Sagittal Band Injury - Everything You Need To Know - Dr. Nabil Ebraheim
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- Опубликовано: 27 авг 2024
- Dr. Ebraheim’s educational animated video describes the condition sagittal band injury in the hand.
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Who else is here after boxing his door
Bro yea mine just changes its position but i have no movement problem
@@puruvats huh you're fine mine has healed in 2 weeks
I found a spider on the wall and tried to punch it multiple times
Yah but I wasn’t expecting for my knuckle to grow
Me. Punching on wall
You are the only Dr who has a video that explains absolutely everything. The diagrams were so helpful in understanding the different types of this injury. Thank you! Thank you!
Thank you, doctor. Now I understand how this happened in a split second, very painfully, and with no traumatic cause. I have tested positive with the rheumatoid R-factor but do not have digital deformation (like both my parents). I am disabled (scoliosis and COPD) and somewhat sedentary for he last several years; although I did physical work during my careers, I’ve never been a boxer or seriously injured my knuckles (although I’ve broken just about all my fingers but for my thumbs). I guess the rheumatoid arthritis is showing up in my senior years. Thnx again.
Mine is an interesting tale. Still working on diagnosis and proper treatment. On 4/6/23, I was rear ended at a traffic light. I was fully stopped and another vehicle hit me at speed. Broke my steering wheel off at 10 and 2 with my hands/arms. I had a SLAP tear in my right shoulder that required a biceps tenodesis and SAD repair. My left hand, dominant, had a partial ligament tear of the MCP joint of the index finger on the radial side. A steroid injection on the radial side was the initial treatment. At 2 months after the injection, I was still having pain in the MCP joint. A second injection was done, this time into palm section of the joint. Three days after the injection, I was lifting a baking sheet out of my oven and something popped in my joint. I immediately notified my doctor. His answer was to wait 4 weeks and let the steroid work. There was increasing instability in the joint, an odd deformity on top of the knuckle and constant pain. I could not pinch items, as the index finger would deflect easily to the ulnar side. I began to experience some locking of my finger in extended position. This led to my doctor ordering another MRI to tell me it was muscle strain. And a trigger-finger release surgery. 6 weeks after surgery, I'm still experiencing pain and swelling in the joint. I'm am currently doing PT for the joint. However, I am seeing some subluxation of the tendon towards the ulnar side. I am now suspicious that the steroid injection caused the sagittal band to rupture and am now seeking another doctor. You're video was most informative at helping me understand why my finger has not been healing. Thank you.
Mine is from an injury a few days ago breaking up a dog fight. I see my hand surgeon Iin a few days... so painful
I’ve been able to do this with my middle finger and ring finger and never knew why glad I know now
Same I can do with my middle finger of both hands
Stinging pain in my middle knuckle only when I hit something. I know 100% it’s from punching hard objects for no reason.
Although, there aren’t any deformities on my knuckle, and it doesn’t hurt to move it in any way. Wtf
Is it normal, i just noticed today that it's moving HAHAHHAA
@@z4ngetsu314 bro what
After a lifetime of MMA with no problem.. I was simply sitting on my yoga mat this moring to stretch, put my knuckles on the mat to simply move positions and "pop" ... Thank you so much for explaining what this is... I couldn't then hold coffee pot to pour a cup of coffee. Tendon back and forth over knuckle as I make a fist and release. It is tollerable typing here but HOPE it resolves?? Dunno yet :)
Thank you for sharing Dr. Ebraheim!
Very helpful . A brilliant presentation. I’ve got a mild pull I think . Starting from middle knuckle extending to thumb other fingers and around wrist . I was knocked over and I fell backwards . Head injuries .treated at hospital. Hand mentioned and coccyx but they weren’t concerned about hand .
I injured my hand, popping my knuckle. The Dr assigned the Saggital Band Rupture after ruling out a broken knuckle. He did this based on where the pain and welling was. I got a Yoke splint and 4 dinky OT visits.
Based on this video - there’s no way I injured my saggital band. I do not have any of the symptoms, nor any of the mobility restrictions. There is absolutely zero subluxation if the extensor tendon. There is subluxation of the MCP. I’ve also experienced, now, what feels like carpal tunnel pain, which I’ve never had in my entire life. And I don’t work at a computer that much anymore - and esp not since the injury.
I’m 11 weeks out from initial injury and there’s no improvement in swelling (soft tissue swelling between MCP 2&3) nor in the pain associated with specific movements of the hand. There is some moderate subluxation of the MCP itself.
What should I do? New doctor, 2nd opinion? (He’s the local hand superstar. Highly respected. Don’t want to offend him.)
But I think there’s more to this injury than snapping or tearing or spraining the saggital band. He only took a few x-rays. Should I ask for additional imaging?
Maybe things aren’t improving because we’re not treating the whole injury?
Feedback appreciated
Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there complications?
From I was young the tendons my my middle fingers always slipped and I could actively move the tendons in my pointer fingers too, just not as loose. I haven’t had any injuries of the sort. I can flip a middle finger but when I turn my hand downward I noticed I need to use more force to flip the middle finger out. Is there any way this could be some type of birth defect?
It has to be, because I’ve had it since I can remember. Except my ring finger on my right hand the tendon will go completely behind my knuckle and if I try to straighten it I can get the tendon to snap and it sounds disgusting.
I need to find a solution to this as I play guitar and drums and it makes it hard to do certain things when my hands will lock up mid song if I play something a little quick. I’ve been able to build the dexterity in my right hand quite a bit, but my left is lagging behind.
Except I can do it with both hands and all of my fingers.
It’s Ehler’s Danlos Syndrome. Google it. It’ll probably explain other wonky donky things. I have it. It’s *fun* to live with!
Knuckle pushups in my karate class from 5 years ago brought me here
Im sorry for you. Traditional martial arts got so much stupid training methods.
The worse part is that they surround it with a mystic aura and make it seem normal.
While the best punchers on the planet are saving their hands from injury, the best kickers always wear protection in training and the best lifters train safely without pushing over their limits.
Karate teacher had me punch the strongest board and my hand’s been messed up ever since (3-4 months :/
@@pasteurizedpilk sorry to hear that, remember that you have the right to say no if you think its not a good idea.
Is there permanent damage if reconstruction surgery is performed?
Did you get it?
So it isnt normal that the tendon on my middle finger can wiggle like that?i thougjt it was normal da heck.i just kept doing it for no reason?
I also thought it was normal i put a peanut on the joint and open my hand and the muscle throws it upward it is fun i have no pain
@@puruvats my middle finger can go left to right in my control and it doesn't hurt
My knuckles been in this situation for almost a year now still in pain and swollen
Have you been to a Dr
Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immideately after injury? What was the overall result, were there complications?
I overused a gripper and now i had severe pain in my knuckles make it impossible to squeeze anything
Thank YOU very much Doc.
Thank you Dr.Ehraheim for explaining so thourghly. I have a Nontraumatic subluxation of extensor tendon at metacarpophalangeal joint, all from flicking my middle finger. When I flicked my finger, pain to my knuckle n then swelling. My dr. suggested surgery. I am going to ask if I can try the conservative treatment first.
i’ve always been able to move the whole thing, down my whole hand. it doesn’t hurt or anything. it’s just really fun to do for some reason, can you tell me what this is?
me too! well, i cant move the whole thing, but when i make a fist it moves too the side. i dont think i have arthritis so i've been wondering why my hand does this. i've been searching this up but i dont really see any results that arent "youre injured" or "arthritis"
@@samc5602 hey Im wondering if you found any answers?
I also have had this my whole life, it's not a painful thing and my fingers just lock up when it happens but it doesn't cause pain.
The only problem I find is when writing for long periods the area gets very fatigued.
I mostly just use it to freak people out since it makes a loud noise.
@@kaikai5963 weird this happens to me too but on my left hand only.
@@kaikai5963Did you ever figure it out? I can do this all the way down with my index, middle and ring fingers on both sides easily and my hands really hurt. It just happens all day long.
Very helpful, thank you so much sir!
Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immideately after injury? What was the overall result, were there complications?
I have been in constant pain for over a year but due to the covid pandemic my doctor will not even allow me an appointment I have had x-rays that have shown negative and been to a physiotherapist who also hasn't helped. How do I explain to my doctor that I actually have an injury that needs medical treatment?
You could try to splint it at home. If the swelling goes down you know you are on the right track. I have this problem and I just got home from the doctor. Xray was negative. Surgery is a last resort. Hope you are healed up soon. Anti inflammatory medications may help as well.
Bro this shit happened to me 8 years ago, non of the doctors said anything to me that could’ve help, now I’m finally putting all the pieces together!
@@longdong3889 Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there complications?
@@sevchyk I'm still waiting for treatment, universal health care is a bit slow to non emergency procedures. I tried splinting and taping, stretching and soaking, heat and cold, all kids of things with little relief. Simply not using the affected hand for few weeks improved the strength and mobility, but the problem is still there albeit less affected . I try to keep my hand flat as possible when resting to prevent the ligament from slipping down the knuckle and that was key. The rest of my hand was contorting to compensate, improved by 40% more or less.
@@sevchyk it does bother me at night before bed, so I take an anti inflammatory and position my hand under my asscheek to keep it flat until I fall asleep.
Thank you for the information
Thank you. I just got diagnosed with RA after having surgery to repair the extensor tendons of the middle finger in my left hand; one side was almost entirely torn away and the other side was almost there too. Your video explained what happened to me clearly. Unfortunately, I'm feeling similar twinges in my right hand. I'm wondering if using the brace you suggested will help me avoid surgery on the right hand, or am I doomed to repeat what happened to the left hand because I have RA? Thank you.
thank you so much
sir🌹💖
thanks professor
Im 13 yrs old and um i just notice that my middle finger vein thingy is not right i dont punch wallls and i dont do agressive sports like boxing
Can i fix this by my own?
My hand was fine until I flicked some dirt off my fingers in the air really hard and now my tendon just started slipping off my knuckle and it's all sore. I'm freaking out 😭
i had trigger finger and watched saggital band move middle finger...i immediatly put splint on that i made for 2.5 weeks...now it seems ok thank GOG''''ITS BEEN 1 MOTH...I HAD TO KEEP WORKING DURING THIS TIME TO...
Did you treat your finger with the yoke splint like in this video? What was the material of the splint? Did the extensor tendon cease to slip to the side like it was immideately after injury? What was the overall result, were there complications?
This has happened to me before and it doesn't pain at all and it got alright the next day and this is the 2 nd time coming for me and it's still creepy and fun with no pain. Can somebody explain me is this alright
You need surgery to repair the damage. Things are just floating around and that's not good. Luckily I live within walking distance of the best hand surgeons on the planet.
My knuckle is literally going left and right from my right hand.
My ring finger and little finger, is moving right, it doesn't hurt in any way, but the middle of my ring finger and little finger is turning blue, and i need help how to heal it
My hand was fine until I flicked some dirt off my fingers in the air really hard and now my tendon just started slipping off my knuckle and it's all sore. I'm freaking out 😭
Seria ótimo se tivesse legenda em português. Mas muito obrigado pelas imagens, me deu uma certa noção do que fazer. Grato pelo vídeo.
I can do this with every knuckle is it bad?
Yup
@@axtrounity oh it is? Ive never really had any problems tbh
@@exactden9149 does it hurt? i have mine just after woken up from a sleep last week. and it didnt hurt but feel weird.
@@dusty3003 ive had it my whole life, wasnt caused by an ingury. i also wanna know why this happens but i dont think its bad
@@samc5602 from what i read. I heard that if it doesnt hurt you than it okay. That what i saw from one of those video about it
I have such case and have battling with it for 16years now..the pain keeps becoming severe😭😭😭 and there is a reduction in the middle finger 😭
Me too ;(
Holy shit. My hand was fine until I flicked some dirt off my fingers in the air and now my tendon just started slipping off my knuckle and it's all sore 😭
@@Network126 Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there complications?
Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there complications?
how are you now?
It has done this for literally all my life for 3 of my fingers
iv had it since i was 7 dude.
How to fix that:(((
Guess even a 13 year old teen can get an injury like that thnx doctor for explaining the situation
Did anybody treat their finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there any complications?
Have this on my pinky
did it heal
@@forlakfunada1834 what do you mean by heal?
Hey Doctor, great video I found it very informative. I just had a few questions. Can there be swollen tissue on or around the knuckle that could feel like the band is misplaced or be mistaken for a rupture? and is there a vast difference in the pain and ache between hitting an object getting bruised swollen knuckles and hitting a solid object and rupturing the knuckle(s)? In my case I’ve hit solid objects multiple times in my life, I never considered really treating or icing every time it happened I just let the swelling and scabs(scabs came from breaking skin nothing deep at all just scrapes) heal naturally and I’m not sure if Ive developed a pain tolerance in my knuckles and can’t tell the difference between a rupture and swelling and bruising.
Also there is no discomfort in my knuckles and I can still bend them around and all the way back too
Did u ever find out if it was broken or just swollen because I had hit the wall and my knuckle is swollen butI can still move it does that mean it’s just swollen or is it broken?
@@Michelle-t311 the doctor also added that it could just be fluids, fatty damaged tissue that “doesn’t matter” more specifically he said something like “you may have just damaged some stuff that doesn’t matter” this was at an Urgent Care called EXCER
It will be blatantly obvious your tendom is shifting.
Got mad, punched a door and now I’m here because I can’t move it and it has a cracking sound when I try moving it and it hurts to move it a little bit ugh lol
My hand was fine until I flicked some dirt off my fingers in the air really hard and now my tendon just started slipping off my knuckle and it's all sore. I'm freaking out 😭 Did yours ever heal??
What time of treatment did you get
I flicked my middle finger last night and now I’m looking for some kind of treatment lol
I can move it to the left manually
and no hurt at all
I can control it when to move it when not
What is it?
Is it an injury?
I got this after hand surgery
Same lul
How is your comment 19 years old Lmaooo and I had this injury for 8 years and finally founding this 1 year old video!
@@wmmercenary2810 How did your case end?
Did you all get the surgery? Should I get the surgery for cronic case of saggital band rapture or can I let it be?
Me paso esto 😢
Who else just boxed some wood
Tengo esta lesión es horrible , ya 2 meses y todavía tengo hinchado la zona
estoy tarde, pero se te curo?
I punched A Wall really hard. It's been 2 months and The pain is gone. But the flexion tendon is a bit off from its place. What should I do? Is it normal? Is it gonna come to its place when its fully healed? Please comment.
My hand was fine until I flicked some dirt off my fingers in the air really hard and now my tendon just started slipping off my knuckle and it's all sore. I'm freaking out 😭
@@Network126 same
@@Network126how are you now?
It’s been 2 months and it still feel weak. It’s look so enlarged now. Is my fighting career done?
Sadly yes
@@goldbloodedmonster3637 fortunately, none of my bones are broken. However it still is swollen and sensitive.
Do you think that knuckle surgery could solve this? Or would it just make my knuckle worst.
@@mikeoxlong726 surgery wont help if you keep doing the same thing that caused the injury. Splint the finger, take some anti inflammatory drugs and see how it looks n feels after 2 weeks.
@@longdong3889 Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there complications?
my knuckle is lika a unicorn now
Here from a jammed finger in a basketball 🏀 also mine was my pointer finger 🤦🏽♀️
Man this shit is Fucking Hell!
I thought I broke my knuckle punching some dudes face in. Seem like it’s only the tendon that move to the side. My hands been swollen for a week already
Is it okay yet mate..
@@greenhaipahad I only feel pain hitting the punching bag
I have the same thing has it healed yet ?
@@Icy_money6 same here, it is healed?
Mines been like this for 4 months
Who else here after punching someone
Me, 4 months still in pain
Yup learned that violence doesn’t resolve anything
@@PrettyUglyR6 not always🤣🤣
@@PrettyUglyR6 True, but in my case I got attacked by 3 toxics, it was self defense, so I resolved something to an extent cause I managed to get back home with minor bruises caused by them, but I injuried my strong hand seriously, and I'll probably never recover 100% again..
I broke someone’s jaw and I think i broke my knuckle too lol
I punched a brick wall as hard as I could and my hand is OK no pain
The wall
Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there complications?
0:47 I have that's since I was like in 3rd grade probably because I punched walls and stuff 😅 but for me it doesn't hurt
I got this from punching my ex in the face ... he was a boxer so we were just boxing and I went to the dr and he said oh tht will go bck to normal in 2 weeks... it's been 15 years now . Wish I tried to atleast used a splint for my finger maybe it would have healed. Ik its going to cause arthritis
I asked that same question of my hand surgeon this morning but a tendon is NOT inside a joint so the answer I got was no--unless there were other factors at play (for example, you have rheumatoid arthritis already, etc.)
My hand was fine until I flicked some dirt off my fingers in the air really hard and now my tendon just started slipping off my knuckle and it's all sore. I'm freaking out 😭
@@writerbyluck did you get a surgery? Or a splint would suffice?
@@Network126 Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there complications?
Omg this is what I have ! 😩
Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immideately after injury? What was the overall result, were there complications?
how r u now?
I Hit My Hand On My Beds Wooden Frame And I Did Feel Pain For Hitting My Hand And The Pain Instantly Disappeared A Day Later I Was Holding A Pen And Noticed That My Middle Fingers Tendon Moves To The Side When I Closed My Hands And i looked At My Other Hand And closed It and That Was Fine I Still Have It A Year Later
Do I Need To Seek Medical Attention??
Holy shit. My hand was fine until I flicked some dirt off my fingers in the air really hard and now my tendon just started slipping off my knuckle and it's all sore. I'm freaking out 😭
I ve been hitting the heavy bag too hard with my left hook, which is an absolutely devastating hook.
The stronger I hit it, the worse my SAGITTAL Band Injury gets.
Any way to heal it?
literally the same way i hurt my hand. left hook was too nasty
Yessir left hook is getting vicious 😁
Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there complications?
My hand is all puffed up I can’t ball my fist my middle finger is worse every thing else is just bruised
Working on the world record for punching watermelons open
I can move my tendon on my middle finger I dont know why is that cuz i didnt even vatch the video!
2 months and my knuckle still doesnt look right lmao
Here after using reyes.
Metal gate
I can do this I think cause I always punch my wall
Who else is here after the england game
Me with injured index finger joint
This Shit hurts.. Help :
how are you?
Anybody here after doing BJJ.
Here after almost getting stabbed
@@prodbytdk keep your head up bro
Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there complications?
@@sevchyk i just went to the hospital and got it looked at
@@fernandorolon3074 And what was the advice?
Mine is just swollen Nothing is broken cuz I got an x-ray however it's been many months and now I can't punch at my full potential without pain and swelling of the same spot. These doctors in TULSA OKLAHOMA are stupid
Yeah me too i can't punch at my full potential without pain
When I punch on a sandbag the pain will occur
I punched on head
Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there complications?
Is it repairable after 5-6 months later?
Refrigerator. @biniyam art.
Did you treat your finger with the yoke splint like in this video? Did the extensor tendon cease to slip to the side like it was immediately after injury? What was the overall result, were there complications?