Jersey Finger Injury Treatment Scottsdale AZ

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Duane D. H. Pitt, MD
(480) 656-4048
8573 E. Princess Drive,
Scottsdale, AZ
Business
Desert Institute for Spine Disorders, PC
Specialties
Orthopedics
Insurance
Workmens Comp Accepted: Yes

Additional Information
Languages Spoken: English,Spanish

Data Provided By:
Edward John Dohring
(602) 953-9500
9735 N 90th Pl
Scottsdale, AZ
Specialty
Orthopaedic Surgery of the Spine

Data Provided By:
David Allen Thull, MD
(480) 945-2631
10250 N 92nd St Ste 114
Scottsdale, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1987

Data Provided By:
Theodore P Firestone
(480) 237-5727
10250 N 92nd St
Scottsdale, AZ
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Atef Mohty, MD
(480) 551-7083
10250 N 92nd St
Scottsdale, AZ
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ De Montpellier I, Uer De Med, Montpellier, France
Graduation Year: 1981
Hospital
Hospital: Scottsdale Healthcare -Osborn, Scottsdale, Az
Group Practice: Hand & Upper Extremity Specs

Data Provided By:
William A Salyer, MD
(602) 631-3161
690 N Cofco Center Ct
Phoenix, AZ
Business
Arizona Orthopaedic Associates Inc
Specialties
Orthopedics

Data Provided By:
Michael D Castro, DO
(480) 556-9282
9830 N 87th Way
Scottsdale, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of N Tx Hlth Sci Ctr, Tx Coll Osteo Med, Ft Worth Tx 76107
Graduation Year: 1991

Data Provided By:
Stefan David Tarlow
(480) 860-2618
8129 N 87th Place
Scottsdale, AZ
Specialty
Orthopedic Surgery

Data Provided By:
John Kent Bradway, MD
(480) 860-6005
10213 N 92nd St Ste 101
Scottsdale, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1983

Data Provided By:
Martin Broermann, DDS
(480) 948-2881
8600 E Via De Ventura Ste 203
Scottsdale, AZ
Specialties
Orthodontics/Dentofacial Orthopedics

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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