Suggest Treatment For FDP Tendon Injury
The swelling in the base of the middle finger is now causing the middle finger and the ring finger to be joined together.
I can not move the finger/hand in a twisting motion without severe pain.
What should I do?
FDP rupture
Detailed Answer:
hi,
thanks for you question.
your symptoms seem consistent with an FDP rupture or XXXXXXX finger.
The XXXXXXX Finger is a finger-related injury that is common in athletics and can result in permanent loss of flexion of the end of the finger if not surgically repaired.
A XXXXXXX finger is an injury to an FDP tendon at its point of attachment to the distal phalanx. This injury often occurs in XXXXXXX football when a player grabs another player's XXXXXXX with the tips of one or more fingers while that player is pulling or running away. The force of this action hyperextends the tip of the finger at the DIP joint while the proximal portion of the finger is flexed. This action can partially or completely rupture the FDP tendon at or near its attachment point on the distal phalanx. Sometimes, the force is great enough to pull off or avulse a piece of phalangeal bone to which the tendon can remain attached. The torn FDP tendon can retract slightly, remaining in the finger near the PIP joint, or can retract more fully into the palm of the hand. A person who suffers a XXXXXXX finger injury in which the FDP tendon is completely ruptured cannot flex the affected digit at the DIP joint without assistance.
Symptoms include:
A pop or rip felt in the finger at the time of the injury
Pain when moving the injured finger and the inability to bend the last joint
Tenderness, swelling and warmth of the injured finger
Bruising after 48 hours
Occasionally a lump felt in the palm of the finger
surgical repair is often requires and so I would consult a local hand surgeon.
best wishes