Sagittal Band injiury

ICD-9 Classification / Treatment
Etiology / Natural History Associated Injuries / DDx
Anatomy Complications
Clinical Evaluation Follow-up Care
Xray / Diagnositc Tests Review References


Sagittal Band Injury ICD-9


Sagittal Band Injury Etiology / Epidemiology / Natural History

  • Radial sagittal band ruptures allowing the extensor tendon to subluxe ulnarly. 

Sagittal Band Injury Anatomy


Sagittal Band Injury Clinical Evaluation

  •  With the MP joint is in flexion, it is difficult to fully extend, but when the MP joint is held in full extension, active extension can be maintained. 

Sagittal Band Injury Xray / Diagnositc Tests

  •  Plain films are generally normal.

Sagittal Band Injury Classification / Treatment

  • Acute injury with full extension able to be maintained with the MP joint fully extended:  Treatment = splint [yoke splint]) for 6 to 8 weeks. 
  • Acute unable to maintain extension or Chronic injury or high-level athletes: Treatment = surgical repair

Sagittal Band Injury Associated Injuries / Differential Diagnosis


Sagittal Band Injury Complications

Sagittal Band Injury Follow-up Care


Sagittal Band Injury Review References

  • Kleinhenz BP, Adams BD. Closed Sagittal Band Injury of the Metacarpophalangeal Joint. J Am Acad Orthop Surg. 2015 Jul;23(7):415-23.
  • Catalano LW 3rd, Gupta S, Ragland R 3rd, Glickel SZ, Johnson C, Barron OA. Closed treatment of nonrheumatoid extensor tendon dislocations at the metacarpophalangeal joint. J Hand Surg Am. 2006 Feb;31(2):242-5. 
  • Lin JD, Strauch RJ. Closed soft tissue extensor mechanism injuries (mallet, boutonniere, and sagittal band). J Hand Surg Am. 2014 May;39(5):1005-11.