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Follow up mallet finger

Hao Yan, Quanchang Tan, Sheng Zhou, Junsheng Yang, Liyi Li, Jianling Wang, Xiaocheng Shi, Chao Xia, Ying Li
Objective: To evaluate the short-term effectiveness of Kirschner wire (K-wire) elastic fixation in the treatment of Doyle type Ⅰ and Ⅱ mallet finger. Methods: Between July 2016 and March 2017, 18 patients with Doyle type Ⅰ and Ⅱ mallet finger were treated. There were 12 males and 6 males, with an average age of 45 years (range, 16-61 years). The index finger was involved in 2 cases, the middle finger in 3 cases, the ring finger in 10 cases, and the little finger in 3 cases...
November 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
Satoshi Usami, Sanshiro Kawahara, Hayato Kuno, Hiroshi Takamure, Kohei Inami
BACKGROUND: Extension block pinning is a simple and reliable technique for mallet fractures, but poor results are sometimes obtained. The predictors of postoperative range of motion after extension block pinning of mallet fingers were investigated. METHODS: The outcomes for postoperative active motion of the distal interphalangeal (DIP) joint, such as flexion angle, extension loss, and total range of motion, were examined. Predictors such as age, gender, finger, fragment size, joint subluxation, the time from injury to operation, procedure, fixation angle, the time from operation to wire removal, and joint step-off were evaluated statistically...
February 14, 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
S K Lee, Y H Kim, K H Moon, W S Choy
INTRODUCTION: Extension-block pinning represents a simple and reliable surgical technique. Although this procedure is commonly performed successfully, some patients develop postoperative extension loss. To date, the relationship between extension-block Kirschner wire (K-wire) insertion angle and postoperative extension loss in mallet finger fracture remains unclear. HYPOTHESIS: We aimed to clarify this relationship and further evaluate how various operative and non-operative factors affect postoperative extension loss after extension-block pinning for mallet finger fracture...
February 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Sefa Giray Batıbay, Turgut Akgül, Serkan Bayram, Ömer Ayık, Hayati Durmaz
STUDY DESIGN: Prospective randomized controlled trial. PURPOSE OF THE STUDY: This study was designed to compare our new suture anchor technique with conservative management in acute Wehbe-Schneider type I A-B and II A-B mallet fingers. METHODS: Twenty nine patients who presented to our clinic between 2013 and 2015 were randomized for surgical or conservative treatment. Wehbe-Schneider subtype C fractures were excluded. Fourteen were treated with surgery, and 15 were treated with conservative treatment...
September 28, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
T Apard, G Candelier
The central slip tenotomy described by Fowler is an effective option for treating chronic mallet finger in order to avoid swan neck deformity of the finger. In a prospective study of 14 cases (13 failures of conservative treatment and one case of untreated mallet finger), we performed percutaneous ultrasound-guided central slip tenotomy with a 19 G needle using the wide-awake local anesthesia and no tourniquet (WALANT) technique. The mean extensor lag before surgery was 28° (range 20°-40°) and three patients had a swan neck deformity...
April 2017: Hand Surgery and Rehabilitation
Young Hak Roh, Beom Koo Lee, Min Ho Park, Jung Ho Noh, Hyun Sik Gong, Goo Hyun Baek
STUDY DESIGN: Prospective cohort. INTRODUCTION: Patient comprehension of their injury, its treatment, and health care provider's instructions plays an important role in health management and recovery from trauma. PURPOSE OF THE STUDY: This study investigates the effects of health literacy (the ability to obtain, process, and understand health information needed to make appropriate health decisions) on treatment outcomes and satisfaction in patients with mallet finger injuries...
October 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Fábio Sano Imoto, Thiago Araujo Leão, Rogério Sano Imoto, Eiffel Tsuyoshi Dobashi, Carlos Eduardo Pereira de Mello, Natan Madeira Arnoni
OBJECTIVES: To evaluate the results from surgical treatment of patients with mallet finger injury using a hook plate and screw. METHODS: Twenty-five patients (19 males and six females) between the ages of 20 and 35 years were analyzed between May 2008 and December 2012. They were evaluated in accordance with Crawford's criteria and the mean follow-up was 18 months. RESULTS: The results from 10 patients (40%) were excellent and from 15 (60%), good...
May 2016: Revista Brasileira de Ortopedia
Dong Hee Kim, Hong Je Kang, Ji Woong Choi
This study describes a new technique called the "fish hook" technique for the treatment of bony mallet finger. This technique catches the dorsal fragment with a bent K-wire shaped like a fish hook. Transarticular fixation is performed with another K-wire. This technique does not directly penetrate the bone fragment to prevent fragment comminution. This study included 26 patients with mallet finger fractures who underwent surgery using the fish hook technique between 2010 and 2014. The fractures were classified according to the method of Wehbe and Schneider...
September 1, 2016: Orthopedics
Muhammad Zeeshan Aslam, Syed Kamran Ahmed, Boris Fung
OBJECTIVE: To evaluate the clinical outcome of managing distal inter-phalangeal joint arthritis by using excisional arthroplasties with soft-tissue interposition to provide pain-free joint with adequate range of motion and preserving the bone stock. METHODS: The case series was conducted at Queen Mary Hospital, Hong Kong from 2013 to 2015 and comprised patients with distal inter-phalangeal joint arthritis. Excisional arthroplasty was performed for all patients. Interposition was performed using extensor retinaculum/ palmaris longus...
November 2015: JPMA. the Journal of the Pakistan Medical Association
Jin Young Kim, Sung Hyun Lee
PURPOSE: To identify factors related to postoperative extension loss when treating mallet finger fractures with extension block pinning. METHODS: We reviewed 31 consecutive patients with a mallet finger fracture treated with extension block pinning. We measured range of motion of the distal interphalangeal (DIP) joint including extension lag. We investigated the injury mechanism and checked radiographic factors such as DIP joint subluxation, fixation angle, fragment size index, fracture angle, and amount of articular involvement...
March 2016: Journal of Hand Surgery
Hui-huang Peng, Jian-wei Wu, Guo-jing Yang
OBJECTIVE: To explore the clinical effects of minor bone anchors and palmaris longus tendon graft in treating chronic mallet fingers deformity. METHODS: From January 2008 to June 2013, 26 patients with chronic mallet fingers deformity were treated with minor bone anchors and palmaris longus tendon graft. There were 18 males and 8 females, aged from 18 to 52 years old with an average of (32.0±1.3) years. Among them, 8 cases caused by machine injury, 6 cases by fall injury, 6 cases by sprain from fight, 4 cases by tendon spontaneous rupture, 2 cases by knife trauma...
November 2015: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Wenlong Zhang, Xu Zhang, Gang Zhao, Shunhong Gao, Zhiliang Yu
AIM: The aim of this study was to describe and evaluate a surgical technique for the treatment of mallet finger fractures using a K-wire stabilization of the distal interphalangeal (DIP) joint and another K-wire pressing the bone fragment. METHODS: Between June 2007 and March 2014, 41 patients (28 men, 13 women) with isolated closed mallet finger fracture were treated using two K-wires. In the cohort, the mean joint surface involvement was 44.3% (range: 28-62%)...
February 2016: Injury
Perrine Guillaume-Jugnot, Aurélie Daumas, Jérémy Magalon, Elisabeth Jouve, Pierre-Sébastien Nguyen, Romain Truillet, Stéphanie Mallet, Dominique Casanova, Laurent Giraudo, Julie Veran, Françoise Dignat-George, Florence Sabatier, Guy Magalon, Brigitte Granel
OBJECTIVE: Impaired hand function greatly contributes to disability and reduced quality of life in SSc patients. Autologous adipose-derived stromal vascular fraction (ADSVF) is recognized as an easily accessible source of regenerative cells. We reported positive 6-month safety and efficacy results from an open-label clinical trial assessing s.c. injection of autologous ADSVF into the fingers in SSc patients. The objective of this report is to describe the effects at 12 months. METHODS: Twelve females, mean age 54...
February 2016: Rheumatology
Serdar Toker, Faik Türkmen, Oğuzhan Pekince, İsmail Korucu, Nazım Karalezli
PURPOSE: To compare the outcomes and associated costs of the treatment of mallet fractures with either extension block pinning or open reduction and hook plate fixation. METHODS: We treated 22 patients for a mallet fracture that involved at least 25% of the distal phalanx articular surface. Three joints demonstrated concomitant volar subluxation. Extension block pinning was used to treat 16 fractures (group 1) and 6 were treated with open reduction and hook plate fixation (group 2)...
August 2015: Journal of Hand Surgery
Benjamin H Miranda, Logendra Murugesan, Adriaan O Grobbelaar, Barbara Jemec
Mallet finger injuries are common; treatment goals include achieving joint stability, preventing extensor lag, and subsequent swan-neck deformity. We describe a simple technique for improving intraoperative bony mallet reduction, which may avoid the requirement for closed Ishiguro extension blocking wires or open fixation, and present a prospective case series (n=12). Intraoperative percutaneous blunt needle reduction (PBNR) is achieved under image intensifier guidance. Using artery forceps, a blunt fill needle tip is manipulated onto the proximal avulsed fragment; this is then guided into a reduced position and maintained using a well-formed Zimmer splint across the distal interphalangeal joint in 15- to 30-degree extension...
June 2015: Techniques in Hand & Upper Extremity Surgery
Bo Jiang, Peiji Wang, Yong Zhang, Jiaju Zhao, Qirong Dong
This article describes a treatment of tendinous mallet finger deformities using a modified internal suture technique for the stable fixation of the terminal extensor tendon and bone.Between March 2011 and July 2013, 15 patients with mallet fingers who had been treated using this modification were included in this study. The patients included 10 men and 5 women with a mean age of 33 years (range, 19-50 years). Of these patients, 9 had chronic mallet fingers, 3 were unable to comply with a splinting regimen, and 3 had a history of unsuccessful splinting therapy...
February 2015: Medicine (Baltimore)
Katriona Brooksbank, Paul J Jenkins, Iain C Anthony, Alisdair Gilmour, Margaret P Nugent, Lech A Rymaszewski
BACKGROUND: Mallet finger injuries are usually successfully treated non-operatively with a splint. Most patients are reviewed at least twice in a clinic after the initial presentation in A&E. A new protocol promoting "self-care" was introduced at our institution. Patients were provided with structured verbal and written information, and given access to a telephone helpline. METHODS: A prospective electronic patient record was used to identify all patients who presented to the emergency department with a mallet finger with a minimum six month follow-up...
2014: Journal of Trauma Management & Outcomes
Kenichi Asano, Goro Inoue, Masaki Shin
Eleven patients with chronic mallet fractures that were seen later than four weeks after injury were treated by extension-block Kirschner wire technique. The average duration from injury to operative treatment was 56 days (range, 28-111). The follow-up evaluations took place after a mean of eight months. The radiographic bone union was obtained in all patients. The average extension loss of the DIP joint was 4 degree (range, 0-15) and the average flexion was 68 degree (range, 43-90). The results according to Crawford's criteria were six excellent, two good, two fair, and one poor...
2014: Hand Surgery
Hyun-Joo Lee, In-Ho Jeon, Poong-Taek Kim, Chang-Wug Oh, Maria Florencia Deslivia, Suk-Joong Lee
PURPOSE: To determine if transtendinous wiring was an effective late treatment for bony mallet injuries. METHODS: Between 2005 and 2011, 19 consecutive patients (13 men, 6 women) with a mean age of 29 years (range, 13-52 y) were treated late for mallet finger fractures. The mean interval from injury to initial operation was 57 days (range, 28-141 d). RESULTS: Fifteen of 18 mallet fractures demonstrated evidence of radiographic healing after an average of 6 weeks (range, 5-10 wk)...
December 2014: Journal of Hand Surgery
Brigitte Granel, Aurélie Daumas, Elisabeth Jouve, Jean-Robert Harlé, Pierre-Sébastien Nguyen, Christian Chabannon, Nathalie Colavolpe, Jean-Charles Reynier, Romain Truillet, Stéphanie Mallet, Antoine Baiada, Dominique Casanova, Laurent Giraudo, Laurent Arnaud, Julie Veran, Florence Sabatier, Guy Magalon
BACKGROUND: In patients with systemic sclerosis (scleroderma, SSc), impaired hand function greatly contributes to disability and reduced quality of life, and is insufficiently relieved by currently available therapies. Adipose tissue-derived stromal vascular fraction (SVF) is increasingly recognised as an easily accessible source of regenerative cells with therapeutic potential in ischaemic or autoimmune diseases. We aimed to measure for the first time the safety, tolerability and potential efficacy of autologous SVF cells local injections in patients with SSc with hand disability...
December 2015: Annals of the Rheumatic Diseases
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