Extensor hood injuries in elite boxers: injury characteristics, surgical technique and outcomes.
Gulraj S MatharuIan T GattRachel DelaneyMichael LoosemoreMichael J HaytonPublished in: The Journal of hand surgery, European volume (2022)
We describe our experience of managing extensor hood injuries in boxers (57 fingers). The diagnosis was mostly clinical, with imaging only if the diagnosis was equivocal. The middle (61%) and index (26%) digits were most frequently injured. On exploration, 26% had no hood tear, however all required tenolysis from the adherent capsule. Of 42 hood tears, 15 were central splits between adjacent extensor tendons in the index or little fingers,15 tears were on the ulna side of the extensor tendon and 12 tears were on the radial side. A pseudobursa was encountered in 35%, capsular tears in 28% and chondral injury in one patient. Longitudinal curved metacarpophalangeal joint incisions were used, with hood repair performed in flexion using a locked running suture. Mean postoperative metacarpophalangeal joint flexion was 90°. Ninety-eight per cent returned to the same level of boxing at a mean of 8 months (range 1-24) from surgery. One finger was revised for re-rupture 6 months later. A reproducible technique for treating these injuries is described, with patients able to return to boxing with little risk of complications. Level of evidence: IV.
Keyphrases
- rotator cuff
- end stage renal disease
- minimally invasive
- ejection fraction
- chronic kidney disease
- high resolution
- patients undergoing
- prognostic factors
- case report
- peritoneal dialysis
- body composition
- coronary artery bypass
- cross sectional
- coronary artery disease
- high intensity
- metabolic syndrome
- adipose tissue
- skeletal muscle
- ultrasound guided
- atrial fibrillation
- mass spectrometry
- anterior cruciate ligament reconstruction