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Ring Finger A3 Strain?
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jonesml5


Sep 22, 2010, 9:09 PM
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Registered: Feb 1, 2005
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Ring Finger A3 Strain?
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I think I pulled or tore my A3 in my ring finger. I slipped off a foothold on Saturday with my right hand on a thin sidepull. I held on and could feel something pull, but there was no popping noise or anything. It didn't hurt too bad, but movement was a little constrained.

The sharpest pain comes if I press a specific spot on the side of the finger which seems close to the end of where the A3 should be, but it doesn't hurt if I don't press on it. A medium pain comes when my finger is almost closed into a fist. The PIP joint feels a little swollen and the finger feels a bit stiff, but there's not that much swelling.

I tried AROM and light exercise the next day, and very light climbing putting little weight on the finger 72 hours later, but it seemed to be too early as it swelled up a bit more. I've been resting it since then and it feels pretty good, just a bit stiff.

Does that sound like an A3 strain or minor tear? Any advice on when to start doing AROM and light exercise or otherwise?

Thanks in advance,
Mike


aerili


Sep 23, 2010, 1:38 PM
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Re: [jonesml5] Ring Finger A3 Strain? [In reply to]
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Possible, or possible collateral ligament sprain given the location.

You can probably do AROM immediately provided it does not swell more, but obviously trying to climb was going overboard. Ice after exercise.


jonesml5


Sep 24, 2010, 9:53 PM
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Re: [aerili] Ring Finger A3 Strain? [In reply to]
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Hey, thanks Aerili, very helpful.

I think you are right on the collateral ligament suggestion. I found the other thread on it and did the test, which I'm fairly sure came out positive. I didn't want to push it too hard as it felt tender and in the thread it says you can damage it with the test, but I think it was clear enough.

On AROM, how much should I push it? It doesn't really seem to swell up, but I can feel a bit of tenderness, even without pushing it too hard (with it's own strength of course).

I also read what you and others wrote about connective tissue disorder. I don't think I have that, but I have had chronic problems with my fingers for almost two years even with pretty significant gaps of rest (months sometimes). Before this latest one though, I think it has all been once recurring case of tenosynovitis.


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