Abstract

We discuss a combination of established and modern techniques in the investigation and management of traumatic flexor digitorum profundus rupture ('Rugger Jersey Finger') in seven cases (male rugby players ranging from 15 to 30 years of age; mean = 26). We discuss the use of X-ray and ultrasound investigation followed by various surgical repairs including intraosseous sutures, suture anchors, tendon lengthening and "pull-through suture over button" repairs. Functional outcome at outpatient follow-up is discussed in each case. Type I, II and Vb injuries were identified. Patients presenting early attained good functional outcome. Six patients received surgery within ten days of injury and attained satisfactory outcome at follow-up. One patient presented late and required a tendon lengthening procedure to manage myostatic contracture. Ultrasound imaging proved valuable in diagnosis and pre-operative planning. Numerous surgical repairs were used and all associated with a positive outcome providing there is adequate patient compliance.

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Publisher Full Text

Authors

Goodson A, Morgan M, Rajeswaran G, Lee J, Katsarma E

Institution

Department of Plastic Surgery, Chelsea and Westminster Hospital, 369 Fulham Road, London, SW10 9NH, UK. alexander.goodson01@imperial.ac.uk

Source

Hand surgery : an international journal devoted to hand and upper limb surgery and related research : journal of the Asia-Pacific Federation of Societies for Surgery of the Hand 15:2 2010 pg 103-7

MeSH

Adolescent
Adult
Finger Injuries
Football
Humans
Male
Orthopedic Procedures
Rupture
Tendon Injuries
Young Adult

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

20672398