Closed central slip injuries--a missed diagnosis?

Hdl Handle:
http://hdl.handle.net/10147/213689
Title:
Closed central slip injuries--a missed diagnosis?
Authors:
Nugent, N; O'Shaughnessy, M
Affiliation:
Department of Plastic Surgery, Cork University Hospital, Wilton, Cork. noranugent@gmail.com
Citation:
Closed central slip injuries--a missed diagnosis? 2011, 104 (8):248-50 Ir Med J
Journal:
Irish medical journal
Issue Date:
Sep-2011
URI:
http://hdl.handle.net/10147/213689
PubMed ID:
22125881
Abstract:
The extensor apparatus of the finger is a complex structure and injury can lead to significant digital dysfunction. Closed central slip injuries may be missed or diagnosis delayed because of lack of an open wound and often no radiographic abnormality, and can result in boutonniere deformities if untreated. This study aimed to quantify the number of patients attending with closed central slip injuries and to ascertain if the initial diagnosis was correct. The number of patients presenting to us over a 6 month period was recorded. The original diagnosis, time to diagnosis of central slip injury and the presence/absence of a boutonniere deformity were recorded. Ten patients were included in the study. Seven (70%) injuries were due to sport. Eight (80%) had a delayed diagnosis of central slip injury. Six (60%) had previously presented to general practitioners or emergency departments. Seven (70%) had boutonniere deformities. Closed central slip injuries can be missed. Simple clinical tests can diagnose central slip disruption.
Item Type:
Article
Language:
en
MeSH:
Adolescent; Adult; Athletic Injuries; Diagnosis, Differential; Female; Finger Injuries; Humans; Male
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorNugent, Nen
dc.contributor.authorO'Shaughnessy, Men
dc.date.accessioned2012-03-01T09:30:13Z-
dc.date.available2012-03-01T09:30:13Z-
dc.date.issued2011-09-
dc.identifier.citationClosed central slip injuries--a missed diagnosis? 2011, 104 (8):248-50 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid22125881-
dc.identifier.urihttp://hdl.handle.net/10147/213689-
dc.description.abstractThe extensor apparatus of the finger is a complex structure and injury can lead to significant digital dysfunction. Closed central slip injuries may be missed or diagnosis delayed because of lack of an open wound and often no radiographic abnormality, and can result in boutonniere deformities if untreated. This study aimed to quantify the number of patients attending with closed central slip injuries and to ascertain if the initial diagnosis was correct. The number of patients presenting to us over a 6 month period was recorded. The original diagnosis, time to diagnosis of central slip injury and the presence/absence of a boutonniere deformity were recorded. Ten patients were included in the study. Seven (70%) injuries were due to sport. Eight (80%) had a delayed diagnosis of central slip injury. Six (60%) had previously presented to general practitioners or emergency departments. Seven (70%) had boutonniere deformities. Closed central slip injuries can be missed. Simple clinical tests can diagnose central slip disruption.-
dc.language.isoenen
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAthletic Injuries-
dc.subject.meshDiagnosis, Differential-
dc.subject.meshFemale-
dc.subject.meshFinger Injuries-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.titleClosed central slip injuries--a missed diagnosis?en
dc.typeArticleen
dc.contributor.departmentDepartment of Plastic Surgery, Cork University Hospital, Wilton, Cork. noranugent@gmail.comen
dc.identifier.journalIrish medical journalen
dc.description.provinceMunster-

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