Err 21 year old male had motorcycle accident resulting in injury to right index finger. Patient attended emergency with pain, deformity and bleeding wound. Patient was unable to move right index finger. Radiographs showed fracture proximal phalanx right hand. In emergency patient was given first aid and POP slab.
Next day patient came to our Outpatient department. As there was wound with suspected extensor tendon injury with proximal phalanx fracture. Patient was taken for exploration and further management.
During surgery extensor tendon was found to be partially injured wound was relatively non-contaminated hence fracture was fixed with locking plate.
Goal of treatment was to mobilize patient early which could be achieved stable fixation of fracture and secure repair of tendon.
On first visit patient finger was mobilized and protective removable thermoplastic splint was given for intermittent use. Patient did active finger mobilization with grip strengthening exercises. On final follow up patient had good grip strength and movements.