Jersey finger: Difference between revisions
Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==") |
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==Background== | ==Background== | ||
*Avulsion of flexor | *Avulsion of flexor tendon from distal phalanx | ||
*Occurs from forced extension of | *Occurs from forced extension of flexed DIP (historically from grabbing someone's jersey with the tip of a finger) | ||
==Clinical Features== | ==Clinical Features== | ||
* | *Inability to actively flex DIP joint | ||
*Full passive ROM is maintained | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
| Line 10: | Line 11: | ||
==Evaluation== | ==Evaluation== | ||
*Clinical 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> | ||
==Management== | ==Management== | ||
*Early | *[[Finger splint]] in slight flexion at DIP | ||
* | *Early follow-up (24-48 hours) with hand specialist - surgery is required for all Jersey finger injuries | ||
==Disposition== | |||
*Discharge | |||
==See Also== | ==See Also== | ||
*[[ | *[[Hand and finger diagnoses]] | ||
==References== | ==References== | ||
Revision as of 03:39, 4 July 2017
Background
- Avulsion of flexor tendon from distal phalanx
- Occurs from forced extension of flexed DIP (historically from grabbing someone's jersey with the tip of a finger)
Clinical Features
- Inability to actively flex DIP joint
- Full passive ROM is maintained
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
Evaluation
- Clinical diagnosis
- Ultrasound can differentiate between partial and complete rupture[1]
Management
- Finger splint in slight flexion at DIP
- Early follow-up (24-48 hours) with hand specialist - surgery is required for all Jersey finger injuries
Disposition
- Discharge
See Also
References
- ↑ De Gautard G, et al. Sonography of jersey finger. J Ultrasound Med. 2009; 28(3):389-392.