Concurrent Ring Finger Middle Phalanx Fracture and Jersey Finger in a Rugby Player

Five patients were successfully treated with a modified “on-top-plasty” technique, in which a finger stump is lengthened by transfer of an adjacent amputation stump with a reverse blood flow fingerstump. This technique can be performed in the acute phase or as a secondary procedure. A conventional on-top-plasty can be performed by transfer of a partially amputated index or ring finger to the “top” of the proximal phalanx of an amputated middle finger. Alternatively, the transferred part may be used in an intercalated fashion to reconstruct the middle phalanx, using a prosthesis to reconstruct the proximal interphalangeal joint. The results, complications and disadvantages of the technique are reported. We propose this procedure for the reconstruction of the middle ring finger when a free microneurovascular toe-to-hand transfer is contraindicated or refused by the patient.

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Case of Treatment of Snakebite on Finger with Topical Oxygen Therapy

Archives of Hand and Microsurgery ◽

10.12790/ahm.20.0061 ◽

2020 ◽

Vol 25 (4) ◽

pp. 292-296

Author(s):

Hwan Jun Choi ◽

Da Woon Lee ◽

Hyeong Rae Ryu ◽

Jun Hyuk Kim ◽

Jun Ho Lee

Keyword(s):

Physical Examination ◽

Compartment Syndrome ◽

Clinical Experience ◽

Male Patient ◽

Skin Necrosis ◽

Oxygen Therapy ◽

Ring Finger ◽

Early Surgery ◽

Middle Phalanx ◽

Volar Aspect

Snakebites, though uncommon, are a potentially serious cause of disability or death. Local symptoms may include pain, edema, or ecchymosis that may progress to skin necrosis or compartment syndrome. This study explores the case of a 4-year-old male patient bitten by a snake on the distal volar aspect of his left ring finger. On physical examination, there were moderate swelling, hemobullae formation, and the skin necrosis was progressing on middle phalanx of ring finger. Fasciotomy and topical oxygen therapy was performed. The topical oxygen therapy (TOT) was started once a day for 90 minutes with 4 L/minute of oxygen flow. TOT is a method of delivering humidiﬁed oxygen directly to the wound bed to support the healing of chronic and hypoxic wounds. There is no report on TOT for snakebite injury. In this report, we would like to report on the clinical experience of early surgery and adjuvant TOT with literary consideration.

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Free Vascularized Joint Transfer from Toes for Finger Reconstruction in a 2-Year-Old Child with Good Functional Recovery

Journal of Hand and Microsurgery ◽

10.1055/s-0041-1732807 ◽

2021 ◽

Author(s):

Jyoshid R. Balan

Keyword(s):

Road Traffic ◽

Ring Finger ◽

Middle Finger ◽

Tissue Loss ◽

Soft Tissue Reconstruction ◽

Middle Phalanx ◽

Pip Joint ◽

Tissue Reconstruction ◽

Distal Interphalangeal ◽

The Right

AbstractA 2-year-old male child sustained injury to middle and ring fingers of the right hand following a road traffic accident. He had mutilated fingers with loss of middle phalanx along with proximal interphalangeal (PIP) joint, distal interphalangeal joint of middle finger, and loss of part of middle phalanx and PIP joint of the ring finger. There was dorsal tissue loss of both the fingers. With staged reconstructive strategy, we could salvage the fingers. In the initial part, the soft tissue reconstruction was done using pedicled groin flap. In the later stage, free PIP joint transfer from the second toes of both feet was used to reconstruct the bone and PIP joint of the ring and middle finger. A year following the joint transfer, the child had good functional outcome.

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Corrective Step-cut Osteotomy at the Affected Bone for Correction of Rotational Deformity Due to Fracture of the Middle Phalanx

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s0218810417720157 ◽

2017 ◽

Vol 22 (02) ◽

pp. 240-243 ◽

Cited By ~ 1

Author(s):

Hiroyuki Fujioka ◽

Yohei Takagi ◽

Juichi Tanaka ◽

Shinichi Yoshiya

Keyword(s):

Present Report ◽

Proximal Phalanx ◽

Ring Finger ◽

Distal Portion ◽

Middle Phalanx ◽

Distal Interphalangeal Joint ◽

Metacarpal Bones ◽

Distal Interphalangeal ◽

Displaced Fracture ◽

Functional Problems

Malunion at the shaft of the middle phalanx yields less functional problems compared with malunion at the shaft of the proximal phalanx and metacarpal bones. In the present report, the patient sustained a minimally displaced fracture at the distal portion of the distal middle phalanx of the ring finger spraining the finger during playing flag football. Fracture was treated conservatively and fracture union was completed. However, the patient complained of functional problems in activities of daily living due to the malrotational deformity of the finger. We treated the malrotational deformity close to the distal interphalangeal joint of the middle phalanx with step-cut osteotomy at the affected bone successfully.

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The effect of flexor digitorum profundus tendon shortening on jersey finger surgical repair: a cadaveric biomechanical study

Journal of Hand Surgery (European Volume) ◽

10.1177/1753193415585311 ◽

2015 ◽

Vol 40 (7) ◽

pp. 729-734 ◽

Cited By ~ 2

Author(s):

J. D. Gillig ◽

M. D. Smith ◽

W. C. Hutton ◽

C. D. Jarrett

Keyword(s):

Current Practice ◽

Delayed Diagnosis ◽

Ring Finger ◽

Linear Increase ◽

Biomechanical Study ◽

Flexor Digitorum Profundus ◽

Finger Injuries ◽

Flexor Digitorum ◽

Jersey Finger ◽

Flexor Digitorum Profundus Tendon

Delayed diagnosis of jersey finger injuries often results in retraction of the flexor digitorum profundus tendon. Current practice recommends limiting tendon advancement to 1 cm in delayed repairs. The purpose of this study was to investigate the biomechanical consequences of tendon shortening on the force required to form a fist. The flexor digitorum profundus muscle was isolated in ten cadaveric forearms and the force required to form a fist was recorded. Simulated jersey finger injuries to the ring finger were then created and repaired. The forces required to pull the fingertips to the palm after serial tendon advancements were measured. There was a near linear increase in the force required for making a fist with shortening up to 2.5 cm. The force required to make a fist should be taken into account when considering the limit of ‘safe’ tendon shortening in delayed repair of jersey finger injuries.

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Absent Ring Finger Flexor Digitorum Profundus Presenting as a Jersey Finger

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2016.02.003 ◽

2016 ◽

Vol 41 (5) ◽

pp. e95-e97 ◽

Cited By ~ 1

Author(s):

Brad Hyatt ◽

Peter C. Rhee ◽

Steven L. Moran ◽

Scott P. Steinmann

Keyword(s):

Ring Finger ◽

Flexor Digitorum Profundus ◽

Flexor Digitorum ◽

Jersey Finger

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Assessment of Usefulness of Anthropometric Data for Predicting the Scaphoid and the Screw Length: A New Technique

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s0218810417500460 ◽

2017 ◽

Vol 22 (04) ◽

pp. 435-440 ◽

Cited By ~ 1

Author(s):

Darshan Kumar A. Jain ◽

Naresh Shetty ◽

L Naveen Kumar ◽

D. C Sundaresh

Keyword(s):

Axial Length ◽

Scaphoid Fracture ◽

Ring Finger ◽

Middle Phalanx ◽

Actual Length ◽

Positive Correlation ◽

Screw Length ◽

Fresh Frozen ◽

Middle Ring ◽

Little Finger

Background: Headless screw is frequently used for scaphoid fracture fixation. Aim of the study was to assess the correlation between the axial length of the scaphoid and the axial length of the middle phalanx of index, middle, ring and little finger so as to provide an indirect method to assess the length of the scaphoid and thereby the length of the screw. Methods: Thirty five fresh frozen cadavers with seventy wrists and hands were dissected. The age, sex and side were recorded. The axial length of the scaphoid, axial length of the middle phalanx of index, middle, ring and little finger were recorded and a correlation was assessed. Five cadavers were randomly selected and radiographs of the hand were done. Pearson coefficient correlation was assessed between the axial length of the middle phalanx of ring finger on a radiograph and actual length of middle phalanx. Results: A significant positive correlation was noted between the axial length of the scaphoid and the axial length of the middle phalanx of ring finger (r = 0.646), also a positive correlation between the axial length of middle phalanx of ring finger on a radiograph and the axial length of the scaphoid measured by vernier caliper (r = 0.91). Conclusions: A preoperative radiograph of the wrist with hand will help us indirectly assess the axial length of the scaphoid by measuring the axial length of the middle phalanx of ring finger.

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