Flexor tendon avulsion and PIP joint fracture-dislocation in a 17-year-old football player: A case report

We present a rare case of flexor digitorum superficialis (FDS) avulsion and dorsal fracture-dislocation of the proximal interphalangeal (PIP) joint with an intact flexor digitorum profundus (FDP) in a 17-year-old high school football player. This unusual injury pattern, sustained during a sports collision, required prompt surgical intervention to restore tendon continuity and joint congruity. Early rehabilitation and an aggressive return-to-sport protocol yielded a successful outcome, with full functional recovery. A literature review reveals limited documentation of similar cases, underscoring the clinical importance of early recognition and operative management in athletes.