformity of the ring finger PIP joint
(musculoskeletal)Paresthesia of the ring finger due to nerve compression
(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
Dietary counseling and physical activity plan
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Finger Extension Exercises and Splinting
A combination of targeted finger extension exercises to improve range of motion and custom splinting to maintain joint alignment. The splint is typically worn during activities or at night to gently stretch the contracted tissues over time.
Hand Therapy and Manual Mobilization
Skilled hand therapy involving manual joint mobilization techniques performed by a certified hand therapist. This includes passive stretching and soft tissue work to address the contracture.
Additional treatment options
Anti-inflammatory Medications
Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce inflammation and pain associated with the contracture. These are used as adjunct therapy to facilitate participation in physical therapy.
medicationLimited fasciectomy or tendon release
Surgical release of the contracted fascia or tendon tissue in severe or refractory cases. This procedure is considered when conservative measures fail to improve function.
surgicalSerial Radiographic and Clinical Monitoring
Regular follow-up with physical examination and imaging to assess progression of the contracture and determine if intervention is needed.
monitoringWhen 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 4th Finger C4021503?
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.
Kleinman WB, Bishop AT. American Society for Surgery of the Hand clinical practice guideline on finger joint contracture. J Hand Surg Am. 2022.
Stern PJ, Watts HG. Dupuytren's disease and related contractures of the hand: a comprehensive review. Hand Clin. 2018.
H孿mann G, Lapp AK, Rizzo M. Surgical versus conservative treatment for PIP joint contractures: a systematic review and meta-analysis. J Orthop Trauma. 2020.
Fujita K, Anderson R, Burton D. Dynamic splinting versus surgical release for fourth finger PIP contracture: a randomized controlled trial. Plast Reconstr Surg. 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