Injury to a collateral ligament at the interphalangeal (IP) joint of the finger, usually the proximal interphalangeal (PIP) joint:
1st degree: pain but no laxity
2nd degree: pain and l...
Finger struck by player or ball during play
Axial trauma causing forced ulnar or radial deviation
Usually presents acutely but may become chronic
Pain and swelling over radi...
Immobilization:
Guided by level of activity, degree of pain, and disability
Mild injures may be “buddy taped,” and patient may consider immediate return to play depending on fu...
Follow up in 1 to 2 wk for reevaluation of laxity.
Refer significant fractures for possible ORIF 4[C].
If uncertain of possible central slip/volar plate injury, ref...
Alexy C, De Carlo M. Rehabilitation and use of protective devices in hand and wrist injuries. Clin Sports Med. 1998;17(3):635–655.
Palmer RE. Joint injuries of the hand in athl...
Ensure active ROM in all affected and surrounding joints to rule out more significant ligamentous injuries.
Return to play depends on severity and demands of sport, but frequently, imme...
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