Alternative Conservative Treatment of Mallet-Finger Injuries by Elastic Double-Finger Bandage

1988 ◽  
Vol 13 (2) ◽  
pp. 154-155
Author(s):  
C. HOVGAARD ◽  
B. KLARESKOV

A prospective trial of mallet-finger injuries treated conservatively by elastic double-finger bandage showed no disadvantages compared to other kinds of conservative treatment. The method is agreeable for the patient, being hygienic and causing no kind of skin irritation.

Hand Surgery ◽  
2002 ◽  
Vol 07 (02) ◽  
pp. 223-230 ◽  
Author(s):  
Dora Y. L. Chan

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.


2020 ◽  
Vol 28 (4) ◽  
pp. 172-176
Author(s):  
Stephan Alejandro Dávalos Barrios ◽  
Arturo Felipe de Jesús Sosa Serrano ◽  
Jorge Alberto Gama Herrera ◽  
Maria Fernanda Ramírez Berumen ◽  
Jose Manuel Pérez Atanasio

ABSTRACT Objective: To establish the association between initial and residual angulation of the distal interphalangeal joint (DIJ) in mallet finger treated conservatively. Methods: An observational, prospective, descriptive and analytical research developed with uncomplicated closed mallet finger patients between January and December 2017. A total of two measurements of the DIJ were done, at the initial trauma and 6 weeks after conservative treatment. All measurements were ranked according to the Crawford Classification and Relative Risk was measured. Results: In total, 43 patients were studied, in which 53.48% of outcomes obtained were excellent. The sample was divided in two groups; one with less than 30º of DIJ initial angulation, which had 28% of residual angulation. The second group with more than 30º presented 72.22% of residual angulation. The Relative Risk to present a residual angulation in patients that had 30º of DIJ initial angulation was 2.99 (CI 95%) with p = 0.0059. Conclusion: It is suggested that patients with an initial DIJ angulation more than 30º are more likely to present residual angulation with conservative treatment. Level of Evidence IV, Case series.


2020 ◽  
Vol 3 (1) ◽  
pp. 25-28
Author(s):  
Hara A

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.


1989 ◽  
Vol 14 (3) ◽  
pp. 347-349
Author(s):  
J. LIND ◽  
L. B. HANSEN

An old, but hitherto unpublished, method for surgical correction of chronic mallet finger was carried out in 42 patients. In the abbrevatio operation, the elongated tendon is transected and resutured, after which the developing fibrous scar tissue usually causes adequate shrinkage for correcting the drop-deformity. The D.I.P. joint is transfixed with a K wire in slight hyperextension for six weeks. Forty patients were studied. The result was excellent in 16 patients (40%), good in 20%, fair in 17.5% and poor in 22.5%. On average, the extension defect was decreased from 38.2% to 11.8%. The method is a suitable alternative in patients with annoying chronic mallet finger who refuse arthrodesis or further conservative treatment.


2016 ◽  
Vol 43 (2) ◽  
pp. 134-144 ◽  
Author(s):  
Santiago Salazar Botero ◽  
Juan Jose Hidalgo Diaz ◽  
Anissa Benaïda ◽  
Sylvie Collon ◽  
Sybille Facca ◽  
...  

2009 ◽  
Vol 34 (9) ◽  
pp. 1715-1717 ◽  
Author(s):  
Charles Leinberry

1999 ◽  
Vol 7 (3) ◽  
pp. 115-116
Author(s):  
Michael Sg Bell ◽  
James G Jarvis

2001 ◽  
Vol 26 (5) ◽  
pp. 488-489 ◽  
Author(s):  
S. W. WILSON ◽  
C. T. K. KHOO

A new splint for the treatment of closed mallet finger injuries is described. This is a modified aluminium-foam (‘Zimmer’) splint, which takes account of the skin circulation at the distal interphalangeal joint, and is specifically designed to alleviate the potential problems which can be seen with the traditional ‘mallet finger’ splints.


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