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The sprained finger that isn't

E T O'Brien

    American Family Physician
    |March 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Many athletic finger injuries are misdiagnosed as sprains. Proper diagnosis using history, examination, and X-rays is crucial for effective treatment and better outcomes in finger injuries.

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    Area of Science:

    • Orthopedic Surgery
    • Sports Medicine
    • Radiology

    Background:

    • Athletic injuries to the finger are common.
    • Misdiagnosis of finger injuries can lead to suboptimal treatment outcomes.
    • Sprained finger is a frequent but often inaccurate diagnosis for more severe injuries.

    Purpose of the Study:

    • To identify common athletic finger injuries often misdiagnosed as sprains.
    • To outline diagnostic methods for accurate identification of these injuries.
    • To emphasize the importance of early and correct diagnosis for optimal patient outcomes.

    Main Methods:

    • Review of common athletic finger injuries.
    • Description of diagnostic techniques including patient history, physical examination, and radiographic imaging (anteroposterior, lateral, oblique X-rays).

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  • Discussion of treatment implications based on diagnostic accuracy.

    • Main Results:

    • Six specific injuries are frequently misdiagnosed as sprained fingers: three types of closed tendon injuries, two types of intra-articular fractures of the middle joint, and volar plate avulsion of the middle joint.
    • Accurate diagnosis is achievable through a combination of thorough history taking, comprehensive physical examination, and appropriate radiographic views.
    • Delayed or missed diagnoses can necessitate reconstructive procedures with inferior results compared to early intervention.

    Conclusions:

    • Accurate diagnosis of athletic finger injuries requires differentiating them from simple sprains.
    • A systematic approach involving clinical assessment and specific X-ray views is essential for correct diagnosis.
    • Timely and accurate diagnosis significantly improves treatment efficacy and patient prognosis for athletic finger injuries.