The Diagnosis and Management of Mallet Finger Injuries

Lamaris, Gregory A.; Matthew, Michael K.

doi:10.1177/1558944716642763

Cited by 44 publications

(40 citation statements)

References 37 publications

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“…Bony mallet finger surgery is often challenging. Thus, surgical treatment has been suggested for fractures involving >30% of the articular surface or for those with volar subluxation of the distal phalanx [1,2]. Crawford [5] reported using a molded polythene splint for mallet fingers.…”

Section: Discussionmentioning

confidence: 99%

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Conservative Treatment of Chronic Mallet Fracture Non-union after Failed Pin Fixation

Hara

2020

Asp Biomed Clin Case Rep

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Introduction: Operative treatment of mallet finger fractures is generally recommended for patients in whom more than one-third of the articular surface is involved with volar subluxation. We present a case of conservative treatment with chronic nonunion of a mallet finger fracture after failed mallet finger surgery. Presentation of Case: A 16-year-old boy presented with a bony fragment (mallet formation) of his left long finger. The fragment occupied 40% of the articular surface, with volar subluxation of the distal phalanx. Percutaneous needle curettage of the fracture site and pinning were performed. Six weeks later, the fragment was displaced and had rotated. Hence, all the pins were removed, and a splint was applied. The fracture displayed nonunion and volar subluxation of the distal phalanx. The patient continued with the splinting, and the fracture finally healed. At 27 months after the surgery, radiological examination showed very good remodeling of the distal interphalangeal joint surface with anatomic joint congruence. Functional results at 27 months were good according to Crawford’s classification. Conclusion: Chronic nonunion of a mallet finger can be cured conservatively even when a fracture gap is seen along with displacement of the fragment and volar subluxation of the distal phalanx.

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Section: Discussionmentioning

confidence: 99%

“…Surgical treatment has been suggested for such fractures involving >30% of the articular surface or for fractures with volar subluxation of the distal phalanx [1,2]. Surgery is appropriate because patients with such fractures are at increased risk for secondary osteoarthritis and aesthetically unacceptable outcomes.…”

Section: Introductionmentioning

confidence: 99%

Conservative Treatment of Chronic Mallet Fracture Non-union after Failed Pin Fixation

Hara

2020

Asp Biomed Clin Case Rep

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“…The fingertip rests at 45 degrees of flexion and lacks active DIP joint extension. The injury is classified using the Doyles system which described four groups of injuries [4]. The first is a closed injury with or without a small dorsal avulsion fracture.…”

Section: Discussionmentioning

confidence: 99%

Mamma Mia: Finger Injury in a Basketball Player in the Italian Professional League

Yuschak¹,

Chase²,

Haq

2019

Cureus

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In many professional sports, the dexterity and importance of the player's hands are crucial for optimal importance. The health and treatment of injuries focuses on protection while providing the ability to function. This is a case of a professional basketball player whose team was fighting for a playoff position in the Italian basketball league. Other common finger tendon injuries are also reviewed to help keep a broad differential diagnosis in mind when evaluating patients.

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“…Bony mallet finger is a deformity caused by avulsion fracture of the distal phalanx at the terminal extensor tendon insertion site. The indications for surgical treatment include: fracture fragment involving more than one third of articular surface on lateral radiograph, palmar subluxation of distal interphalangeal joint (DIPJ), and an open mallet fracture [1,2]. The aim of treatment is to restore anatomy of the terminal extensor mechanism, minimize extension lag, and prevent swan neck deformity [3].…”

Section: Introductionmentioning

confidence: 99%

A comparison of delta wire technique versus extension block pinning in the treatment of bony Mallet finger

Chee

Gunasagaran

Ahmad

2020

Handchir Mikrochir Plast Chir

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Ziel Diese Studie vergleicht die klinischen Ergebnisse nach Delta-Draht-Technik (Gruppe 1 = 7 Patienten) mit den Ergebnissen nach Extensions-Block-Pinning (Gruppe 2 = 11 Patienten) in der Behandlung des knöchernen Mallet-Fingers. Patienten und Methoden Sechs Monate postoperativ wurde bei allen Patienten das klinische Ergebnis nach den Crawford-Kriterien, die Schmerzen anhand einer visuellen Analogskale (VAS) und der DASH-Score ermittelt. Zusätzlich wurden die aktive Beweglichkeit und das Extensionsdefizit im Endgelenk sowie aufgetretene Komplikationen festgehalten. Ergebnisse Patienten der Gruppe 1 hatten eine signifikant bessere Beugung im Fingerendgelenk, aber auch ein signifikant größeres Extensionsdefizit, obwohl sie signifikant früher ihre Arbeit wiederaufnahmen. Nach den Crawford-Kriterien erzielten 71 % der Patienten der Gruppe 1 und 100 % der Gruppe 2 ein exzellentes und gutes Ergebnis. Keine Unterschiede konnten bzgl. der OP-Dauer, der Schmerzen, dem DASH-Score und der Zeit bis zur knöchernen Heilung festgestellt werden. Schlussfolgerung In der Kurzzeitbeobachtung werden mit Extension-Block-Pinning bessere Ergebnisse in der Behandlung des knöchernen Strecksehnenausriss am Fingerendglied erzielt als mit der Delta-Draht-Technik.

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The Diagnosis and Management of Mallet Finger Injuries

Cited by 44 publications

References 37 publications

Conservative Treatment of Chronic Mallet Fracture Non-union after Failed Pin Fixation

Conservative Treatment of Chronic Mallet Fracture Non-union after Failed Pin Fixation

Mamma Mia: Finger Injury in a Basketball Player in the Italian Professional League

A comparison of delta wire technique versus extension block pinning in the treatment of bony Mallet finger

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