The classically used Leddy and Packer Classification classifies<unk>  tendon injuries based on the degree of tendon injury, retraction, and presence of a concomitant fracture. Class Description Treatment I Vincula ruptured with tendon retraction to palm Primary tendon repair within 10 days II Vincula intact with tendon retraction to proximal interphalangeal joint Primary tendon repair within 10 days (but may be delayed) III Fracture fragment retains tendon at distal interphalangeal joint Repair of fracture fragment (6 weeks) IV Fracture fragment has tendon avulsed off and retracted Repair of fracture fragment and tendon repair (12 weeks) Often, surgical pins are inserted into the injured digit to stabilize the bone and tendon in their proper alignment. Post surgical complications can include infection, pin failure and nail and joint deformity. Surgery is often accompanied by a rehabilitation protocol to strengthen the injured muscle and help the patient regain as much range of motion (ROM) as possible at the affected joint. The finger may never return normal extension or range of motion (ROM). Repair is commonly done under local anesthesia and a Bruner approach is utilized. Local anesthetic is injected prior to draping and again prior to incision for augmentation of the first injection. An incision is made along the finger and the subcutaneous tissue is dissected to the depth of the flexor sheath. The ruptured tendon is identified, and a tag stitch is placed, next the tendon is pulled through the pulleys using a shoehorn technique. The flexor tendon is then reattached to the distal phalanx using the pants-over-vest technique using a suture anchor repair and over-the-top and pull-out repair. Adequate repair is assessed by asking the patient to make a fist and then wound closure is done.
Jersey finger
Jammed finger
Trigger finger
Pigeon toe
Hammer toe
Pegleg
Jaipur foot
Vibration white finger