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How I Manage Mallet Finger.

W L Vetter

    The Physician and Sportsmedicine
    |July 26, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Mallet finger, a common sports injury affecting the distal interphalangeal joint, is typically treated with conservative splinting for eight weeks or more. Surgery is reserved for complex fractures where conservative methods fail.

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    Area of Science:

    • Orthopedics
    • Sports Medicine
    • Hand Surgery

    Background:

    • Mallet finger is a frequent injury in athletes participating in contact sports.
    • It involves the loss of extensor function at the distal interphalangeal joint.
    • This condition results in a characteristic finger deformity.

    Purpose of the Study:

    • To outline the conservative and surgical management of mallet finger injuries.
    • To emphasize the efficacy of splinting as a primary treatment modality.
    • To define criteria for surgical intervention in cases of mallet finger.

    Main Methods:

    • Conservative treatment involves continuous splinting of the distal interphalangeal joint.
    • Splinting duration typically exceeds eight weeks.
    • Patients require periodic splint removal for hygiene, with strict instructions to avoid finger flexion.

    Main Results:

    • Conservative splinting is effective for most mallet finger injuries.
    • Surgical intervention is indicated for specific fracture patterns, such as those with a subluxated palmar fragment.
    • Failure of conservative treatment may necessitate surgical consideration.

    Conclusions:

    • Mallet finger injuries in athletes are predominantly managed non-operatively.
    • Proper splinting technique and adherence are crucial for successful outcomes.
    • Surgical treatment for mallet finger should be reserved for complex, refractory cases.