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Review Question - QID 1132

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QID 1132 (Type "1132" in App Search)
A 16-year-old football player sustains an injury to his ring finger after making a tackle. A clinical photograph is shown in Figure A. What is the most likely diagnosis?
  • A

Flexor digitorum superficialis avulsion

4%

247/5887

Central slip rupture

2%

135/5887

Sagittal band rupture

1%

74/5887

Distal extensor tendon rupture

2%

93/5887

Flexor digitorum profundus avulsion

90%

5310/5887

  • A

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The photograph demonstrates the inability to flex the ring finger DIP. Based on the mechanism and clinical findings this injury represents a "rugby jersey finger", which is an avulsion of the flexor digitorum profundus (FDP) tendon.

Tuttle et al reviewed these injuries and concluded treatment for an acute injury is FDP tendon reinsertion. For chronic injuries, a 2-staged tendon grafting is required.

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