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Closed mallet thumb injury treated surgically: a case report
Michael Arvanitakis1, Maurizio Calcagni1, Thomas Giesen1
1Department of Plastic Surgery and Hand Surgery, University Hospital Zurich, Zurich, Switzerland.
Case Reports in Plastic Surgery & Hand Surgery
|May 5, 2017
Summary
This case report highlights a successful surgical reconstruction of a closed mallet thumb injury using ultrasound to confirm the need for surgery. The study recommends routine ultrasound for all such thumb injuries.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal Imaging
Background:
- Closed mallet thumb injuries can present diagnostic challenges.
- Accurate assessment is crucial for effective treatment planning.
Observation:
- A case of closed mallet thumb injury was diagnosed clinically.
- Ultrasound examination confirmed the indication for surgical intervention.
- The extensor pollicis longus (EPL) tendon was successfully reconstructed.
Findings:
- Ultrasound provided accurate diagnosis and guided surgical treatment.
- Surgical reconstruction of the EPL tendon yielded excellent results.
- The patient experienced a favorable outcome post-surgery.
Implications:
- Ultrasound examination should be considered mandatory for all closed mallet thumb injuries.
- This approach may improve diagnostic accuracy and patient outcomes.
- Standardizing diagnostic protocols can enhance the management of thumb extensor tendon injuries.
