Flexor Tendon Injuries (Jersey Finger)





ITE 2013, Q#234.
An 18-year-old high-school football player comes to the walk-in clinic the morning after a game in which he injured the middle finger of his right hand. During the game he grabbed the jersey of an opposing player as he attempted to tackle him. The opposing player pulled away from his grasp and the patient immediately felt pain in the distal interphalangeal (DIP) joint of the affected finger. When you examine him he cannot flex the affected finger at the DIP joint. Radiographs show a bony fragment at the volar surface of the proximal distal phalanx.

Which one of the following would be the most appropriate management?

A) Referral to a hand surgeon
B) Splinting the DIP joint in flexion for 4–6 weeks
C) Splinting the DIP joint in extension for 4–6 weeks
D) Unrestricted range of motion exercises
E) Buddy taping the affected finger to the adjacent finger