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Jammed finger
From WikEM
Contents
Background
- Axial loading force leads to prolonged swelling of PIP
Clinical Features
Differential Diagnosis
Hand and finger injuries
- Radiograph positive
- Radiograph negative
- Dupeytren contracture
- Boutonniere deformity
- Hand and finger tendon injuries
- Ganglion cyst
- De Quervain tenosynovitis
- Intersection syndrome
- Drummer's wrist
- Extensor digitorum tenosynovitis
- Vaughn Jackson syndrome
- Snapping Extensor Carpi Ulnaris
- Compressive neuropathy, "bracelet syndrome"
- Scaphoid fracture
- Osteoarthritis
- Infiltrative tenosynovitis
- Gout
- Rheumatoid arthritis
- Trigger finger
- Mallet finger
- Jersey finger
- Jammed finger
- Subungual hematoma
- Fingertip laceration
- Metacarpophalangeal (MCP) ulnar ligament rupture (Gamekeeper's thumb)
- Nail avulsion
- High-pressure injection injury
Evaluation
- X-ray negative
- Volar plate sprain
- No weakness
- Treatment: buddy tape
- Central slip injury
- mild extensor weakness
- may become Boutonniere
Management
- Dorsal Finger Splint in extension
See Also
References
- Atlas of Emergency Medicine
