31-year-old male with pain. Evaluate PD tendon ring finger for adhesion versus re-rupture. Evaluation of the flexor digitorum profundus tendon distally is limited due to the relatively poor signal.The flexor digitorum profundus can be traced on the axial sequences to the level of the neck of the middle phalanx at which point the tendon is replaced with intermediate signal intensity. We suspect that this represents adhesions/scarring as we see no fluid-filled gap to indicate re-rupture. On the sagittal sequence, low signal intensity tendon appears to extend to the volar aspect of the distal phalanx. Multiple foci of signal void are noted within the soft tissues along the tendon within the finger, perhaps representing surgical suture material. There is increased space between the flexor tendon apparatus and the proximal phalanx, which is suggestive of of at least a partial tear of the A2 pulley. The bone marrow signal intensity is within normal limits.
1. Limited study due to poor signal. We will attempt to have the patient return for further images, at which point an addendum will be logged.2. Low to intermediate signal in the vicinity of the flexor digitorum profundus tendon likely represents adhesions/scarring. We see no fluid-filled defect to indicate a re-rupture.3. Findings suggestive of at least a partial tear of the A2 pulley of the ring finger of the left hand.