Introduction
Jersey finger injuries should ideally be treated with surgical repair.
These injuries have implications for long term finger and hand function and therefore medical attention should be sought as soon as possible.
Delayed treatment by 1-2 weeks has poor results and the tendon may not be reparable.
Procedure
Surgery is performed under general anaesthetic as day surgery. Zig Zag incision is made on the front of the finger. This may be extended to the palm if the tendon end is retracted.
The tendon end is retrieved and is attached to the bone either with anchors or by passing the sutures through bone.
The hand is placed in a plaster for approximately 6 weeks. During this time, gentle therapy is started. Hand therapy may continue for 3-6 months.
Recovery
- Day surgery procedure.
- 0-1 weeks post op.
- Wound check and start hand therapy.
- 6 weeks post op.
- Remove plaster / splint.
- Start use of the hand for basic tasks e.g.: driving.
- Sports commence when the tendon is at full strength (usually 3 months).
Results
Majority of patients get enough movement and strength back not to cause problems at work or sport.
Risks and complications
These include:
- Finger stiffness.
- Grip weakness.
- Re-rupture.
- Infection.
Missed / chronic jersey finger
Delayed or neglected mallet fingers can cause problems for finger movement and hand function. It can lead to pain and stiffness of the finger when treatment is neglected.
Surgical treatment of neglected jersey finger depends on the age of the injury, the severity of the injury and patient wishes.
Options include:
- Tendon Reattachment.
- Tendon graft.
- Tendon stump excision.
- Finger joint fusion.