Nonsurgical Treatment of Closed Mallet Finger Fractures

Kalainov, David M.; Hoepfner, Peter E.; Hartigan, Brian J.; Carroll, C.; Genuario, James

doi:10.1016/j.jhsa.2005.02.010

Cited by 105 publications

(65 citation statements)

References 31 publications

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“…28 In 2005, Kalainov et al reported the outcomes of 22 patients with closed mallet fractures involving greater than 33% of the articular surface. 29 Thirteen of these patients had DIP joint subluxation. All patients were treated with extension splinting for approximately 6 weeks.…”

Section: Dip Joint Introductionmentioning

confidence: 99%

Fracture–Dislocation About the Finger Joints

Calfee

Sommerkamp

2009

The Journal of Hand Surgery

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Section: Dip Joint Introductionmentioning

confidence: 99%

Fracture–Dislocation About the Finger Joints

Calfee

Sommerkamp

2009

The Journal of Hand Surgery

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“…Second, the part of the guard supporting the distal phalanx is angulated by approximately 5°causing corresponding flexion at the distal interphalangeal joint. This is contrary to the management aim of splinting this joint in extension for 6-8 weeks 2 and may lead to a poor outcome.…”

Section: Comment On (mentioning

confidence: 80%

The ISCP: Trainees should Now be able to Gain Better Access to Appropriate Clinical Material

Wilkins

2008

annals

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“…20,21 Fractures involving less than 1/3 of the joint surface are not usually unstable and can successfully treated with extension splints, even upon late presentation. 22 Fractures with persistent volar subluxation of the distal phalanx, joint incongruity, or fracture fragments larger than 50% of the joint surface should be addressed surgically to restore congruity of the articular surface. 23 For non-operative management, adherence to strict splinting is mandatory.…”

Section: Bony Mallet Finger Fracturesmentioning

confidence: 99%

10 Pediatric Hand Fractures

2018

Fractures of the Hand and Carpus

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SummaryPediatric hand fractures are common childhood injuries. Identification of the fractures in the emergency room setting can be challenging owing to the physes and incomplete ossification of the carpus that are not revealed in the xrays. Most simple fractures can be treated with appropriate immobilization through buddy taping, finger splints, or casting. If correctly diagnosed, reduced and immobilized, these fractures usually result in excellent clinical outcomes. However, fractures may require operative stabilization if they have substantial angulation or rotation, extend into the joint, or cannot be held in a reduced position with splinting alone. Most fractures can be treated operatively with closed reduction and percutaneous pinning if addressed within the first week following the injury. In children, the thick, vascular-rich periosteum and bony remodeling potential make anatomic reductions and internal fixation rarely necessary. Most fractures complete bony healing in 3-4 weeks, with the scaphoid being a notable exception. Following immobilization, children rarely develop hand stiffness and formal occupational therapy is usually not necessary. Despite the high potential for excellent outcomes in pediatric hand fractures, some fractures remain difficult to diagnose and treat. Keywords Pediatric hand fractures; Pediatric hand injuriesA number of pediatric hand fractures have fairly innocuous presentations, but require early recognition and intervention to achieve satisfactory outcomes. Seymour fractures (open distal phalanx physeal fracture with proximal nail fold incarceration) must be identified and treated operatively to avoid infection, malunion, and nail deformities. Distal condylar phalangeal (DCP) fractures are difficult to address if not reduced at the time of injury. An osteotomy to correct a DCP malunion can be fraught with complications, and sagittal plane deformities may be able to remodel better than previously thought. Scaphoid waist fractures in adolescents, if not identified shortly after injury and immobilized appropriately, may result in non-union.

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Nonsurgical Treatment of Closed Mallet Finger Fractures

Cited by 105 publications

References 31 publications

Fracture–Dislocation About the Finger Joints

Fracture–Dislocation About the Finger Joints

The ISCP: Trainees should Now be able to Gain Better Access to Appropriate Clinical Material

10 Pediatric Hand Fractures

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