Document Detail


Treatment options for mallet finger: a review.
MedLine Citation:
PMID:  21042117     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Jeroen M Smit; Michiel R Beets; Clark J Zeebregts; Akkie Rood; Carlo F M Welters
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Plastic and reconstructive surgery     Volume:  126     ISSN:  1529-4242     ISO Abbreviation:  Plast. Reconstr. Surg.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-02     Completed Date:  2010-11-30     Revised Date:  2011-09-09    
Medline Journal Info:
Nlm Unique ID:  1306050     Medline TA:  Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1624-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, Catharina Hospital Eindhoven, Eindhoven, The Netherlands. jermasmit@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Arthrodesis
Dislocations / therapy
Finger Injuries / surgery,  therapy*
Finger Joint / pathology
Fracture Fixation
Fractures, Bone / surgery,  therapy
Humans
Splints
Comments/Corrections
Comment In:
Plast Reconstr Surg. 2011 Aug;128(2):599-600; author reply 600   [PMID:  21788872 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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