Jersey Finger Injury Treatment Peru IN

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William Hugo Pohnert, MD
(765) 472-8041
285 W 12th St Ste 106
Peru, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1967
Hospital
Hospital: Howard Comm Hosp, Kokomo, In; St Joseph Mem Hosp, Kokomo, In; Dukes Mem Hosp, Peru, In; Healthsouth Rehabilitation Hos, Kokomo, In
Group Practice: Northcentral Indiana Ortho

Data Provided By:
Charles Edward Montgomery, MD
(574) 753-4193
1601 Chase Rd
Logansport, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: In Univ Sch Of Med, Indianapolis In 46202
Graduation Year: 1969

Data Provided By:
Jeffrey Francis Granger, MD
(574) 753-4193
1601 Chase Rd
Logansport, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Chicago, Pritzker Sch Of Med, Chicago Il 60637
Graduation Year: 1981

Data Provided By:
Charles E Montgomery
(574) 753-4193
1601 Chase Rd
Logansport, IN
Specialty
Orthopedic Surgery

Data Provided By:
Aaron Jon LeGrand
(765) 868-0313
1907 W Sycamore St
Kokomo, IN
Specialty
Orthopedic Surgery

Data Provided By:
Aijaz Mohammed Mirza, MD
(260) 569-2408
710 N East St
Wabash, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduation Year: 1958
Hospital
Hospital: Wabash County Hosp, Wabash, In
Group Practice: Mirza Orthopedics

Data Provided By:
Jeffrey F Granger
(574) 753-4193
1601 Chase Rd
Logansport, IN
Specialty
Orthopedic Surgery

Data Provided By:
Jesse Lee Sandlin, MD
(574) 753-4193
1601 Chase Rd
Logansport, IN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northeastern Oh Univs Coll Of Med, Rootstown Oh 44272
Graduation Year: 1994

Data Provided By:
Thomas M Reilly
(765) 236-8700
311 S Berkley Rd
Kokomo, IN
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
Jeffrey Dean Yoder
(765) 868-0313
1907 W Sycamore St
Kokomo, IN
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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