Jersey Finger or rugby player's finger, is a pathology in which the flexion function of the distal interphalangeal joint of any finger of the hand is lost. There are five patterns of injury, described by Leddy and Packer, where clinical signs and symptoms are similar, with differences in surgical findings. Type VI is the rarest presentation. We present the case of a young male patient who has a fall trauma injury in his hand, documented a type IV jersey finger injury, with intra-surgical findings of a displaced, diaphyseal, proximal epiphyseal fracture of the distal phalanx, associated with complete disinsertion of the flexor digitorum profundus tendon to flexor zone II with retraction of their fibers. With the pre- and intra-surgical findings, a separate management of the injuries is carried out, which consists of bone and tendon reconstruction, in a single surgical time, differentiating us from other proposed surgical procedures. As a result we had a complete joint reconstruction, which, associated with reinsertion of the deep flexor in an effective and dynamic way allowed the patient to have adequate final functionality. We make a comprehensive management proposal where fixation of the bone and tendon injury appart has a good outcome, the usual management, was not necessary and where we suggest a separate tendon and bone reconstruction, in one surgical time. This associated with a time of active rehabilitation, results in joint functionality similar to the normal of the other fingers.
