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Closed central slip injuries--a missed diagnosis?
1Department of Plastic Surgery, Cork University Hospital, Wilton, Cork. noranugent@gmail.com
Irish Medical Journal
|December 1, 2011
Summary
Closed central slip injuries, often sports-related, are frequently misdiagnosed, leading to delayed treatment and boutonniere deformities. Simple clinical tests can accurately diagnose these finger extensor apparatus injuries.
Area of Science:
- Orthopedics
- Sports Medicine
- Hand Surgery
Background:
- Finger extensor apparatus injuries can cause significant digital dysfunction.
- Closed central slip injuries are often overlooked due to lack of external signs, potentially leading to untreated boutonniere deformities.
Purpose of the Study:
- To quantify patients with closed central slip injuries.
- To evaluate the accuracy of initial diagnoses for these injuries.
- To determine the incidence of delayed diagnosis and resulting deformities.
Main Methods:
- Prospective recording of patients presenting with closed central slip injuries over a 6-month period.
- Documentation of initial diagnosis, time to definitive diagnosis, and presence of boutonniere deformity.
- Inclusion of ten patients in the study cohort.
Main Results:
- Seven out of ten (70%) injuries were sport-related.
- Eight out of ten (80%) patients experienced delayed diagnosis of their central slip injury.
- Six out of ten (60%) patients had previously sought medical attention.
- Seven out of ten (70%) patients developed boutonniere deformities.
Conclusions:
- Closed central slip injuries are often missed in initial assessments.
- Delayed diagnosis is common, increasing the risk of boutonniere deformity.
- Simple clinical examinations are effective for diagnosing central slip disruption.
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