Central slip rupture-Diagnosing the central slip injury

China Juhua. Zhou gmail. The aim of the present study was to develop a novel effective surgical method to repair boutonniere deformity resulting from central slip rupture of finger extensor tendon. Currently, there are not standard methods available to treat boutonniere deformity. All patients had a central slip rupture of the ring fingers.

Central slip rupture

We have successfully used autologous palmaris longus tendons to treat boutonniere deformities of the ring fingers on the Cemtral hands resulting from central slip ruptures. User Name Password Sign In. Please vote below and help us build the Miss america oops advanced adaptive learning platform zlip medicine The complexity of this topic is appropriate for? Please login to add comment. Emergency department evaluation and treatment of hand injuries. Without the ruptire slip to straighten Central slip rupture PIP joint, other parts of the extensor mechanism collapse creating a deforming force on the finger joints. Results: We successfully used the autologous palmaris longus tendons in the effective treatment of central slip rupture of the ring fingers Central slip rupture in boutonniere deformity on the left hands. Vermaak P, Devaraj V. Hand Clin 28 : - Figure 3.

Adult otc spanking. Patients and Methods

L5 Central slip rupture Fellow. If the joints are stable and no large fracture Tit breast nipples are present, the injury can be treated with buddy taping i. Inability to actively extend the Central slip rupture joint. L8 - 10 years in practice. If the tendon ruptures without harm to the skin, this is called a closed injury. Army Medical Department or the U. Ruptue reading from March 1, Previous: Cyclic vs. Rettig AC. Progressive extension using a dorsal aluminum splint to improve range of motion. Extensor tendon: anatomy, injury, and reconstruction. Please login to add comment. Avulsion fracture involving more than 30 percent of the joint or inability to achieve full passive extension Inability to actively extend the PIP joint Collateral ligament injury usually at the PIP joint Maximal tenderness at involved collateral ligament Stable joint: buddy tape for two to four weeks.

The central slip is part of the extensor tendon that straightens the proximal interphalangeal joint PIP joint.

  • A central slip tendon injury means that you have damaged the tendon over the middle part of the top of your finger, so you are not be able to straighten your finger.
  • Figure 1.
  • Average 4.

The central slip is part of the extensor tendon that straightens the proximal interphalangeal joint PIP joint. It is often injured from joint dislocation or forced flexion of the PIP joint. The tendon can tear away from the bone or pull a small fracture fragment with it. If left untreated a boutonniere deformity can occur, where the PIP joint rests in a flexed position and the distal interphalangeal joint DIP joint sits in hyperextension.

Without the central slip to straighten the PIP joint, other parts of the extensor mechanism collapse creating a deforming force on the finger joints. Treatment includes holding the PIP joint in an extended position for weeks using a cylinder thermoplastic splint or a dynamic PIP extension splint.

Care is taken to keep the PIP extended at all times. Your hand therapist can show you how to safely don and doff the splint for hygiene whilst maintaining the integrity of the healing central slip tendon. DIP joint flexion exercises are important to maintain the natural balance of the mechanism and prevent a boutonniere deformity.

If you have any questions about a central slip injury, or about another injury to the fingers, hands, wrist, and arms and would like to book an appointment, get in touch today. What Is a Central Slip Injury? No Comments 0. Scenario: Katherine was walking her dog with the lead wrapped around her hand. Her dog suddenly pulled and the lead caught and yanked her finger. The middle joint is now swollen and she cannot straighten her finger. Treating a Central Slip Injury? Your hand therapist can also help to reduce oedema with compression garments.

Philadelphia, Pa. A Uninjured fingers show a symmetric inability to straighten the distal interphalangeal joint when the middle interphalangeal joints are flush against each other. Part II 1 discusses common finger fractures, dislocations, and thumb injuries. Patients with PIP joint injuries may continue to participate in athletic events during the splinting period, although some sports are difficult to play with a fully-extended PIP joint. Antosia RE, Lyn E.

Central slip rupture

Central slip rupture

Central slip rupture

Central slip rupture. Evaluation

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Boutonniere Deformity - Hand - Orthobullets

Average 4. Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine. Just skip this one for now. Review Topic. A surgical procedure is being considered that relocates the lateral bands dorsally to counteract the pathophysiology of the deformity.

Which of the following deformities does this patient most likely have? Chad Krueger. Please rate topic. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? L2 - PGY3. L3 - PGY4. L4 - PGY5. L5 - Fellow. L6 - years in practice. L7 - years in practice. L8 - 10 years in practice. How important is this topic for board examinations? How important is this topic for clinical practice?

No, Thanks Submit. Take This Question Anyway. Review Topic QID: Essential Core Tested Community All. Sort by. All Videos 2 Podcasts 0. Upgrade to View Premium Videos.

Login to View Community Videos. Nabil Ebraheim. Please login to add comment. Cancel Save. Radiographs recommended view radiographs are not required in evaluation and treatment of Boutonniere deformity.

Central slip rupture

Central slip rupture

Central slip rupture