HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Are A Possible Subtle Fracture And Sprain Showing Capsular Thickening About The PIP Joint Of A Finger Serious Concerns?

IMPRESSION: 1. The insertion of the terminal tendon (distal extensor tendon) of the fourth finger (ring finger) at the dorsal aspect base of distal phalanx is not definitely visualized suggesting possible tear or avulsion. The central slip of the tendon is seen to insert at the dorsal aspect base of middle phalanx. Clinical correlation for extensor tendon injury is suggested. Flexor tendons are intact. 2. There is bone marrow edema involving the base and proximal shaft of the middle phalanx of the fourth finger. In the setting of trauma this is consistent with a bone bruise. Although a definite fracture line is not visualized, a subtle fracture line or avulsion fracture could be obscured by the bone marrow edema. Correlation with x-rays recommended to assess for a subtle fracture. 3. Capsular thickening about the PIP joint of the fourth finger suggesting a sprain. No definite tear of the collateral ligaments. No definite tear of the volar plate. There is surrounding soft tissue edema greater dorsally.
Mon, 29 Oct 2018
Report Abuse
General Surgeon 's  Response
Hello,

Consult an orthopaedician and get evaluated. An MRI scan is required for further assessment.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Shinas Hussain, General & Family Physician
I find this answer helpful

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Are A Possible Subtle Fracture And Sprain Showing Capsular Thickening About The PIP Joint Of A Finger Serious Concerns?

Hello, Consult an orthopaedician and get evaluated. An MRI scan is required for further assessment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician