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Acute Mallet Finger Injuries-A Review
Brahman Shankar Sivakumar1, David J Graham2, James P Ledgard3
1Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, St Leonards, New South Wales, Australia; Australian Research Collaboration on Hands [ARCH], Mudgeeraba, Queensland, Australia; Department of Orthopaedic Surgery, Hornsby Ku-ring-gai Hospital, Hornsby, New South Wales, Australia; Department of Orthopaedic Surgery, Nepean Hospital, Kingswood, New South Wales, Australia; Discipline of Surgery, Sydney Medical School, the Faculty of Medicine and Health, the University of Sydney, Camperdown, Australia.
Acute mallet finger injuries, or terminal extensor tendon disruptions, can cause dysfunction. This review covers current literature and suggests a modified Doyle classification to improve accuracy and reduce errors in diagnosing these common injuries.
Area of Science:
- Orthopedic Surgery
- Hand Surgery
- Traumatology
Background:
- Acute disruptions of the terminal extensor tendon are frequent injuries.
- These injuries can lead to significant functional impairment if not managed correctly.
Purpose of the Study:
- To provide a topical review of current literature on acute mallet finger injuries.
- To propose a modified Doyle classification for mallet finger injuries to enhance comprehensiveness and reduce interobserver variability.
Main Methods:
- Comprehensive literature search of contemporary studies on acute mallet finger injuries.
- Analysis of existing Doyle classification system for mallet finger injuries.
- Development of a proposed modification to the Doyle classification.
Main Results:
- Current literature highlights the commonality and potential for dysfunction associated with acute mallet finger injuries.
- The existing Doyle classification may have limitations in encompassing all injury types and is subject to interobserver error.
Conclusions:
- Accurate recognition and treatment are crucial for managing acute mallet finger injuries.
- The proposed modification to the Doyle classification aims to improve diagnostic accuracy and consistency in evaluating mallet finger injuries.
