Abdo Bachoura1, Alex J Ferikes1, John D Lubahn2,3. 1. University of Pittsburgh Medical Center (UPMC) Hamot, 201 State Street, Erie, PA, 16505, USA. 2. University of Pittsburgh Medical Center (UPMC) Hamot, 201 State Street, Erie, PA, 16505, USA. jdlubahn@jdlubahn.com. 3. Hand, Microsurgery and Reconstructive Orthopaedics, 300 State Street, Suite 205, Erie, PA, 16507, USA. jdlubahn@jdlubahn.com.
Abstract
PURPOSE OF REVIEW: The purposes of this review are to discuss the diagnosis and management of mallet and jersey finger injuries in athletes and to highlight how treatment impacts return to play. RECENT FINDINGS: Mallet finger: although numerous non-operative and operative techniques have been described, there continues to be little consensus regarding the optimal procedure. Jersey finger: ultrasound appears to be a cost-effective imaging modality that may be useful for preoperative planning. Wide-awake surgery offers optimal intraoperative assessment of the tendon repair. Tendon repair with volar plate augmentation has been shown to improve the strength of the repair in the laboratory, and early clinical results are encouraging. Most mallet finger injuries will heal with non-operative treatment over a period of 8-12 weeks, even when treatment is delayed up to 3-4 months. An acute diagnosis of jersey finger requires surgical treatment and generally means 8-12 weeks of inability to compete in most contact sports.
PURPOSE OF REVIEW: The purposes of this review are to discuss the diagnosis and management of mallet and jersey finger injuries in athletes and to highlight how treatment impacts return to play. RECENT FINDINGS: Mallet finger: although numerous non-operative and operative techniques have been described, there continues to be little consensus regarding the optimal procedure. Jersey finger: ultrasound appears to be a cost-effective imaging modality that may be useful for preoperative planning. Wide-awake surgery offers optimal intraoperative assessment of the tendon repair. Tendon repair with volar plate augmentation has been shown to improve the strength of the repair in the laboratory, and early clinical results are encouraging. Most mallet finger injuries will heal with non-operative treatment over a period of 8-12 weeks, even when treatment is delayed up to 3-4 months. An acute diagnosis of jersey finger requires surgical treatment and generally means 8-12 weeks of inability to compete in most contact sports.
Keywords:
Athlete; Distal phalanx; Jersey finger; Mallet finger; Tendon avulsion
Authors: Gabriel Halát; Lukas Negrin; Thomas Koch; Jochen Erhart; Patrick Platzer; Stefan Hajdu; Johannes Streicher Journal: J Hand Surg Am Date: 2014-02 Impact factor: 2.230