Jersey finger: Difference between revisions
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*Avulsion of flexor mechanism of distal phalanx | *Avulsion of flexor mechanism of distal phalanx | ||
*Occurs from forced extension of fully flexed DIP (from grabbing someone's jersey) | *Occurs from forced extension of fully flexed DIP (from grabbing someone's jersey) | ||
==Clinical Features== | |||
*Pt unable to actively flex the DIP joint while maintaining full passive ROM | |||
==Differential Diagnosis== | |||
{{Hand and finger injury DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
*Ultrasound can differentiate between partial and complete rupture<ref>De Gautard G, et al. Sonography of jersey finger. J Ultrasound Med. 2009; 28(3):389-392.</ref> | *Ultrasound can differentiate between partial and complete rupture<ref>De Gautard G, et al. Sonography of jersey finger. J Ultrasound Med. 2009; 28(3):389-392.</ref> | ||
| Line 15: | Line 20: | ||
*[[Radiograph-Negative Hand and Finger Injuries]] | *[[Radiograph-Negative Hand and Finger Injuries]] | ||
== | ==References== | ||
<references/> | <references/> | ||
[[Category:Ortho]] | [[Category:Ortho]] | ||
Revision as of 06:51, 1 June 2015
Background
- Avulsion of flexor mechanism of distal phalanx
- Occurs from forced extension of fully flexed DIP (from grabbing someone's jersey)
Clinical Features
- Pt unable to actively flex the DIP joint while maintaining full passive ROM
Differential Diagnosis
Hand and finger injuries
- Distal finger
- Other finger/thumb
- Boutonniere deformity
- Mallet finger
- Jammed finger
- Jersey finger
- Trigger finger
- Ring avulsion injury
- De Quervain tenosynovitis
- Infiltrative tenosynovitis
- Metacarpophalangeal ulnar ligament rupture (Gamekeeper's thumb)
- Hand
- Wrist
- Drummer's wrist
- Ganglion cyst
- Lunotriquetral ligament instability
- Scaphoid fracture
- Extensor digitorum tenosynovitis
- Compressive neuropathy ("bracelet syndrome")
- Intersection syndrome
- Snapping Extensor Carpi Ulnaris
- Vaughn Jackson syndrome
- General
Diagnosis
- Ultrasound can differentiate between partial and complete rupture[1]
Treatment
- Early referral to hand specialist (surgery often required)
- ortho 1-2 days
- Finger Splint in slight flexion at DIP
See Also
References
- ↑ De Gautard G, et al. Sonography of jersey finger. J Ultrasound Med. 2009; 28(3):389-392.