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Reverse Ishiguro Extension Block Technique as an Alternative for Irreducible Osseous Mallet Finger
Laura M Perez-Lopez1, Miguel Perez-Abad2,3, María Alejandra Suarez Merchan4
1Department of Pediatric Orthopedic and Trauma Surgery, Hospital Sant Joan de Déu.
Techniques in Hand & Upper Extremity Surgery
|December 12, 2023
Summary
Subacute unstable mallet finger can be difficult to treat with the standard Ishiguro technique. Reversing the procedure steps may offer an easier and more stable reduction of joint subluxation and fracture.
Area of Science:
- Orthopedic surgery
- Hand surgery
- Traumatology
Background:
- Unstable osseous mallet finger, especially when presenting late or subacutely, poses reduction challenges.
- Traditional Ishiguro technique may lead to persistent joint subluxation in these cases.
Purpose of the Study:
- To propose an alternative approach for managing subacute or late-presenting unstable osseous mallet finger.
- To investigate the efficacy of reversing the Ishiguro technique steps for improved reduction and stability.
Main Methods:
- The study suggests prioritizing joint subluxation correction over strict adherence to the traditional Ishiguro technique.
- The proposed method involves performing the Ishiguro procedure steps in reverse order.
Main Results:
- Reversing the Ishiguro technique steps facilitates easier reduction of the joint and fracture.
- This modified approach leads to a more stable reduction compared to the traditional method.
Conclusions:
- For subacute or late-presenting unstable osseous mallet finger, a reverse Ishiguro technique is recommended.
- Prioritizing joint subluxation correction through this modified technique enhances treatment outcomes.
