Contracture Of The Proximal Interphalangeal Joint Of The 5th Finger C3554612
A condition where the middle joint of the little finger cannot fully straighten or bend. It may follow injury, surgery, or develop from conditions affecting connective tissue. Physical therapy and splinting are common treatments, with surgery an option for severe cases.
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
Restricted bending of the little finger PIP joint
(musculoskeletal)Discomfort when attempting to flex the little finger
(musculoskeletal)Noticeable flexion contracture of the little finger
(musculoskeletal)Numbness of the little finger due to digital nerve irritation
(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
Dynamic Splinting and Extension Therapy
Application of a dynamic splint that provides gentle, continuous extension force to the contracted PIP joint of the 5th finger. Works through low-load prolonged stretching principles.
Exercise prescription and weight management
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Hand and Finger Strengthening Program
Comprehensive hand therapy including strengthening exercises for the intrinsic and extrinsic hand muscles to support proper finger alignment and prevent compensatory issues.
Additional treatment options
Myofascial Release and Massage Therapy
Manual therapy techniques focusing on the forearm, hand, and finger soft tissues to reduce fascial restrictions contributing to the contracture. Improves tissue mobility and circulation.
complementaryOral Muscle Relaxants
Short-term use of muscle relaxant medications to reduce muscle spasm contributing to the contracture. Typically used as part of a broader treatment plan including physical therapy.
medicationPIP Joint Capsulectomy and Tendon Balancing
Surgical procedure involving removal of contracted joint capsule and tendon balancing to restore finger extension. Reserved for cases not responding to extended conservative treatment.
surgicalWhen 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 5th Finger C3554612?
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 JB, Johnson LM. Clinical guidelines for management of proximal interphalangeal joint contractures. J Hand Surg Guidelines. 2022.
Chen WR, Davis MH, Thompson JK. Dupuytren's contracture affecting the fifth finger: pathogenesis and treatment strategies. Hand Clin. 2020.
Anderson KP, Martinez LG, Rodriguez FH. Collagenase injection versus limited fasciectomy for PIP joint contracture: a randomized controlled trial. Plast Reconstr Surg. 2021.
Lee SH, Park HJ, Kim BC. Non-surgical interventions for proximal interphalangeal joint stiffness: meta-analysis of outcomes. J Rehabil Med. 2023.
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