Jersey Finger Injury Treatment Pendleton OR

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Bradley Scott Adams, MD
(541) 276-4642
1416 SE Ct
Pendleton, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1996

Data Provided By:
Charles Thomas Weeks, MD
(541) 276-4642
1416 SE Court Ave
Pendleton, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1966
Hospital
Hospital: St Anthony Hospital, Pendleton, Or
Group Practice: Eastern Oregon Orthopaedic

Data Provided By:
Aaron Eugene Askew, MD
1310 NE Cushing Dr
Bend, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1996

Data Provided By:
Morris Button
(503) 234-9287
5051 Se Hawthorne Blvd
Portland, OR
Specialty
Hand Surgery

Data Provided By:
Cara Elizabeth Walther, MD
(541) 388-2333
1303 NE Cushing Dr Ste 100
Bend, OR
Specialties
Orthopedics
Gender
Female
Education
Medical School: Dartmouth Med, Hanover Nh 03755
Graduation Year: 1993

Data Provided By:
Durk V Irwin, DDS
(541) 276-7819
610 SW Dorion Ave
Pendleton, OR
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Jeffrey K Bert
(541) 266-3600
2699 N 17th St
Coos Bay, OR
Specialty
Orthopedic Surgery

Data Provided By:
James Elmer Butler, MD
(713) 526-7066
Bend, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduation Year: 1962

Data Provided By:
Eugene Thomas O'Brien, MD
1162 Willamette St
Eugene, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1958

Data Provided By:
Harry Clifford Cole, MD
(970) 846-7218
9427 SW Barnes Rd MJP 2nd Fl
Portland, OR
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Va Sch Of Med, Charlottesville Va 22908
Graduation Year: 1987

Data Provided By:
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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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