Optimising the conservative management of closed tendinous mallet finger injury

2020 ◽  
Vol 28 (5) ◽  
pp. 35-40
Author(s):  
Ariana Duarte
2020 ◽  
Vol 6 ◽  
pp. 2513826X2095712
Author(s):  
Koichi Yano ◽  
Yasunori Kaneshiro ◽  
Ryo Sasaki ◽  
Seungho Hyun ◽  
Hideki Sakanaka

The suture anchor method of surgery has some complications. To best of our knowledge, no report on skin ulcer formation apart from the surgical site after tendinous mallet finger injury using suture anchor is available. We present the case of a 73-year-old woman who sustained tendinous mallet finger in an accident. She was treated surgically with a suture anchor. At 12 months after surgery, the string from the surgical site was removed; 28 months after surgery, a skin ulcer was formed 2-cm proximal from the operative scar, and discharge leaked from the dorsal middle phalanx. Because the wound could not heal by conservative treatment, it was treated surgically. At initial surgery, debridement of the skin ulcer, including the suture knot, was performed. At second surgery, the skin defect was reconstructed using a third dorsal metacarpal artery perforator flap. At 1 year postoperatively, she had no symptoms without recurrence.


2017 ◽  
Vol 22 (01) ◽  
pp. 114-117 ◽  
Author(s):  
Taku Suzuki ◽  
Naoto Inaba ◽  
Kazuki Sato

A 39-year-old man injured his left little finger and was diagnosed with chronic tendon mallet with -50° of extension and 80° of flexion at the DIP joint. We performed an anatomical reconstruction of the terminal tendon and both lateral bands with divided palmaris longus tendon grafting. Postoperative range of motion at the DIP joint improved to -5° of extension with no flexion loss. We demonstrated a novel surgical technique for chronic tendon mallet injury that might represent a useful choice for the treatment of chronic mallet finger injury.


2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Ali Zolfagharian ◽  
Timothy M Gregory ◽  
Mahdi Bodaghi ◽  
Saleh Gharaie ◽  
Pearse Fay

 Despite the frequency of mallet finger injuries, treatment options can often be costly, time-consuming, and ill-fitted. Three-dimensional (3D) printing allows for the production of highly customized and inexpensive splints, which suggests potential efficacy in the prescription of casts for musculoskeletal injuries. This study explores how the use of engineering concepts such as 3D printing and topology optimization (TO) can improve outcomes for patients. 3D printing enables the direct fabrication of the patient-specific complex shapes while utilizing finite element analysis and TO in the design of the splint allowed for the most efficient distribution of material to achieve mechanical requirements while reducing the amount of material used. The reduction in used material leads to significant improvements in weight reduction and heat dissipation, which would improve breathability and less sweating for the patient, greatly increasing comfort for the duration of their recovery.


2013 ◽  
Vol 132 (4) ◽  
pp. 560e-566e ◽  
Author(s):  
Jacob M. P. Bloom ◽  
Joseph S. Khouri ◽  
Warren C. Hammert
Keyword(s):  

Orthopedics ◽  
1986 ◽  
Vol 9 (4) ◽  
pp. 529-531
Author(s):  
Bruce T Cohn ◽  
Avrum I Froimson

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