Adam Walmsley¹*, Christopher Wylde² and Matthew Lawson-Smith¹

¹Department of Hand Surgery, Fremantle Hospital, Fremantle, Western Australia, Australia
²Department of Orthopaedic Surgery, Fremantle Hospital, Fremantle, Western Australia, Australia
³University of Notre Dame, Fremantle, Western Australia, Australia

*Corresponding Author: Adam Walmsley, Department of Hand Surgery, Fremantle Hospital, Fremantle, Western Australia, Australia.

Received: December 14, 2022; Published: January 09, 2023

Abstract

Flexor Digitorum Profundus injuries or ‘Jersey finger’ results from forceful hyperextension of DIPJ with the FDP in maximal contraction. This case report examines bilateral sequential FDP avulsion fractures and focuses on a novel surgical repair using a 1.3mm Synthes LC-DCP in a hook plate fashion which achieved anatomical reduction, healing and full return of function.
Our patient had excellent outcomes following his injury and subsequent surgery to near normal functional levels. Normal PIPJ range of motion and near normal DIPJ range of motion. He achieved a grip strength of 52kg in his dominant hand and reported minimal pain throughout the entire process.
Whilst the hook plate is not a new technique for hand-based avulsion injuries, suffering sequential bilateral FDP avulsions within seconds of each other was something not seen in the literature. The authors believe simple non comminated FDP avulsions can be treated successfully with simple hook plating alone and further fixation is not required.

Keywords: Flexor Digitorum Profundus; Avulsion; Jersey Finger; Hook Plate

References

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2. Theivendran Kanthan., et al. “A Novel Hook Plate Fixation Technique for the Treatment of Mallet Fractures”. Annals of Plastic Surgery1 (2007): 112-115.
3. Kang Gavin Chun-Wui., et al. “The Hook Plate Technique for Fixation of Phalangeal Avulsion Fractures”. Journal of Bone and Joint Surgery11 (2012).
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Citation

Citation: Adam Walmsley., et al. “FDP Avulsion - A Simple Reliable Technique for Fixation”.Acta Scientific Orthopaedics 6.2 (2023): 08-10.

Copyright

Copyright: © 2023 Adam Walmsley., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.