Jersey Finger Injury Treatment Hickory NC

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David C Hamilton, DDS
(828) 328-1088
322 10th Avenue Dr Ne
Hickory, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jeremy Clyde Johnson, MD
(704) 355-3184
PO Box 20500
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1998

Data Provided By:
Dr.JEREMY JOHNSON
(828) 322-5172
214 18th Street Southeast
Hickory, NC
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Timothy H Kirkland, MD
(828) 324-2800
2165 Medical Park Dr
Hickory, NC
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduation Year: 1991
Hospital
Hospital: Catawba Mem Hosp, Hickory, Nc; Frye Reg Med Ctr, Hickory, Nc
Group Practice: Carolina Orthopaedic Specialists; Carolina Orthopaedic Specialists Newton

Data Provided By:
Mark R Mc Ginnis, MD
(828) 322-5172
214 18th St SE
Hickory, NC
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1984
Hospital
Hospital: Catawba Mem Hosp, Hickory, Nc; Frye Reg Med Ctr, Hickory, Nc
Group Practice: Hickory Orthopaedic Center

Data Provided By:
Richard Marion Garlitz, DDS
(828) 322-1535
382 10Th Avenue Dr Ne
Hickory, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Edwin Louis Peak
(828) 345-6468
36 14th Ave Ne
Hickory, NC
Specialty
Orthopedic Surgery

Data Provided By:
Jason Patrick Norcross
(828) 322-5172
214 18th St Se
Hickory, NC
Specialty
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Peter Tanner Hurley, MD
(828) 322-5172
214 18th St SE
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wright State Univ Sch Of Med, Dayton Oh 45401
Graduation Year: 1988

Data Provided By:
Heber Grey Winfield, MD
(828) 322-5172
214 18th St SE
Hickory, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1970

Data Provided By:
Data Provided By:

Treatment for Jersey Finger Injury

Jersey finger injury refers to the damage done to the tip of the ring finger when an athlete grabs the shirt (jersey) of another player while that player is pulling away. The hand grasping the jersey is closed in a fist. But the force of the player wearing the shirt pulls the tip of the ring finger into extension.

The result is a rupture of the tendon away from the bone. A piece of the bone may come with the tendon (still attached). This is called an avulsion injury. There can be a bone fracture along with the tendon rupture.

And although it sounds like this is an injury only an athlete can have, in fact, "jersey" finger injuries occur in nonathletes of all ages. Older adults with rheumatoid arthritis or other inflammatory joint conditions experience this injury as well. The same mechanism takes place: forceful extension of the tip of the finger when it is bent that causes the problem.

Any finger can be affected. The ring finger seems to be the most commonly injured digit because of its unique anatomy. It is the weakest of the fingers and least able to move by itself. The flexor digitorum profundus (or FDP) tendon pulls away from the bone more easily than any other finger tendon.

When the fingers are in a fisted position, the ring finger is actually just a tiny bit more forward than the other fingers. So it absorbs more of the force during a pull-away maneuver compared with the other fingers.

Treatment is based on a classification scheme. The injury can be described as a type I, II, III, IV, or V level of retraction. Retraction refers to how far back toward the palm the tendon has recoiled. Type I describes a flexor digitorum profundus tendon (FDP) that has pulled away from the bone and snapped all the way back to the palm.

Type II injury means the tendon has pulled away from the tip of the finger taking a tiny bit of bone with it but without retracting past the next bone. With a type III injury, the tendon has avulsed with a large bone fragment that has gotten caught or entrapped without moving.

Type IV level of retraction has a ruptured tendon with bone avulsion and retraction back toward the palm. And Type V is a ruptured tendon with bone avulsion. The bone where the tendon has pulled away is broken into tiny pieces (called a comminuted fracture). Type V injuries are further divided into Va and Vb. Type Va means the damage is outside the joint (extra-articular). Type Vb tells us there is intraarticular (inside the joint) damage.

When planning the type of surgery to perform, the surgeon evaluates how far back the tendon has retracted, how much bone damage is present, and if the joint is involved. For example, full retraction of the tendon often means the pulley system that holds the tendon in place has also been disrupted. When the force of the injury is enough to strip the tendon from the bone carrying the pulley mechanism along with it, then the blood supply is also affected.

Besides considering t...

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