Flexor Digitorum Profundus Rupture
Flexor digitorum profundus rupture, commonly called “jersey finger,” is a condition in which you are unable to bend your finger without assistance. This is caused by an injury to connective tissue (tendon) in the last joint of your finger, farthest form your palm. The tendon tears (ruptures), which restricts your ability to bend your finger joint.
Sometimes, when the tendon ruptures it can break off a piece of bone. This is called an avulsion fracture.
CAUSES
This condition is commonly caused by forced straightening (extension) of a bent (flexed) finger. When force on the tendon is too great, the tendon ruptures. Less commonly, this condition can be caused by a cut (laceration).
RISK FACTORS
This condition is
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• Pain when moving the finger.
• Inability to bend the finger without assistance. When you do bend the finger with assistance, it may be able to bend all the way (it may have full passive range of motion).
• Bruising. This may not happen for up to 48 hours after the time of injury.
• A lump in the palm of the hand.
TREATMENT
This condition often needs to be treated with surgery. Before surgery, treatment involves icing and resting the injured area. Your health care provider may recommend medicines to help to reduce pain and inflammation.
After surgery, you may be given a cast or splint to stabilize your finger joint. Your health care provider may show you exercises to strengthen and stretch your finger, and you may be given the name of a physical therapist.
HOME CARE INSTRUCTIONS
PREVENTION
• Take over-the-counter and prescription medicines only as told by your health care provider.
• If directed, apply ice to the injured area:
○ Put ice in a plastic bag.
○ Place a towel between your skin and the bag.
○ Leave the ice on for 20 minutes, 2–3 times per
Immediate treatment is usually an adjunctive therapy of NSAID's and Cold compression therapy. Controlling the inflammation is critical to the healing process. Cold compression therapy acts to reduce swelling and pain by reducing leukocyte extravasation into the injured area. NSAID's such as Ibuprofen/paracetamol work to reduce the immediate inflammation by inhibiting Cox-1 & Cox-2 enzymes, which are the enzymes responsible for converting arachidonic acid into prostaglandin. However, NSAIDs, including aspirin and ibuprofen, affect platelet function and should not be taken during the period when tissue is bleeding because they will tend to increase blood flow, inhibit clotting, and thereby increase bleeding and swelling. After the bleeding has stopped, NSAIDs can be used with some effectiveness to reduce inflammation and pain. A new treatment for acute strains is the use of platelet rich plasma injections which have been shown to accelerate recovery from non surgical muscular injuries. It is recommended that the person injured should consult a medical provider if the injury is accompanied by severe pain, if the limb cannot be used, or if there is noticeable tenderness over an isolated spot. These can be signs of a broken or fractured bone, a sprain, or a complete muscle
This condition is caused by excess pressure or strain (stress) applied to the intermetacarpal ligaments. This often happens because of a hard, direct hit or injury (trauma) to the hand.
swelling, regain range of motion, and strength. Even if surgery is needed, achieving as much knee motion and strength as possible can greatly reduce complications after surgery. Immediately after an ACL injury, the so-called R.I.C.E. treatment is recommended. R.I.C.E. stands for rest, ice, compression, and elevation.
the injury and like the short term effects are not the same for every injury
This step is very useful to help limit swelling to the injured area and keeps it from progressing to other parts of the limb. Be careful not to put direct pressure on an eye injury, and watch carefully for coolness or in case of change the color of the skin under the bandage. If any of these symptoms occur, remove the bandage quickly and re-wrap it less tightly. After that raise the injured organ to a level higher than the heart. For example, raise the affected arm or leg by using cushions or pillows to help decrease blood pressure and slow the
Rest the patient by safely transferring him/her off the field and situate them in a comfortable stance, stabilising the injury to reduce bleeding. The athlete must not use the injured site for a minimum of 48-72 hours as it may cause additional haemorrhage and injury. Next, apply ice accompanied with a form insulating material onto the injured site for 20 minutes every hour for the first 72 hours to decrease pain, bleeding and swelling. Compression involves wrapping the injured area using a bandage, ensuring that it is not too tight or loose. This stabilises the injury and minimises bleeding and swelling. Elevation requires the injured site to be raised above the heart to decrease the amount of bleeding, swelling, throbbing and pain. The injury can be kept elevated using a soft cushion and must be aloft whenever possible. The athlete must be referred to a doctor or a physiotherapist as soon as possible after managing the injury. This will establish the severity and any rehabilitation needed as well as tips on treatment
Muscle contusion (muscle bruise) is an injury where the muscle gets bruised. Athletes, in all contact sports have a chance of getting this muscle bruise. Contusions are second only to strains as a main cause of sports injuries. Most of the contusions are minor and heal pretty fast, without even taking the athlete out of the game. But severe contusions can happen that can cause deep tissue damage which can result in the athlete out of sports for months. Some symptoms of muscle contusions are: swelling, pain, limited joint range of motion near the injury, torn blood vessels could cause a bluish discoloration, and sometimes a pool of blood can
On examination of the right hand, the middle finger shows scarring, pale color, contracture and unable to straighten.
These injuries are commonly occurred when the player stretches ligaments, muscle fiber, or tendons past their physical limits, resulting in tears or sprains. Overusing an area of your body can also result in injuries, as the area becomes weaker and more prone to injury over time. The
“Finger injuries can result in a variety of symptoms including pain, swelling, stiffness, deformity, and change in position. However, the severity of the symptoms does not always correlate with the severity of the injury. A minor injury requiring minimal treatment can produce significant pain and swelling, and in some instances, the symptoms of a major injury are minimal pain, swelling, and stiffness. A physical examination and x-rays are two key components that help to accurately assess and diagnose finger injuries that occur during sporting events. This evaluation should take place within the first 24 to 48 hours after the injury occurs”. Just taping an injured finger, and then waiting weeks later to visit the doctor because the pain is not going away will only lead to longer healing time possible poor healing and maybe a need for surgery. (Rehak,
Take anti-inflammatory medicine: You can also take the pain killer towards the jammed finger to stop the pain for short time but remain careful about taking the pills and avoid given to the
• Using ice can be helpful after doing activities that involve the sore wrist. To apply ice to the injured area:
Rest your finger and avoid activities that make pain worse. Return to normal activities as told by your health care provider.
This condition is typically caused by repetitive gripping or squeezing. In some cases, this condition may be caused by a hard, direct hit (blow) or injury to the back of the forearm.
• Loosen the splint if your fingers become numb and tingle, or if they turn cold and blue.