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Traumatic extensor tendon dislocation in a boxer: a case study.

Robert Thurston Bents1, John Patrick Metz, Steven Mark Topper

  • 1Orthopedic Clinic, U.S. Air Force Academy, 4102 Pinion Drive, Colorado Springs, CO 80840, USA. Robert.Bents@usafa.af.mil

Medicine and Science in Sports and Exercise
|October 3, 2003
PubMed
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An elite boxer experienced extensor tendon subluxation in his small finger. Surgical repair of divergent dislocation and capsular rupture led to a successful return to boxing.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Hand Surgery

Background:

  • Extensor tendon subluxation at the metacarpophalangeal (MCP) joint is a potential injury in athletes.
  • Injuries often involve sagittal bands, collateral ligaments, extensor tendons, or the joint capsule.

Observation:

  • An elite collegiate boxer presented with extensor tendon subluxation in the small finger of his dominant hand.
  • Initial assessment suggested radial sagittal band disruption, allowing continued play with padding.

Findings:

  • Surgical exploration revealed intact sagittal bands but divergent dislocation of the small finger's extensor tendons.
  • An underlying capsular rupture was identified as the primary cause.

Implications:

Related Experiment Videos

  • Accurate diagnosis of dorsal MCP joint soft tissue injuries is critical.
  • Surgical reconstruction is often necessary for athletes to regain optimal hand function.
  • Prompt treatment can facilitate a successful return to sport after complex extensor tendon injuries.