Fig. 5.

A 16-year old male wrestler with a mallet finger that progressed to a flexible swan-neck deformity secondary to concomitant palmar plate injury (a). Reconstruction of the flexible swan-neck deformity using SORL reconstruction with a slip of the EDQ as a tendon graft (b). The graft is fixed to the distal phalanx through a vertical bone tunnel, then rerouted proximally deep to the neurovascular bundle and fixed to the proximal phalanx through a transverse bone tunnel. Tension is adjusted such that passive PIPJ extension results in passive DIPJ extension, a so called dynamic tenodesis (c). Patient immobilized for 6 weeks in a static cast (d). At 4 weeks, the cast may be weaned and gentle active range of motion begun (e). Final follow-up 6 months, full active range of motion (f)