Illustrative CasesPediatric Boutonniere Deformity After Blunt Closed Traumatic InjuryIzadpanah, Arash MD, CM, BSc; Izadpanah, Ali MD, CM; Sinno, Hani MD, CM, MEng; Williams, Bruce MD, FRCSC, FACSAuthor Information From the Division of Plastic and Reconstructive Surgery, McGill University, McGill University Health Centre, Montreal, Quebec, Canada. Disclosure: The authors declare no conflict of interest. Reprints: Arash Izadpanah, BSc, 760 Ave Upper Lansdowne Westmount, Quebec, Canada H3Y 1J8 (e-mail: [email protected]). Izadpanah and Izadpanah contributed to this work equally. The authors did not receive financial support for this study. Presented at the 16th Congress of the International Confederation for Plastic Reconstructive and Aesthetic Surgery, 2011, Vancouver, Canada. Pediatric Emergency Care: November 2011 - Volume 27 - Issue 11 - p 1069-1071 doi: 10.1097/PEC.0b013e3182360637 Buy Metrics Abstract The boutonniere deformity (BD) is a well-described condition in hand surgery. Treatment of acute traumatic BD includes splinting of the proximal interphalangeal joint in extension for 4 to 5 weeks, which often leads to acceptable results. However, the chronic BD is more problematic and often requires surgical intervention with poor functional outcomes. Boutonniere deformity is extremely rare in the pediatric population. We present the case of a 9-year-old girl who presented to the emergency department with an acute traumatic BD after a fall. Being an uncommon entity in this patient population, the patient was referred to the plastic surgery clinic and was subsequently treated appropriately with splinting, resulting in favorable results as early as 4 weeks. To our knowledge, this is the first reported case of BD in the pediatric patient population. Recognition and timely management of BD in a pediatric patient should not be overlooked to obtain favorable results. © 2011 Lippincott Williams & Wilkins, Inc.