Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 6 Issue 2

FDP Avulsion - A Simple Reliable Technique for Fixation

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

  1. Brustein Marshall., et al. “Bone Suture Anchors versus the Pull out Button for Repair of Distal Profundus Tendon Injuries: A Comparison of Strength in Human Cadaveric Hands”. The Journal of Hand Surgery3 (2001): 489-496.
  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).
  4. Acar MA., et al. “Clinical Comparison of Hook Plate Fixation versus Extension Block Pinning for Bony Mallet Finger: A Retrospective Comparison Study”. Journal of Hand Surgery (European Volume)8 (2015): 832-839.
  5. Lee JY and LC Teoh. “Dorsal Fracture Dislocations of the Proximal Interphalangeal Joint Treated by Open Reduction and Interfragmentary Screw Fixation: Indications, Approaches and Results”. Journal of Hand Surgery2 (2006): 138-146.
  6. Szalay G., et al. "Operative treatment of osseous pull out of the extensor tendon using a hook plate”. Operative Orthopadie und Traumatologie2 (2011): 151-157.

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.




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