Blinded, Prospective, Randomized Clinical Trial Comparing Volar, Dorsal, and Custom Thermoplastic Splinting in the Treatment of Acute Mallet Finger

Pike, Jeffrey M.; Mulpuri, Kishore; Metzger, Mark A.; Ng, Gordon; Wells, Neil; Goetz, Thomas J.

doi:10.1016/s0363-5023(09)60130-1

Cited by 4 publications

(7 citation statements)

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“…7 Various other methods of splint immobilization have been reported including elastic bandage splints, 31 custom-made thermoplastic splints, 32,33 tape splints 34 and plaster casting, 2,35 the latter described only in situations where both the proximal and the DIP joints were immobilized. In a blinded, prospective, randomized clinical trial involving 87 participants, Pike et al 32 compared volar aluminium, dorsal aluminium and custommade thermoplastic splints and found no significant difference in their effectiveness. They reported a trend suggesting superiority of the custom-made thermoplastic splint; however, this finding must be considered with caution, due to lack of statistical significance.…”

Section: Mallet Finger and Managementmentioning

confidence: 99%

“…In a review of treatment options for mallet finger, six weeks of immobilization was the most commonly reported period, based on tendon healing timelines. 38 Pike et al 32 treated 87 Canadian patients with six weeks of splinting. Follow-up night splinting was only employed if there was more than 208 extension lag or if the patient deemed the lag unacceptable, which occurred in nine cases.…”

Section: Mallet Finger and Managementmentioning

confidence: 99%

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Investigation of the conservative management of mallet injury in Irish acute hospitals

Minchin

Spirtos

2012

Hand Therapy

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Introduction. Mallet injury is a commonly treated hand injury in acute hospitals. While there is much literature regarding the various treatment options and outcomes, no studies were found that describe the management of this injury across a national health service. This study describes how mallet injury is managed within the acute hospital system in Ireland. An understanding of the current system of service provision is essential for future service development in this area. Method. Emergency and occupational therapy departments in the 29 acute case-mix hospitals in Ireland were contacted by telephone and postal questionnaire with 47 respondents participating in the study. Descriptive statistics are used to present the results. Results. Results indicate that accessing acute hospital-based services for the conservative management of mallet injury typically follows a predictable pathway, but can result in delays and disruption to treatment for the patient. There is little evidence of direct referral from the emergency department to the occupational therapist which, when compared with published literature, would represent the most efficient and optimum care pathway for the patient. The choice of splint used by both the emergency and occupational therapy departments differs, but treatment provided is in line with available evidence-based practice.Conclusions. This preliminary study provides a basis for future service development in the acute management of mallet injury, by describing how treatment is currently provided nationally. Recommendations for further investigation have been made, and the need for audit and outcome measurement has been highlighted. The development of therapy-led services in Ireland is proposed, to improve efficiency and quality of service provision in the conservative management of mallet injury.

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Section: Mallet Finger and Managementmentioning

confidence: 99%

Section: Mallet Finger and Managementmentioning

confidence: 99%

Investigation of the conservative management of mallet injury in Irish acute hospitals

Minchin

Spirtos

2012

Hand Therapy

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“…The articular surface of the fragment was measured as a percentage of the joint surface on the lateral view. 5 The mean distal joint surface involvement was 26% (range, 15% to 42%). Subluxation of the DIP joint was noted in 6 of 9 patients.…”

Section: Clinical Casesmentioning

confidence: 97%

“…5 Surgical treatment is generally indicated for patients who have a fracture with subluxation of the DIP joint. Therefore, type V mallet finger may be found intraoperatively.…”

mentioning

confidence: 99%

Pullout Wire Fixation Together With Distal Interphalangeal Joint Kirschner Wire Stabilization for Acute Combined Tendon and Bone (Double Level) Mallet Finger Injury

Zhang¹,

Shao²,

Huang³

2015

The Journal of Hand Surgery

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“…tom thermoplastic, dorsal padded aluminum, and volar padded aluminum splinting for Doyle I acute mallet fingers. 43 Another trial (level III evidence) showed that treatment 4 weeks after injury yielded results as good as those in patients treated within 2 weeks after injury. 44…”

Section: Extensor Tendon Injuries Mallet Fingersmentioning

confidence: 99%

Tendon Disorders of the Hand

Lalonde

Kozin

2011

Plastic and Reconstructive Surgery

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This article provides a practical, clinically useful overview of some of the current best techniques and evidence available to the plastic surgeon in the treatment of flexor and extensor tendon injuries, tendon transfers, trigger fingers, mallet fingers, boutonniere deformities, and De Quervain tenosynovitis. Twelve short movies and drawings emphasize important points of diagnosis and treatment of tendon disorders.

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Blinded, Prospective, Randomized Clinical Trial Comparing Volar, Dorsal, and Custom Thermoplastic Splinting in the Treatment of Acute Mallet Finger

Cited by 4 publications

References 0 publications

Investigation of the conservative management of mallet injury in Irish acute hospitals

Investigation of the conservative management of mallet injury in Irish acute hospitals

Pullout Wire Fixation Together With Distal Interphalangeal Joint Kirschner Wire Stabilization for Acute Combined Tendon and Bone (Double Level) Mallet Finger Injury

Tendon Disorders of the Hand

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