23y/o right hand dominant male sustained left ring finger Type II FDP avulsion while grasping opponents jersey playing flag football.
Clinical Evaluation:
Unable to actively flex DIP joint of ring finger
Unable to fully flex PIP joint of ring finger
Tender along flexor tendon sheath of ring finger
Mild tenderness in palm
31y/o female slipped going down stairs, catching small finger on hand rail.
PE: small finger swollen and ecchymotic. NO DIP active flexion.
Lateral injury view shown.
A/P injury view shown.
Treatment:
ORIF via a volar incision. Fracture fragment was found displaced outside flexion sheath and hinged on A4 pulley. Fragment was reduced and fixed with a 1.5mm screw (Synthes modular hand set) placed with AO lag screw technique