Extensor hood injuries in elite boxers: injury characteristics, surgical technique and outcomes

Gulraj Matharu*, Ian Gatt, Delaney Rachel, Michael Loosemore, Michael Hayton

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

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We describe our experience of managing extensor hood injuries in boxers (57 fingers). The diagnosis was mostly clinical, with imaging only if the diagnosis was equivocal. The middle (61%) and index (26%) digits were most frequently injured. On exploration, 26% had no hood tear, however all required tenolysis from the adherent capsule. Of 42 hood tears, 15 were central splits between adjacent extensor tendons in the index or little fingers,15 tears were on the ulna side of the extensor tendon and 12 tears were on the radial side. A pseudobursa was encountered in 35%, capsular tears in 28% and chondral injury in one patient. Longitudinal curved metacarpophalangeal joint incisions were used, with hood repair performed in flexion using a locked running suture. Mean postoperative metacarpophalangeal joint flexion was 90°. Ninety-eight per cent returned to the same level of boxing at a mean of 8 months (range 1–24) from surgery. One finger was revised for re-rupture 6 months later. A reproducible technique for treating these injuries is described, with patients able to return to boxing with little risk of complications.
Original languageEnglish
Pages (from-to)1-6
JournalJournal of Hand Surgery (European Volume)
Early online date15 Sept 2022
Publication statusE-pub ahead of print - 15 Sept 2022


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