What is included in the treatment of jersey finger?

Updated: Jan 18, 2018
  • Author: Jay E Bowen, DO; Chief Editor: Craig C Young, MD  more...
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Answer

See the list below:

  • A type 1 jersey finger injury is an avulsion of the flexor digitorum profundus tendon into the palm, losing its blood supply from both the bone and the vincular system. These injuries require reattachment within 7-10 days to avoid necrosis of the tendon.

  • In type 2 injuries, the tendon retracts to the level of the PIP joint and is held by an intact vincula. A reattachment can be successful anywhere from 3 to 6 weeks after injury.

  • Type 3 injuries involve avulsion of a large fragment of bone from the palmar base of the distal phalanx. The tendon does not retract past the DIP joint because of the fracture fragment being caught by the A4 pulley. Type 3 injuries are not to be treated with closed reduction because of the possibility of an associated avulsion of the profundus tendon from the osseous fragment. Delayed repair also can be successful.


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