question-icon

Suggest treatment for FDP tendon injury

default
Posted on Tue, 24 Nov 2015
Question: Yesterday I was walking my dogs and I was holding the retractable leashes in my left hand while I was trying to open a plastic bag to clean up their stool. At that time I turned my left hand to open the bag and I experienced a feeling like something rolled in the area under the middle finger and the there was a snapping feeling & sound. I then had a very sharp pain and immediate pain, discoloration and swelling occured.
The swelling in the base of the middle finger is now causing the middle finger and the ring finger to be joined together.
I can not move the finger/hand in a twisting motion without severe pain.
What should I do?
doctor
Answered by Dr. Karl Logan (24 minutes later)
Brief Answer:
FDP rupture

Detailed Answer:
hi,

thanks for you question.

your symptoms seem consistent with an FDP rupture or XXXXXXX finger.

The XXXXXXX Finger is a finger-related injury that is common in athletics and can result in permanent loss of flexion of the end of the finger if not surgically repaired.

A XXXXXXX finger is an injury to an FDP tendon at its point of attachment to the distal phalanx. This injury often occurs in XXXXXXX football when a player grabs another player's XXXXXXX with the tips of one or more fingers while that player is pulling or running away. The force of this action hyperextends the tip of the finger at the DIP joint while the proximal portion of the finger is flexed. This action can partially or completely rupture the FDP tendon at or near its attachment point on the distal phalanx. Sometimes, the force is great enough to pull off or avulse a piece of phalangeal bone to which the tendon can remain attached. The torn FDP tendon can retract slightly, remaining in the finger near the PIP joint, or can retract more fully into the palm of the hand. A person who suffers a XXXXXXX finger injury in which the FDP tendon is completely ruptured cannot flex the affected digit at the DIP joint without assistance.

Symptoms include:

A pop or rip felt in the finger at the time of the injury
Pain when moving the injured finger and the inability to bend the last joint
Tenderness, swelling and warmth of the injured finger
Bruising after 48 hours
Occasionally a lump felt in the palm of the finger

surgical repair is often requires and so I would consult a local hand surgeon.

best wishes




Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Karl Logan

Orthopaedic Surgeon

Practicing since :1999

Answered : 705 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for FDP tendon injury

Brief Answer: FDP rupture Detailed Answer: hi, thanks for you question. your symptoms seem consistent with an FDP rupture or XXXXXXX finger. The XXXXXXX Finger is a finger-related injury that is common in athletics and can result in permanent loss of flexion of the end of the finger if not surgically repaired. A XXXXXXX finger is an injury to an FDP tendon at its point of attachment to the distal phalanx. This injury often occurs in XXXXXXX football when a player grabs another player's XXXXXXX with the tips of one or more fingers while that player is pulling or running away. The force of this action hyperextends the tip of the finger at the DIP joint while the proximal portion of the finger is flexed. This action can partially or completely rupture the FDP tendon at or near its attachment point on the distal phalanx. Sometimes, the force is great enough to pull off or avulse a piece of phalangeal bone to which the tendon can remain attached. The torn FDP tendon can retract slightly, remaining in the finger near the PIP joint, or can retract more fully into the palm of the hand. A person who suffers a XXXXXXX finger injury in which the FDP tendon is completely ruptured cannot flex the affected digit at the DIP joint without assistance. Symptoms include: A pop or rip felt in the finger at the time of the injury Pain when moving the injured finger and the inability to bend the last joint Tenderness, swelling and warmth of the injured finger Bruising after 48 hours Occasionally a lump felt in the palm of the finger surgical repair is often requires and so I would consult a local hand surgeon. best wishes