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See Latest ArticlesType IV FDP Avulsion: Lessons Learned Clinically and Through Review of the Literature
HAND, 05/07/09
Henry SL et al. - The authors recently encountered two of these injuries, both of which proved challenging, particularly with regard to joint incongruity and tendon adhesions. The authors suggest the following: (1) high index of suspicion of this potentially deceptive injury, with use of magnetic resonance imaging or ultrasound if preoperative confirmation is needed; (2) rigid bony fixation that prevents dorsal subluxation of the distal phalanx; (3) tendon repair that is independent of the bony fixation; and (4) early range of motion therapy.
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