Phalange Injuries

By: Cody Dussault& Mekae Hyde

Anatomy of the Hand

The hand is made up of numerous bones, muscles, and ligaments, and is one of the most vital body parts. If any of the bones, muscles, or ligaments are injured it will reduce the athletes functional ability to use his/her hand.

http://www.schroeerscientific.com/images/hand-muscles-framed.jpg

Boutonniere Deformity

http://www.eorthopod.com/images/ContentImages/hand/finger_boutonniere/finger_bouton_diagnosis01.jpg

CauseBoutonniere Deformity is by any force that bends the

PIP joint. Also when the PIP joint is extended to much.

Symptoms•Swelling•Pain on top of middle joint•Can’t Straighten Finger

Boutonniere deformity is an injury to the tendon in your fingers that prevents the finger from totally straightening. Results in the middle joint bending down, while the fingertip bends back.

Mallet Finger

http://www.eorthopod.com/images/ContentImages/hand/finger_mallet/finger_mallet_intro01.jpg

CauseMallet finger is caused by the jamming your finger;

the tendon on the back of the finger is separated from the muscle it connects to.

Symptoms•Inability to extend distal phalange•Deformity•Loss of Function•Flexed Finger 30 Degrees

Mallet finger is a common athletic injury occurring when the outermost joint of the finger is injured.

3 TypesMild – Tendon is damaged, but no fractures.Moderate – Tendon ruptures with small fracture.Severe – Tendon ruptures with large fracture.

JerseyFinger

http://www.aafp.org/afp//AFPprinter/20060301/810_f4.jpg

CauseJersey finger is caused by sudden extension of the

finger against resistance. Most common when grabbing the jersey of an opponent that is pulling away.

Symptoms•Swelling•Loss of Function•Inability to Flex Finger

Jersey Finger is an injury to the finger flexor tendons resulting in an inability to bend the fingertip. Flexor Digitorum Profundis (FDP) is the tendon on the inside of the fingers that is injured. Can be strained, ruptured, or an avulsion.

Preventing Hand Injuries

-braces, tape, gloves, and padding

- gloves and tape prevent wounds

- padding prevents bruising

- braces prevent against sprainshttps://www.homecraft-rolyan.com/catalog/images/50543_A5801.jpg

Mallet Finger- Splint into extension and refer to team physician. Physician can surgically repairs or keep it splinted or keep it splinted. 

Jersey Finger - Splint and P.R.I.C.E. X-ray needed physician decides about surgery.  

Boutonniere Deformity - Splint the finger. In most cases splinting will heal the injury and surgery won’t be necessary.

Treating Hand Injuries

Rehab Exercises

http://images.google.com/imgres?imgurl=http://www.med.umich.edu/1libr/sma/xmalletf.gif&imgrefurl=http://www.med.umich.edu/1libr/sma/sma_xmalletf_art.htm&usg=__FtkD1D2eLoedwDx3_w9e0VaNpmo=&h=693&w=520&sz=23&hl=en&start=3&um=1&tbnid=fcStB7tDo1zJ3M:&tbnh=139&tbnw=104&prev=/images%3Fq%3Dfinger%2Bexercises%26hl%3Den%26client%3Dsafari%26rls%3Den-us%26sa%3DN%26um%3D1

Rehab Exercises

Passive range of motion- Grab the tip of your finger and bend it as far down as possible with limited pain.

Fist making- Clinch your hand into your fist.

Object pick up- Take the smallest object possible like a button or bead, and you can only pick it up with your index finger and thumb.

Finger Extension- Ben your finger than straighten it repeatedly

Grip Strengthening- Get a ball that you can grip than keep squeezing the ball repeatedly.

Sources

AAOS. Boutonnière Deformity. May 15, 2009http://orthoinfo.aaos.org/topic.cfm?topic=A00004 

Affinity Orthopedics and Sports Medicine. May 15, 2009. Dawn M. Mueller, M.S.P.A.A, PA-Chttp://www.paworld.net/DawnMueller/frame.htm 

Emedicine Health. Mallet Finger. May 15, 2009http://www.emedicinehealth.com/mallet_finger/article_em.htm 

Procure Medical Association. Jersey Finger . May 17, 2009http://www.drkelly.us/Injuries/Jersey%20Finger.asp