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A simple effective splinting technique for the mallet finger.

B Lester1, G K Jeong, D Perry

  • 1Department of Orthopedic Surgery, Montefiore Medical Center, Bronx, New York, USA.

American Journal of Orthopedics (Belle Mead, N.J.)
|April 4, 2000
PubMed
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This study presents a simple, closed treatment for mallet fingers using a 0-degree extension splint. The technique yielded excellent results in most patients, restoring near-complete active finger extension.

Area of Science:

  • Orthopedic surgery
  • Hand surgery
  • Traumatology

Background:

  • Mallet finger is a common injury affecting the extensor tendon at the distal interphalangeal joint.
  • Closed treatment is preferred for mallet fingers, but effective and simple techniques are continually sought.
  • Previous methods may involve complex splinting or have variable outcomes.

Purpose of the Study:

  • To describe and evaluate an inexpensive, simple, and effective closed treatment technique for mallet fingers.
  • To assess the efficacy of splinting the mallet finger in 0 degrees of extension.

Main Methods:

  • A novel splinting technique was developed for closed mallet finger treatment.
  • The technique involves immobilizing the affected finger in 0 degrees of extension.

Related Experiment Videos

  • Thirty-seven patients with closed mallet finger injuries (including 10 with fractures) were treated with this method.
  • Main Results:

    • Excellent results were achieved in 35 out of 37 patients (94.6%).
    • Patients experienced recovery of complete or near-complete active extension.
    • The technique proved simple, reproducible, and easy to use with readily available materials.

    Conclusions:

    • This 0-degree extension splinting technique offers an effective, inexpensive, and simple solution for closed mallet finger treatment.
    • The reported outcomes are comparable to or better than those of existing methods.
    • The technique is suitable for widespread clinical application by physicians.