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Volar Plate Avulsion Injury
Physiotherapy and Hand Therapy Singapore

For appointments/enquiries, please SMS/Call/WhatsApp 96402670

What is a volar plate avulsion injury?

Volar plate injuries are often termed as a "jammed finger". Our volar plate is a very thick ligament that helps to prevent the joint from hyperextending and preventing hyperextension injuries.

But, if there's significant and enough force in a hyperextension manner, it may cause enough disruption to rupture the volar plate at its insertion point at the middle of the phalanx of a finger. This often causes a small piece of the bone fragment from the middle phalanx being pulled off (avulsion), by the ligament as it hyperextends.

The same injury may also cause or involve a collateral ligament tear. Our collateral ligament of our fingers functions like a car's suspensions - providing stability from excessive side-to-side motion at the finger joints.

What causes a volar plate avulsion injury?

Volar plate avulsion injury can happen when one's proximal interphalangeal joint (PIPJ) is hyperextended to a point where is causes a ligamentous injury.

Many of such injuries are commonly seen in athletes and sports people, especially those who are actively engaged in sports that has balls and trajectories...but it's not limited to sports people. Very often, it often happens to . Injuries to the collateral ligaments often heals well without much problems, but the biggest problem is scar tissue.

Scar tissue forms in the healing of collateral ligaments, causing stiffness, tightness and decreased range of motion and strength. The scar formation often results in the enlargement on one side of the proximal interphalangeal joint leading to it looking like there's a permanent bulge on the side of the finger.

What are the signs and symptoms of volar plate injury?

The doctor and hand therapist should perform careful assessment to accurately determine the severity of the volar plate injury. Usually, volar plate injuries are described and tested by either stretching the ligaments, or if it's more serious, an avulsion fracture (where the ligament had pulled off a bony fragment from the joint surface of the middle phalanx).


Common signs and symptoms include:

  • significant swelling at the joint
  • significant deformity at the joint
  • pain when the finger is at rest
  • inability to move the joint fully through its range
  • severe pain when the finger joint is moved

X-rays can determine avulsion fractures and avulsion injuries, but MRIs can accurate demonstrate the extent of the soft tissue injury.

What are the hand therapy interventions required?

Medical intervention and early hand therapy is important, crucial even, to regain optimal mobility and function. Early treatment will require immobilization using custom made splint to suit one's finger exactly, managing pain and swelling management.

After a few days of splinting and immobilization, we will start with gentle warmth therapy using paraffin wax bath and intermittent hotpack heat therapy, coupled with gentle range of motion exercises and stretching to prevent and treat stiffness. Once we had received the green light from the referring physician that the bone had stabilized and is ready for more strenuous therapy, we can start more exercises such as stretches, passive range of motion and even strengthening. Focus of therapy is to maximize range of motion, decrease stiffness and progressive strengthening.

Often, buddy taping will be prescribed to tape the injured finger to a non-injured finger to help with the range of motion.

If you find that you have an avulsion fracture injury, please see a doctor as soon as possible. We also have a list of orthopedic doctors and sports physicians whom we work with here, but you can also make an appointment to see us first to determine the severity.

Sometimes, you may not need medical intervention, especially if it's a very mild avulsion injury. In such cases, early diagnosis and intervention will accelerate range of motion recovery and potential outcome.

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Our Physio & Rehab Expertise

Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.

Areas of specialization

  • physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
  • hand therapy: forearm, wrist, hand and fingers
  • podiatrist: leg, calf, ankle, foot and toes
  • read more on our specializations here

All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.

Initially, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover. They then provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

To call for inquiries or appointments, please contact us at:

SMS/Call/Whatsapp: 96402670

Email: nigel@specialistrehabgroup.com

Where to next?

  1. Make A Physiotherapy, Hand Therapy or Deep Tissue Release Singapore Appointment
  2. Arrange A CallBack or Make An E-Enquiry Here
  3. See the list of physiotherapy conditions we treat 
  4. See the list of orthopedic surgeons we serve in Singapore
  5. Return to Urbanrehab's Physiotherapy, Hand Therapy and Sports Massage Singapore Home Page from our volar plate avulsion injury page

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When you have the opportunity, please take the time to tell your family, friends and physicians about the positive results and experience you have had in our clinic.

Thank you so much, and stay healthy!

SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
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Disclaimer
We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.

The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.

The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at 96402670, thanks!

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