Treatment Options for Mallet Finger: A Review

Smit, Jeroen M.; Beets, Michiel R.; Zeebregts, Clark J.; Rood, Akkie; Welters, Carlo F. M.

doi:10.1097/prs.0b013e3181ef8ec8

Cited by 78 publications

(65 citation statements)

References 43 publications

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“…The aim of treatment is to achieve tendon healing without elongation, and therefore long-term extensor lag. The majority of simple and complex injuries can be satisfactorily managed with static splintage of the DIPJ [3]. The main determinant of treatment outcome is compliance with treatment [4].…”

Section: Introductionmentioning

confidence: 99%

Functional outcome and satisfaction with a “self-care” protocol for the management of mallet finger injuries: a case-series

Brooksbank

Jenkins

Anthony

et al. 2014

J Trauma Manage Outcomes

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BackgroundMallet finger injuries are usually successfully treated non-operatively with a splint. Most patients are reviewed at least twice in a clinic after the initial presentation in A&E. A new protocol promoting “self-care” was introduced at our institution. Patients were provided with structured verbal and written information, and given access to a telephone helpline.MethodsA prospective electronic patient record was used to identify all patients who presented to the emergency department with a mallet finger with a minimum six month follow-up. A satisfaction and patient reported outcome measure was administered via a postal questionnaire. The response rate was 36/47 (77%).ResultsThe median QuickDASH score was 2.3 (IQR 0 to 4.6). All patients were satisfied with the treatment plan provided. Nine used the helpline and all were satisfied with information given. Although 13 patients reported some extensor lag, or bump, they had no functional limitation. Seven patients were reviewed by the general practitioner or other clinicians during their treatment period for issues such a skin care, splint size changes or sickness certification. Five were subsequently reviewed at the end of their treatment period in a clinic at their request, or their general practitioner, but did not require further surgical intervention.ConclusionsSelf-care for mallet finger injuries, with adequate patient information and telephone back-up, leads to acceptable functional results and satisfaction.Level of evidence: III

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Section: Introductionmentioning

confidence: 99%

Functional outcome and satisfaction with a “self-care” protocol for the management of mallet finger injuries: a case-series

Brooksbank

Jenkins

Anthony

et al. 2014

J Trauma Manage Outcomes

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“…Kapalı çekiç parmak yaralanmaları sıklıkla ekstansiyon veya hafif hiperekstansiyonda bir splint ile en az 6 haftalık bir sabitleme ve sonrasın-da 2 ile 6 hafta arasında gece ve egzersiz sırasında splintleme ile tedavi edilmektedir (16)(17)(18) . Ancak gece splintinin kullanımı konusunda tam bir fikir birliği yoktur ve bazı yazarlar bunu önermemektedir (19) .…”

Section: Discussionunclassified

“…Smit ve ark., (16) DIF eklem mobilizasyonunun desteklenmesi ve gelişimin günlük bazda gözlemlenebilmesi için fizik tedavinin 6 hafta sonrasında başlanabileceğini belirtmişlerdir. Postoperatif 4. haftada başlanan erken rehabilitasyon programı, geleneksel tedavi yöntemleri ile sıklıkla gözlenen olası eklem sertliklerini de ortada kaldırmaktadır.…”

Section: Discussionunclassified

A New Treatment Modality for Mallet Finger Deformity: 4-2-2 Protocol

Kankaya¹,

Sungur²,

Özer³

et al. 2017

Okmeydani Medical Journal

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“…69,70 A mallet deformity is considered chronic when splinting cannot correct it. The time interval during which splinting is an option may extend to 3 to 4 months after the injury.…”

Section: Table 5 Presentation Of Tendon Injury Zones In the Handmentioning

confidence: 99%

Practical Management of Tendon Disorders in the Hand

Farnebo

2013

Plastic and Reconstructive Surgery

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Common tendon disorders in the hand range from simple trigger fingers to more complex zone II flexor tendon injuries. The goal of treatment in all cases is to aim for optimal early strength and to create conditions favorable for early rehabilitation to decrease the risk of tendon scarring and subsequent poor range of motion. This CME article reviews the presentation, evaluation, state-of-the-art treatment, and outcomes of the treatment of trigger finger, de Quervain tenosynovitis, and flexor tendon and extensor tendon injuries. New developments in the different areas are highlighted to inform the reader of emerging techniques in the treatment of tendon disorders of the hand.

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Treatment Options for Mallet Finger: A Review

Cited by 78 publications

References 43 publications

Functional outcome and satisfaction with a “self-care” protocol for the management of mallet finger injuries: a case-series

Functional outcome and satisfaction with a “self-care” protocol for the management of mallet finger injuries: a case-series

A New Treatment Modality for Mallet Finger Deformity: 4-2-2 Protocol

Practical Management of Tendon Disorders in the Hand

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