Treatment of mallet fingers in Dutch hospitals
Annet HaagsmaH.L. de BoerAstrid C. QuintusNicolette J.M. StrikkelingClark J. ZeebregtsJeroen M. Smit
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Abstract:
The aim of this study was to create an overview of the treatment of mallet fingers in Dutch hospitals.A national online questionnaire was used to determine the treatment of mallet fingers in Dutch emergency units.Data were received from 58 units (response rate 97%). All the emergency units treated an uncomplicated mallet finger with a splint. The treatment of complicated mallet fingers was less uniform. The departments of general, orthopaedic and plastic surgery were involved in the treatment and their involvement varied according to the type of mallet finger and showed variations in the follow-up treatment.There is a general consensus on the treatment of uncomplicated mallet fingers. The follow-up treatment of uncomplicated lesions as well as the treatment of complicated mallet fingers should be fields of future research.Keywords:
Mallet
Mallet finger
Splints
Background: Mallet finger is a common injury. The aim of this review is to give an overview of the different treatment options of mallet injuries and their indications, outcomes, and potential complications. Methods: A literature-based study was conducted using the PubMed database comprising world literature from January of 1980 until January of 2010. The following search terms were used: "mallet" and "finger." Results: There are many variations in the design of splints; there are, however, only a few studies that compare the type of splints with one another. Splinting appears to be effective in uncomplicated and complicated cases. Equal results have been reported for early and delayed splinting therapy. To internally fixate a mallet finger, many different techniques have been reported; however, none of these studies examined their comparisons in a controlled setting. In chronic mallet injuries, a tenodermodesis followed by splinting or a tenotomy of the central slip is usually performed. If pain and impairment persist despite previous surgical corrective attempts, an arthrodesis of the distal interphalangeal joint should be performed. Conclusions: Uncomplicated cases of mallet injuries are best treated by splinting therapy; cases that do not react to splinting therapy are best treated by surgical interventions. Controversy remains about whether mallet injuries with a larger dislocated bone fragment are best treated by surgery or by external splinting.
Mallet
Mallet finger
Splints
Distal interphalangeal joint
Tenotomy
Interphalangeal Joint
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Mallet
Mallet finger
Splints
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Mallet finger
Mallet
Conservative Management
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Background: Mallet finger is a common injury of the extensor tendon insertion causing an extension lag of the distal interphalangeal joint. Methods: We reviewed the most current literature on the epidemiology, diagnosis, and management of mallet finger injuries focusing on the indications and outcomes of surgical intervention. Results: Nonoperative management has been advocated for almost all mallet finger injuries; however, complex injuries are usually treated surgically. There is still controversy regarding the absolute indications for surgical intervention. Conclusions: Although surgery is generally indicated in the case of mallet fractures involving more than one-third of the articular surface as well as in all patients who develop volar subluxation of the distal phalanx, a significant advantage of surgical management even in those complicated cases has yet to be clearly proven.
Mallet finger
Mallet
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Over a period of twelve months, 116 cases of mallet finger were allocated randomly to treatment with either a Stack or Abouna splint. The two splints were equally effective, producing a cure or a significant improvement in approximately 50% of cases. However, the Stack splint was much preferred by the patients, who found it more comfortable, more robust and easier to keep clean.
Mallet finger
Splints
Mallet
Ferula
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Citations (23)
The aim of this study was to create an overview of the treatment of mallet fingers in Dutch hospitals.A national online questionnaire was used to determine the treatment of mallet fingers in Dutch emergency units.Data were received from 58 units (response rate 97%). All the emergency units treated an uncomplicated mallet finger with a splint. The treatment of complicated mallet fingers was less uniform. The departments of general, orthopaedic and plastic surgery were involved in the treatment and their involvement varied according to the type of mallet finger and showed variations in the follow-up treatment.There is a general consensus on the treatment of uncomplicated mallet fingers. The follow-up treatment of uncomplicated lesions as well as the treatment of complicated mallet fingers should be fields of future research.
Mallet
Mallet finger
Splints
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«Mallet finger» – молоткообразный палец –этим термином зарубежные хирурги именуют дистальные повреждения пальцев кисти, которыеприводят к ограничению активного разгибанияконцевой фаланги, в результате чего палец внешнестановится похожим на молоточек. «Mallet finger»– термин с довольно широким значением. Согласно известной классификации J.R. Doyle [4], так называют различные варианты открытых и закрытыхповреждений на уровне или немного проксимальнее дистального межфалангового сустава:
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Mallet finger
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Mallet
Mallet finger
Phalanx
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Mallet finger injury, ligamentous sprain and dislocation of proximal interphalangeal (PIP) joint of fingers are very common types of simple hand injuries. Immediate correction of alignment and protection of the injured area will facilitate early joint movement while maximising functional recovery. This article is to introduce the fabrication of three simple finger splints to tackle these injuries for quick and effective conservative treatment. They are the mallet finger splint, buddy splint and dorsal finger block splint. The indications and functions of the three types of splints are discussed. The fabrication process will be illustrated; including materials needed, pattern drafting and steps of molding. Wearing regime and precautions will be highlighted to ensure effective patient compliance to splinting programme for the finger injuries.
Mallet finger
Splints
Interphalangeal Joint
Mallet
Distal interphalangeal joint
Finger joint
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We describe an inexpensive, simple, and effective technique for the closed treatment of mallet fingers. This technique splints the mallet finger in 0 degrees of extension. It is simple, readily reproducible, and easy to use, requiring materials that are readily available to any physician. Thirty-seven patients, ages 21 to 65 years, presented with a closed mallet finger injury at day zero to 5 months after injury. Ten of these patients had a fracture. All were treated with this splinting technique. We report excellent results in 35 of 37 patients, who recovered either complete or near-complete active extension. Our results compare favorably with results from other techniques and splints.
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