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by Kellicker PG

Finger Flexor Tendon Injury

(Jersey Finger)

Definition

Tendons connect muscles to bone. The fingers have tendons that run all the way up to the finger tips. The tendons on the palm side let you curl your fingers. A flexor tendon injury is damage to these tendons. When the tendons are damaged, you can lose your ability to bend your finger(s).

Healthy Flexor Tendons of the Hand

Causes

Flexor tendon injures most commonly occur as a cut or laceration to the hand. Other causes include:

Damage to the tendon from:
- A cut to fingers—palm side
- A sports injury:
  - Stretching of tendon
  - Jersey finger—when finger catches on another player’s jersey or clothing
- Rheumatoid arthritis

Risk Factors

Factors that may increase your chance of a flexor tendon injury include:

Participating in certain sports, such as:
- Rugby
- Football
- Wrestling
Rheumatoid arthritis

Symptoms

Symptoms may include:

Pain
Swelling
Tenderness
Inability to bend finger
Cut to hand or fingers
Loss of sensation

Diagnosis

You will be asked about your symptoms and medical history. A physical exam will be done. During the exam, you will be asked to bend and straighten your fingers. Your doctor will also check your fingers for sensation, blood flow, and strength. You may be referred to a hand surgeon or an orthopedist—a doctor who specializes in bones.

Treatment

Talk with your doctor about the best plan for you. Most patients with this type of injury require surgery. Surgery may be scheduled right away or within several days. Treatment options include the following:

Medications

Depending on the type of injury, you may receive antibiotics to prevent infection.

Surgery

Tendons that are cut or ruptured require surgery. The hand surgeon may sew the tendon back together. It may be necessary to sew the tendon back to the muscle.

Rehabilitation

After surgery, you will be given a splint to protect your hand. You will be told how long to wear it. It may be up to two months. A physical therapist or occupational therapist will work with you to regain your finger strength and range of motion.

Prevention

Flexor tendon injuries are typically caused by accidental injuries. There are no known prevention guidelines for this injury.

RESOURCES

American Society for Surgery of the Hand
http://www.assh.org

Ortho Info—American Academy of Orthopaedic Surgeons
http://orthoinfo.aaos.org

CANADIAN RESOURCES

Canadian Orthopaedic Association
http://www.coa-aco.org

When it Hurts to Move—Canadian Orthopaedic Foundation
http://whenithurtstomove.org

References

Flexor tendon injuries. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00015. Updated January 2011. Accessed September 25, 2014.

Flexor tendon injuries. American Society for Surgery of the Hand website. Available at: http://handcare.assh.org/Portals/1/flexor%5Finjuries.pdf. Published 2012. Accessed September 25, 2014.

Ruchelsman DE, Christoforou D, et al. Avulsion injuries of the flexor digitorum profundus tendon. J Am Acad Orthop Surg. 2011;19(3):152-162.

Revision Information

Reviewer: Teresa Briedwell, PT, DPT, OCS, CSCS
Review Date: 09/2016
Update Date: 09/25/2014

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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

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