Jersey Finger Injury Treatment Methuen MA

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George A Hyder, MD
37 Nevins Rd
Methuen, MA
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
George M Pomerantz
(978) 686-0090
34 Haverhill St
Lawrence, MA
Specialty
Orthopedic Surgery

Data Provided By:
Ronald Alan Marvin, MD
(978) 794-1946
575 Turnpike St Ste 11
North Andover, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1972

Data Provided By:
Richard N Warnock, MD
(978) 686-6464
200 Sutton St Ste 120
North Andover, MA
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Suny At Buffalo Sch Of Med & Biomedical Sci, Buffalo Ny 14214
Graduation Year: 1972

Data Provided By:
Richard Michael Bargar
(978) 794-1946
575 Turnpike St
N Andover, MA
Specialty
Orthopedic Surgery

Data Provided By:
George A Hyder, MD FACS
(508) 682-0968
37 Nevins Rd
Methuen, MA
Gender
Male
Education
Medical School: Tufts
Graduation Year: 1937

Data Provided By:
Richard Michael Bargar, MD
(978) 794-1946
575 Turnpike St Ste 11
North Andover, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Cornell Univ Med Coll, New York Ny 10021
Graduation Year: 1976
Hospital
Hospital: Lawrence General Hospital, Lawrence, Ma
Group Practice: Marvin & Bargar

Data Provided By:
Steven Jason Andriola, MD
(978) 794-1946
575 Turnpike St Ste 11
North Andover, MA
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1993

Data Provided By:
Steven Jason Andriola
(978) 794-1946
575 Turnpike St
N Andover, MA
Specialty
Orthopedic Surgery

Data Provided By:
Ronald Allen Marvin
(978) 794-1946
575 Turnpike St
N Andover, MA
Specialty
Orthopedic Surgery

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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