18 year old young boy, 12th class student came with fixed flexion deformity of right ring finger at interphalangeal joints. Had history of fall on palmar aspect of hand. Had injury at the base of ring finger. Shown to nearby tertiary care centre. Diagnosed as flexor tendon rupture with open wound. Corrective tendon repair surgery with closure of wound was done immediately.
Unfortunately Patient had not been advised mobilization or stretching exercise post surgery. After 1 month patient noticed he was not able to extend his fingers fully. Because of constant position of PIP and DIP joints in flexion and lack of mobilization and stretching exercises patient developed contracture and deformity. As he was college going student, his main concern was cosmetic appearance of flexed ring finger. On examination, scar tissue was adherent below flexor tendons at head of 4th metacarpal region. 30…
