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mallet finger

Andrea Halim, Arnold-Peter C Weiss
Wrist and hand injuries are common among athletes, and can lead to considerable disability. Dislocations and soft tissue injuries are common and require prompt recognition and treatment. Accurate diagnosis and early immobilization are often key to getting players back to their sport early. Some injuries require surgery; operative intervention allows the player to return to their sport more quickly or with less long-term disability. This article discusses the spectrum of injury from distal radius fractures to mallet fingers, and offers some general guidelines for the surgeon in how to counsel and treat athletes with these problems...
October 2016: Clinics in Sports Medicine
Lonita Mak, Lorna D Aitkens, Christine B Novak
Ensuring that distal interphalangeal joint extension is maintained is an important but challenging part of the treatment process. These authors describe a simple approach to ensuring distal interphalangeal joint extension for these patients. - VictoriaPriganc, PhD, OTR, CHT, CLT, Practice Forum Editor.
July 2016: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Daniel Harte
This author provides instruction regarding an alternative, simple, and custom-made orthotic device to manage the mallet finger that may stay in place more securely while also allowing for proximal interphalangeal joint flexion during the healing of the terminal tendon. - KristinValdes, OTD, OT, CHT, Practice Forum Editor, Journal of Hand Therapy.
July 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
G E Giddins
UNLABELLED: Bony mallet injuries with a large dorsal fracture fragment may sublux giving a poor outcome. The hypothesis that was tested was that subluxation could be predicted by extension stress lateral radiographs. It was anticipated that the main distal fracture fragment would glide and be stable or pivot and be unstable. There were 32 bony mallet injuries with dorsal fracture fragments of >1/3 in 31 patients. There were three patterns shown on lateral extension stress radiographs: gliding, pivoting, and tilting - a combination of the former two...
September 2016: Journal of Hand Surgery, European Volume
Eric Cockenpot, Guillaume Lefebvre, Xavier Demondion, Christophe Chantelot, Anne Cotten
Hand and wrist injuries are common occurrences in amateur and professional sports and many of them are sport-specific. These can be divided into two categories: traumatic injuries and overuse injuries. The aim of this article is to review the most common hand and wrist sports-related lesions. Acute wrist injuries are predominantly bone fractures, such as those of the scaphoid, hamate hook, and ulnar styloid. Ligament lesions are more challenging for radiologists and may lead to carpal instability if undiagnosed...
June 2016: Radiology
Santiago Salazar Botero, Juan Jose Hidalgo Diaz, Anissa Benaïda, Sylvie Collon, Sybille Facca, Philippe André Liverneaux
In adults, mallet finger is a traumatic zone I lesion of the extensor tendon with either tendon rupture or bony avulsion at the base of the distal phalanx. High-energy mechanisms of injury generally occur in young men, whereas lower energy mechanisms are observed in elderly women. The mechanism of injury is an axial load applied to a straight digit tip, which is then followed by passive extreme distal interphalangeal joint (DIPJ) hyperextension or hyperflexion. Mallet finger is diagnosed clinically, but an X-ray should always be performed...
March 2016: Archives of Plastic Surgery
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
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
Julielynn Y Wong
INTRODUCTION: The first off-Earth fused deposition modeling (FDM) 3D printer is investigating acrylonitrile butadiene styrene (ABS) thermoplastic manufacturing applications for long-duration space missions. This study assessed the feasibility of FDM 3D printing ABS thermoplastic customized mallet splints on site for Mars analogue crewmembers. METHODS: Seven caliper measurements were taken of the right ring finger of 13 healthy Mars Desert Research Station mission crewmembers...
October 2015: Aerospace Medicine and Human Performance
Julielynn Y Wong
INTRODUCTION: The first space-based fused deposition modeling (FDM) 3D printer is powered by solar photovoltaics. This study seeks to demonstrate the feasibility of using solar energy to power a FDM 3D printer to manufacture medical resources at the Mars Desert Research Station and to design an ultra-portable solar-powered 3D printer for off-grid environments. METHODS: Six solar panels in a 3×2 configuration, a voltage regulator/capacitor improvised from a power adapter, and two 12V batteries in series were connected to power a FDM 3D printer...
September 2015: Aerospace Medicine and Human Performance
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
Cheolsun Han, Kiyohito Naito, Yoichi Sugiyama, Osamu Obayashi, Kazuo Kaneko
INTRODUCTION: It is commonly thought that Salter-Harris type I or II appears in mallet fingers in childhood, with S-H type III appearing in adolescence. PRESENTATION OF CASE: We present a case of bony mallet finger in childhood. Radiographs showed a small fragment above the distal interphalangeal joint, and this fragment was separated from the dorsal epiphysis without injury to the epiphyseal plate. Open reduction and fixation were performed and bone union was achieved without complications...
2015: International Journal of Surgery Case Reports
Valdas Macionis
The utilization of an orthotic device to treat a mallet finger injury is common practice. This author describes a different approach to treating patients with an old mallet finger injury. The incorporation of frequent, self-regulated exercises without the use of an orthosis is described.--Victoria Priganc, PhD, OTR, CHT, CLT, Practice Forum Editor.
October 2015: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
P Bellemère
Chronic finger extensor apparatus injuries are the result of the initial acute treatment having failed or being flawed. Because of their chronic nature, these injuries present various amounts of tendon retraction, tendon callus lengthening, peritendinous scar adhesions, static and dynamic imbalances with the flexor apparatus and intrinsic muscles, and joint contractures. This article will review the anatomy of the extensor mechanism and then will outline by location, the various clinical pictures that are secondary to chronic tendon injury...
September 2015: Chirurgie de la Main
Elizabeth J Witherow, Casey L Peiris
OBJECTIVE: To investigate which orthosis results in (1) fewer complications; (2) the least extensor lag; and (3) the highest rates of treatment success according to the Abouna and Brown criteria for soft tissue mallet injury in adults. DATA SOURCES: Electronic databases AMED, CINAHL, Embase, MEDLINE, PubMed, OTseeker, and PEDro were searched from the earliest available date until September 16, 2014. STUDY SELECTION: Controlled trials evaluating orthosis type in the conservative management of mallet injury were included...
October 2015: Archives of Physical Medicine and Rehabilitation
Kristin Valdes, Nancy Naughton, Lori Algar
PURPOSE: To determine if there is a superior orthosis and wearing regimen for the conservative treatment of mallet finger injuries. The secondary purpose is to examine the current evidence to evaluate if a night orthosis is necessary following the initial immobilization phase. METHODS: A comprehensive literature search was conducted using the search terms mallet finger, splint, orthosis, and conservative treatment. RESULTS: Four randomized controlled trials (RCTs) were included in the systematic review...
July 2015: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
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