The Mexican Hat Splint – A New Splint for the Treatment of Closed Mallet Finger

Wilson, Simon; Khoo, C.T.K.

doi:10.1054/jhsb.2001.0590

Cited by 21 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Goto et al found a final extension lag of 8.5 • and excellent or good results in 88% of patients, according to the criteria of Crawford [19]. Kalainov [22][23][24][25][26]. We believe our findings are reflective of the superior healing capacity of bone fractures compared with tendons, and the smaller DIP joint extensor lag observed following bony compared with tendinous mallet injuries.…”

Section: Discussionsupporting

confidence: 51%

Outcome Differences between Conservatively Treated Acute Bony and Tendinous Mallet Fingers

Rubin,

Ammuri,

Mano

et al. 2023

JCM

View full text Add to dashboard Cite

Introduction: Tendinous and bony mallets are very different injuries that present with extensor lag at the distal interphalangeal joint. This study aimed to evaluate the differences in outcomes between acute bony and tendinous mallet fingers treated conservatively with splints. Materials and Methods: We retrospectively collected data on patients with acute tendinous or bony mallets who received conservative treatment in our occupational therapy clinic. The patients were examined at an outpatient clinic, where data on pain, extension lag, and loss of flexion were recorded. Outcomes were classified according to the criteria described by Crawford. Results: Data were collected from 133 patients (43 with bony and 90 with tendinous mallets). We found that bony mallet patients were predominantly younger (mean, 36 vs. 46 years), and more likely to be female (60% vs. 34%), than tendinous mallet patients. We also found that tendinous mallet injuries predominantly affected the middle and ring fingers, while bony mallet injuries predominantly affected the ring and little fingers. The initial extensor lag was worse in tendinous than in bony mallets (median, 28° vs. 15°). In addition, patients with bony mallets had significantly better outcomes with regard to the extension lag (median 0° vs. 5° p = 0.003) and the Crawford Criteria Assessment (p = 0.004), compared with those with tendinous mallets. Discussion: Mallet injuries, both tendinous and bony, are common. They are often studied together and typically treated in the same manner using extension splints. However, evidence clearly shows that these are different injuries which present in the same manner. This study reinforces these findings and suggests that the outcome of conservative treatment is better for bony than for tendinous mallet fingers.

show abstract

Section: Discussionsupporting

confidence: 51%

Outcome Differences between Conservatively Treated Acute Bony and Tendinous Mallet Fingers

Rubin,

Ammuri,

Mano

et al. 2023

JCM

View full text Add to dashboard Cite

show abstract

“…En 1969, Stack 35 presentó su férula corta, mejorada en 1986 36 , disminuyendo la maceración y liberando un poco el pulpejo. Posteriormente se desarrollaron un gran número de modelos 10,11,4,23,33,34,1,24,8,16,9,15,30,43,20 . Nosotros nos basamos en la descripción de Elliot 8 para la localización dorsal de la férula, liberando completamente el pulpejo.…”

Section: Discusionunclassified

Resultados del tratamiento ortopédico del dedo en martillo por ruptura subcutánea del tendón extensor. Serie de 170 casos

Muratore

Medina

Navarro

et al. 2006

Rev Iberoam Cir Mano

View full text Add to dashboard Cite

Objetivo: El presente estudio tiene por objetivo demostrar que los pacientes con dedo en martillo por arrancamiento del tendón extensor o ruptura subcutánea, pueden beneficiarse del tratamiento ortopédico, reservando el tratamiento quirúrgico para casos con mala evolución. Material y Método: Se realizó un estudio retrospectivo de un grupo 170 de pacientes que presentaban una deformación digital en martillo por ruptura subcutánea o arrancamiento del tendón extensor. Todos los casos fueron tratados ortopédicamente, ya sea en consulta precoz y hasta en casos con un retraso máximo de 8 semanas. El tratamiento utilizado fue una férula dorsal en forma de rejilla, moldeada a medida, inmovilizando sólo la articulación interfalángica distal en extensión por un período de tiempo medio de 54 días. Resultados: Con un seguimiento medio de 5 meses, el déficit de extensión fue de 7° y la flexión alcanzó los 61°. Setenta y ocho pacientes de este grupo fueron evaluados después de un plazo medio de 5 años, obteniendo similares resultados, con un déficit de extensión medio de 5° y una movilidad en flexión media de 61°. Conclusiones: La férula es pues el tratamiento de elección incluso en caso de consulta diferida; la cirugía sólo la utilizamos para casos de fracaso del tratamiento ortopédico y en pacientes exigentes ya sea por razones profesionales o de ocio.

show abstract

“…For non-complicated cases some authors recommend conservative treatment, usually by splinting or casting [1][2][3][4][5]. Under some conditions, however, operation is much more preferred, as suggested by various published reports [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Open accurate reduction for irreducible mallet fractures through a new pulp traction technique with primary tendon repair

Kang

Lee

2012

Journal of Plastic Surgery and Hand Surgery

View full text Add to dashboard Cite

Sixteen patients with bony mallet fingers were treated by a new technique of open reduction through a T-shaped dorsal incision and oblique wire fixation via pulp traction with additional primary extensor repair. Surgical indications included fractures with intra-articular involvement over 1/3 of the articular surface, distal phalanx subluxation, and displacement greater than 3 mm irreducible by extension block pinning. The cases were analysed prospectively for a mean follow-up period of 12 months. The results were evaluated using Crawford's criteria. Eleven cases were evaluated as excellent, three cases as good, and two cases as fair. Complications included three cases with transient nail deformity, two cases with flexion limitation of 5° and 10°, and three cases with extension lag between 5°-10°. This new method of accurate reduction achieves good clinical outcomes, with comparatively less complications in mallet fractures irreducible to closed extension block reduction.

show abstract

The Mexican Hat Splint – A New Splint for the Treatment of Closed Mallet Finger

Cited by 21 publications

References 3 publications

Outcome Differences between Conservatively Treated Acute Bony and Tendinous Mallet Fingers

Outcome Differences between Conservatively Treated Acute Bony and Tendinous Mallet Fingers

Resultados del tratamiento ortopédico del dedo en martillo por ruptura subcutánea del tendón extensor. Serie de 170 casos

Open accurate reduction for irreducible mallet fractures through a new pulp traction technique with primary tendon repair

Contact Info

Product

Resources

About