Mallet thumb

Din, KM; Meggitt, BF

doi:10.1302/0301-620x.65b5.6643565

Cited by 43 publications

(19 citation statements)

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“…Mallet thumb, avulsion of the extensor pollicis longus tendon from its distal phalangeal insertion, is less common than mallet finger. 3,14 There are few reports about mallet thumbs, particularly those with associated fracture. 3,9,14 Little is known about the difference between mallet fractures of the thumb compared with mallet fractures of the index through small fingers with respect to etiology, radiographic findings, and treatment.…”

Section: Introductionmentioning

confidence: 99%

Mallet Fractures of the Thumb Compared With Mallet Fractures of the Fingers

Oflazoglu

Moradi

Braun

et al. 2016

Hand (New York, N,Y.)

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Background: The purpose of this study was to look for differences in mechanism, radiographic findings, and treatment between mallet fractures of the thumb and mallet fractures of the index through small fingers. Methods: This retrospective study included 24 mallet fractures of the thumb and 392 mallet fractures of other digits. We compared demographics, injury factors (side, dominant hand, time between injury and first visit, and injury mechanism), subluxation, fragment size, treatment, and time from injury to final evaluation between the 2 groups. Results: Mallet fractures of the thumb presented for treatment sooner after injury (2.9 vs 13 days on average), had less fragment displacement (27% vs 33%), and less articular involvement (39% vs 46% on average). None of the mallet fractures of the thumb had radiographic evidence of subluxation, whereas 25% of mallet fractures of other fingers had initial or later subluxation. Conclusions: Mallet fractures of the thumb are not likely to subluxate.

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Section: Introductionmentioning

confidence: 99%

Mallet Fractures of the Thumb Compared With Mallet Fractures of the Fingers

Oflazoglu

Moradi

Braun

et al. 2016

Hand (New York, N,Y.)

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“…In describing this entity, Din and Meggitt treated 48 mallet fi ngers as opposed to 4 mallet thumbs over a period of four years [ 23 ]. The authors defi ned a mallet as one in which the site of injury is distal to the MCPJ of the thumb resulting in loss of only IP extension as opposed to a 'dropped' thumb in which the lesion is proximal to the MCPJ and has loss of both IP and MCP extension.…”

Section: The Mallet Thumb Epidemiologymentioning

confidence: 99%

“…Radiological examination may or may not reveal a fracture of the distal phalanx or rarely, of the proximal phalanx [ 23 ]. The difference to note is the longer distance for potential injury; that is from the insertion site to the MCP joint of the thumb (the length of the proximal phalanx) (Fig.…”

Section: Clinical Features and Diagnosismentioning

confidence: 99%

Acute Thumb and Finger Instability

Roohi

Leclercq

2014

Disorders of the Hand

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“…[18] Klasik olarak aktif ekstansiyondaki İF eklemin fleksiyona zorlanması sonucunda ekstansör pollisis longus tendonu distal yapışma yerinden kopar ve "Mallet thumb" tablosu oluşur. Nadir izlenen bu tabloda az sayıda çalışmada konservatif tedavi ile iyi sonuçlar bildirilmiştir.…”

Section: Metakarpofalangeal Eklem çıKıklarıunclassified

Soft tissue injuries of the finger in athletes

Akgün

2012

TOTBİD Dergisi

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El parmaklarının yumuşak doku yaralanmaları, elin kompleks anatomisi ve rutin klinik muayene ile değerlendiril-mesinin zor olması nedeni ile fonksiyon ve klinik sonuçlar açısından önem taşımaktadır. Yapılan epidemiyolojik çalışmalarda el ve el bileği yaralanmalarının, tüm spor yaralanmaları içerisinde %3 ila %25 oranında olduğu gös-terilmiştir. Parmak yaralanmalarının değerlendirilmesin-de kapsamlı bir öykü ve fizik muayene esastır. Meydana gelen travmanın oluş mekanizması, patoloji şiddetinin öngörülmesinde yardımcıdır. El ve parmak yumuşak doku yaralanmaları, akut travmalara bağlı veya aşırı kullanım sonucu oluşur. Voleybol, hentbol, basketbol, boks, tırmanma ve kış sporlarında bu doku yaralanmaları sıkça görülür. İlk değerlendirmede parmak eklemlerindeki deformite, dolaşım bozukluğu, parmakların postürü, duyu kaybı, ödem, ciltte renk değişiklikleri ve fonksiyon kaybı kaydedilmeli ve sistematik olarak her parmak ayrı ayrı değerlendirilmelidir. Tendon yaralanmalarına ve eklem çıkıklarına eşlik edebilecek avülziyon kırıkları, direkt grafilerle tespit edilebilir. Meydana gelebilecek bağ yaralanmalarının şiddetine göre, el ve parmak yumuşak doku yaralanmalarında konservatif veya cerrahi tedavi uygulanabilir. El ve parmak fonksiyonlarının yaralanma sonrası geri kazanılması amacı ile erken mobilizasyon ve rehabilitasyon da önemlidir.

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Mallet thumb

Abstract: The uncommon injury of mallet thumb is described, with four case reports. In diagnosis the condition must be distinguished from dropped thumb. Operative treatment is advised which, in this small series, gave excellent results.

Cited by 43 publications

References 0 publications

Mallet Fractures of the Thumb Compared With Mallet Fractures of the Fingers

Mallet Fractures of the Thumb Compared With Mallet Fractures of the Fingers

Acute Thumb and Finger Instability

Soft tissue injuries of the finger in athletes

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