Extensor hood injuries in elite boxers: injury characteristics, surgical technique and outcomes

Author:

Matharu Gulraj S.1ORCID,Gatt Ian T.2,Delaney Rachel3,Loosemore Michael4,Hayton Michael J.5

Affiliation:

1. Musculoskeletal Research Unit, Bristol Medical School, University of Bristol, Southmead Hospital, Westbury-on-Trym, Bristol, UK

2. Physiotherapy Department, English Institute of Sport, Sheffield, UK

3. Hand Therapy Department, The OrthTeam Centre, Manchester, UK

4. Institute of Sport, Exercise and Health (ISEH), University College London, London, UK

5. The Upper Limb Unit, Wrightington Hospital, Lancashire, UK

Abstract

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

Publisher

SAGE Publications

Subject

Surgery

Cited by 3 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. New Insights into Boxer’s Knuckle Injury of the Little Finger;Journal of Clinical Medicine;2023-12-21

2. Boxer's knuckle: Sonographic anatomy and assessment of sagittal band tears of the dorsal hood;Australasian Journal of Ultrasound in Medicine;2023-10-12

3. Wrist & Hand;Bone & Joint 360;2023-04-01

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