scholarly journals Mallet Finger with Facture over 1/3 of the Articular Surface of Distal Phalanx.

1994 ◽  
Vol 43 (1) ◽  
pp. 403-405
Author(s):  
Hidehiro Yanagi ◽  
Katsumi Suzuki ◽  
Kazuo Sakai ◽  
Akinori Sakai ◽  
Kenzou Itou ◽  
...  
Keyword(s):  
Articular Surface ◽  
Distal Phalanx ◽  
Mallet Finger

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

2020 ◽  
Vol 3 (1) ◽  
pp. 25-28
Author(s):  
Hara A
Keyword(s):  
Conservative Treatment ◽  
Articular Surface ◽  
Functional Results ◽  
Fracture Site ◽  
Distal Phalanx ◽  
Joint Surface ◽  
Mallet Finger ◽  
Non Union ◽  
Mallet Fracture ◽  
Pin Fixation

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.

REVIEW ON MALLET FINGER TREATMENT

Hand Surgery ◽  
2012 ◽  
Vol 17 (03) ◽  
pp. 439-447 ◽  
Author(s):  
Jason Pui Yin Cheung ◽  
Boris Fung ◽  
Wing Yuk Ip
Keyword(s):  
Avulsion Fracture ◽  
Articular Surface ◽  
Extensor Tendon ◽  
Distal Phalanx ◽  
Mallet Finger ◽  
Distal Interphalangeal Joint ◽  
Dorsal Aspect ◽  
Surgical Fixation ◽  
Distal Interphalangeal ◽  
Open Injuries

Mallet finger is a common injury involving either an extensor tendon rupture at its insertion or an avulsion fracture involving the insertion of the terminal extensor tendon. It is usually caused by a forceful blow to the tip of the finger causing sudden flexion or a hyperextension injury. Fracture at the dorsal aspect of the base of the distal phalanx is commonly associated with palmar subluxation of the distal phalanx. Most mallet finger injuries are recommended to be treated with immobilisation of the distal interphalangeal joint in extension by splints. There is no consensus on the type of splint and the duration of use. Most studies have shown comparable results with different splints. Surgical fixation is still indicated in certain conditions such as open injuries, avulsion fracture involving at least one third of the articular surface with or without palmar subluxation of the distal phalanx and also failed splinting treatment.

A MODIFIED TENSION BAND WIRING TECHNIQUE FOR TREATMENT OF THE BONY MALLET FINGER

Hand Surgery ◽  
2013 ◽  
Vol 18 (02) ◽  
pp. 235-242 ◽  
Author(s):  
Ryosuke Kakinoki ◽  
Soichi Ohta ◽  
Takashi Noguchi ◽  
Yukitoshi Kaizawa ◽  
Hiromu Itoh ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Surgical Intervention ◽  
Articular Surface ◽  
Steel Wire ◽  
Distal Phalanx ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Stainless Steel Wire ◽  
Mallet Finger ◽  
Fracture Fragment

Purpose: To report the outcomes of mallet fractures treated with our modified tension band wiring technique. Methods: Eleven men and two women (mean age; 33 years) with mallet fractures in which happened more than five weeks before surgery, or with fracture fragments involving more than 2/3 or less than 1/3 of the distal phalanx articular surface or with previous surgical intervention, were subjected to this study. The fracture fragment was fixed with a modified tension band wiring technique using a stainless steel wire and an injection needle. Results: All patients achieved bone union in nine weeks in average. All patients had no pain except one with mild pain. No patient showed a gap or step-off greater than 1 mm. Conclusions: Our tension band wiring technique can be used regardless of the size of the dorsal fracture fragment or the interval between injury and surgery.

Treatment of Mallet Finger Fractures by the Extension-Block K-Wire Technique

1998 ◽  
Vol 23 (6) ◽  
pp. 802-805 ◽  
Author(s):  
A. DARDER-PRATS ◽  
E. FERNANDEZ-GARCIA ◽  
R. FERNANDEZ-GABARDA ◽  
A. DARDER-GARCIA
Keyword(s):  
Articular Surface ◽  
Healing Time ◽  
Mallet Finger ◽  
Fair Result

We treated 22 patients with mallet finger fractures involving more than one-third of the articular surface by the extension-block K-wire technique. There were 18 men and four women with a mean age of 23 years (range, 14–34). The Wehbé and Schneider method was used to classify the fractures and the results were graded according to Crawford’s criteria. All the fractures united, with an average healing time of 5.6 weeks (range, 4–7). At a mean follow-up of 25 months (range, 18–48) 21 mallet finger fractures had an excellent or good result. One patient had a fair result with a lag to extension of 20°. We conclude that the extension-block K-wire technique is an effective method of treatment for displaced mallet finger fractures.

scholarly journals Comparison of Treatment Results for Mallet Finger Fractures in Children Between Low-Intensity Pulsed Ultrasound Stimulation and Ishiguro’s Method

Hand ◽  
2017 ◽  
Vol 13 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Tsuyoshi Ota ◽  
Soichiro Itoh ◽  
Yoshihiko Matsuyama
Keyword(s):  
Articular Surface ◽  
Type I ◽  
Mallet Finger ◽  
Pulsed Ultrasound ◽  
Treatment Results ◽  
Low Intensity Pulsed Ultrasound ◽  
Low Intensity ◽  
Fractures In Children ◽  
Mallet Fracture ◽  
Pin Fixation

Background: We compared the treatment results for displaced mallet finger fractures in children between low-intensity pulsed ultrasound (LIPUS) stimulation and Ishiguro’s method, which involves extension block and arthrodesis of the distal interphalangeal (DIP) joint with pinning. Methods: Eleven cases (5 females and 6 males; average age, 13.5 years) of mallet finger were operated with Ishiguro’s method, and 8 cases (3 females and 5 males; average age, 13.0 years) were treated with LIPUS stimulation. Lateral radiographs were used to determine the distance of fragment displacement and the percentage of the articular surface involved in the fragments. Functional outcomes in flexion and extension and those estimated using Crawford’s evaluation criteria at the final visits were assessed in each group. Results: The duration needed for fracture healing was longer, however, active extension and flexion of the DIP joint were significantly larger in the LIPUS group compared with those in the pinning group. Functional recovery was excellent in all cases in the LIPUS group; however, recovery was good in 3 cases and excellent in 8 cases in the pinning group. Extension of the DIP joint was significantly larger when pins were removed in 35 or lesser days postoperatively compared with cases in which pin fixation was continued for more than 35 days. Conclusions: LIPUS therapy may be recommended as an option to treat type I mallet finger in children for whom initiation of treatment was delayed up to 8 weeks. When Ishiguro’s method is applied to the displaced mallet fracture in children, arthrodesis of the DIP joint for more than 5 weeks should be avoided to prevent flexion contracture.

scholarly journals Problems of Diagnosis, Conservative Treatment and Long-Term Results of “Mallet Finger” Fracture

2021 ◽  
pp. 42-50
Author(s):  
A.A. Bezuhlyi ◽  
A.S. Lysak
Keyword(s):  
Quality Of Life ◽  
Upper Extremity ◽  
Distal Phalanx ◽  
Diagnosis And Treatment ◽  
Long Term Results ◽  
Mallet Finger ◽  
Dorsal Edge ◽  
Impaired Quality

Summary. Distal phalanx dorsal edge fracture is treated in a relatively simple closed manner during the first weeks after injury. The role of the distal interphalangeal joint in the upper extremity integral function reaches conventionally only a few percent. This may lead to insufficient attention and a large number of mistakes in diagnosis and treatment of such injuries, which in turn provokes complications that are much more difficult to treat than the primary injury. This article considers the most common problems of diagnosis and treatment of “mallet finger” fractures. Advantages and disadvantages of various techniques used in the treatment of such fractures in acute and neglected cases are considered and analyzed. Objective: to study the effect of distal phalanx dorsal edge avulsive fractures on function of the upper limb, quality of life, and depression rate in long term period after injury. Materials and Methods. Data from 11 patients (8 (88%) males and 3 (12%) females) with neglected cases of distal phalanx dorsal edge avulsive fractures were studied. QuickDASH questionnaire and visual analog scales were used to study impaired quality of life and depression rate in such patients. Indicators that lead to the need for surgery in long term period after injury have been identified. Results. It was determined that in long term period, in patients with a “mallet finger” fracture, function of the upper extremity suffered significantly and was 29.2±20.2 points (range 2.3-75) according to QuickDASH scale. This condition also significantly affected the general well-being of the patient. Average value of impaired quality of life was 43.6±24.6 (range 0-90 points), and depression rate due to upper extremity dysfunction was 44.6±22.7 (range 0-90 points). Conclusions. Despite the relatively minor injury, high rates of dysfunction, impact on quality of life and depression rate indicate the need to restore finger function even in long term period after injury.

scholarly journals Two Extension Block Kirschner Wires’ Technique for Bony Mallet Thumb

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Yutaka Mifune ◽  
Atsuyuki Inui ◽  
Fumiaki Takase ◽  
Yasuhiro Ueda ◽  
Issei Shinohara ◽  
...  
Keyword(s):  
Avulsion Fracture ◽  
Articular Surface ◽  
Evaluation Criteria ◽  
Treatment Strategies ◽  
Distal Phalanx ◽  
Extensor Mechanism ◽  
Kirschner Wires ◽  
Fracture Fragment ◽  
Conservative And Operative Treatment ◽  
Digital Block

Mallet fingers with an avulsion fracture of the distal phalanx or rupture of the terminal tendon of the extensor mechanism is known as a common injury, while mallet thumb is very rare. In this paper, the case of a 19-year-old woman with a sprained left thumb sustained while playing basketball is presented. Plain radiographs and computed tomography revealed an avulsion fracture involving more than half of the articular surface at the base of the distal phalanx. Closed reduction and percutaneous fixation were performed using the two extension block Kirschner wires’ technique under digital block anesthesia. At 4 months postoperatively, the patient had achieved excellent results according to Crawford’s evaluation criteria and had no difficulties in working or playing basketball. Various conservative and operative treatment strategies have been reported for management of mallet thumb. We chose the two extension block Kirschner wires’ technique to minimize invasion of the extensor mechanism and nail bed and to stabilize the large fracture fragment.

Distal phalanx fracture in adults: Seymour-type fracture

2013 ◽  
Vol 39 (3) ◽  
pp. 237-241 ◽  
Author(s):  
M. Ugurlar ◽  
G. Saka ◽  
N. Saglam ◽  
A. Milcan ◽  
T. Kurtulmus ◽  
...  
Keyword(s):  
Closed Reduction ◽  
Open Fracture ◽  
Extensor Tendon ◽  
Distal Phalanx ◽  
Mallet Finger ◽  
Surgical Methods ◽  
Type Fracture ◽  
K Wires ◽  
Type Of Fracture ◽  
Metaphyseal Region

Seymour’s fracture is an extra-articular, transverse, physeal, and juxta-epiphyseal open fracture of the distal phalanx seen in childhood. In this study, we present 10 adult cases of fractures localized to the metaphyseal region, 1–2 mm distal to the insertion of the extensor tendon. Mean age was 38 years. Four patients were treated conservatively with a mallet finger splint. Closed reduction and osteosynthesis with Kirschner wires (K-wires) was performed in three of the patients. Three of the patients had open fractures in whom closed reduction could not be performed. They underwent open reduction and osteosynthesis with K-wires. We recommend that extra-articular distal phalanx fractures mimicking mallet finger in adults are called Seymour-type fracture to establish a common language among clinicians to define this type of fracture. These fractures generally occur by hyperflexion of the distal phalanx and can be treated by conservative or surgical methods. The outcomes of conservative and surgical management of Seymour-type fractures depend on the appropriate reduction as well as efficient physical therapy.

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