An Unusual Pattern of Closed Flexor Tendon Avulsion.

Closed avulsion of both flexor tendons is an uncommon injury pattern. We discuss a classic rugby jersey injury that resulted in avulsion of both flexor tendons with the flexor digitorum superficialis (FDS) avulsion incorporating a large fracture of the middle phalanx. To our knowledge, this pattern has been described only once in the literature. We propose a modification to the flexor tendon avulsion classification allowing incorporation of this injury pattern to help guide its management. © Thieme Medical Publishers.