280 results match your criteria Mallet Fracture


Early Mobilization After Volar Locking Plate Osteosynthesis of Distal Radial Fractures in Older Patients-A Randomized Controlled Trial.

J Hand Surg Am 2020 Jul 4. Epub 2020 Jul 4.

Department of Orthopedic Surgery, Zealand University Hospital, Køge.

Purpose: To investigate if early mobilization after open reduction internal fixation of distal radius fractures improved the functional outcome. We hypothesized that early mobilization would lead to improved patient-reported outcome. Second, we aimed to assess whether early mobilization increased the risk of postoperative implant loosening or breakage. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.05.009DOI Listing

Management of Fracture Risk in Patients with Chronic Obstructive Pulmonary Disease (COPD): Building a UK Consensus Through Healthcare Professional and Patient Engagement.

Int J Chron Obstruct Pulmon Dis 2020 15;15:1377-1390. Epub 2020 Jun 15.

NIHR Nottingham BRC Respiratory Theme, School of Medicine, University of Nottingham, City Hospital Campus, Nottingham, UK.

Introduction: Osteoporosis and bone fractures are common in chronic obstructive pulmonary disease (COPD) and contribute significantly to morbidity and mortality. Current national guidance on COPD management recommends addressing bone health in patients, however, does not detail how. This consensus outlines key elements of a structured approach to managing bone health and fracture risk in patients with COPD. Read More

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http://dx.doi.org/10.2147/COPD.S233398DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311204PMC

The optimal management of Seymour fractures in children and adolescents: a systematic review protocol.

Syst Rev 2020 Jun 23;9(1):150. Epub 2020 Jun 23.

St Thomas' Hospital, London, UK.

Background: Seymour fractures are open, displaced juxta-epiphyseal fractures of the distal phalanx, with an overlying nail bed laceration that occur in children and adolescents with an open physis. This fracture occurs rarely, but its potential consequences are clinically significant. Due to anatomical particulars and proximity to the growth plate, this open fracture may result in soft tissue infection and osteomyelitis, leading to growth arrest and persistent mallet deformity. Read More

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http://dx.doi.org/10.1186/s13643-020-01407-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7313162PMC

Treatment of tendinous mallet finger deformity with a part of the flexor digitorum profundus tendon.

ANZ J Surg 2020 Jun 2. Epub 2020 Jun 2.

Department of Orthopedics, Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, China.

Background: To introduce and evaluate an updated surgical technique for the treatment of tendinous mallet finger deformity.

Methods: From April 2017 to September 2018, 13 cases of tendinous mallet finger deformity were treated. All patients had zone I extensor tendon rupture, with no residual tendon at the insertion for suture, and no avulsion fracture in the distal phalanx. Read More

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http://dx.doi.org/10.1111/ans.16012DOI Listing

Pathologic mallet fracture of distal phalanx enchondroma: A case report.

Medicine (Baltimore) 2020 May;99(22):e20219

Department of Orthopaedic Surgery, Soonchunhyang University Cheoan Hospital.

Introduction: Enchondromas arise from cartilaginous cells derived from the physis that persists throughout development. They are difficult to diagnose and are often discovered on radiographs after a trauma.

Patient Concerns: We discuss the case of a 32-year-old woman with a pathologic mallet fracture of the distal phalanx that was initially misdiagnosed as common mallet fracture. Read More

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http://dx.doi.org/10.1097/MD.0000000000020219DOI Listing

Injury pattern and the biomechanical assessment of skull fracture risk in blows with a rubber mallet.

Forensic Sci Int 2020 Jul 23;312:110303. Epub 2020 Apr 23.

Institute of Legal Medicine, University of Halle-Wittenberg, Franzosenweg 1, 06112 Halle/Saale, Germany.

Acts of violence often result in blunt force trauma. On behalf of the court, forensic experts not only have to assess injuries in terms of morphology or severity, but they also have to give statements regarding the risk of potential fatal injuries. We describe a case of domestic violence where a man hit the head of his wife using a rubber mallet. Read More

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http://dx.doi.org/10.1016/j.forsciint.2020.110303DOI Listing

A Trial of the Effect of 2-Step Orthosis Treatment for Mallet Finger Fractures.

J Sport Rehabil 2020 May 1:1-5. Epub 2020 May 1.

Context: Many patients report poor therapeutic outcomes following mallet finger fracture surgery. A more reliable technique is urgently needed.

Objective: To present a novel treatment for mallet finger fractures using a 2-step orthosis method. Read More

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http://dx.doi.org/10.1123/jsr.2019-0249DOI Listing

Splinting versus extension-block pinning of bony mallet finger: a randomized clinical trial.

J Hand Surg Eur Vol 2020 Jul 26;45(6):574-581. Epub 2020 Apr 26.

Department of Orthopaedics, Aarhus University Hospital, Aarhus, Denmark.

Surgical treatment of bony mallet fingers is frequently recommended, but the evidence is sparse. This randomized clinical trial aimed to compare nonoperative splinting versus extension-block pinning of bony mallet fingers with involvement of more than one-third of the joint surface but without primary joint subluxation. Thirty-two patients were randomized and 28 fulfilled the protocol. Read More

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http://dx.doi.org/10.1177/1753193420917567DOI Listing

Delta Wiring Technique to Treat Bony Mallet Finger: No Need of Transfixation Pin.

Tech Hand Up Extrem Surg 2020 Feb 28. Epub 2020 Feb 28.

Sir J.J. Group of Hospitals and Grant Medical College, Mumbai, Maharashtra, India.

Extension-block pinning is a popular surgical treatment method for mallet fractures but is associated with several pitfalls. Transfixation Kirschner wires used in the extension-block pinning technique may cause iatrogenic nail bed injury, bone fragment rotation, chondral damage, or osteoarthritis. The objective of this study was to determine the result of the delta wiring technique in mallet fractures with fracture fragment involving more than one-third of the distal phalanx articular surface. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000281DOI Listing
February 2020

Anatomical and clinical study of a new mallet fracture classification method.

Chin Med J (Engl) 2020 Mar(6):657-663

Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing 100035, China.

Background: Mallet fracture is avulsion of the terminal extensor tendon from the base of the distal phalangeal bone with a bony fragment. This study was performed to evaluate the anatomical characteristics of mallet fractures, investigate a new mallet fracture classification system using anatomical and imaging methods, and discuss the treatment schemes for different types of mallet fracture.

Methods: Sixty-four fresh cadaveric fingers were divided into four groups, and models of different types of mallet fracture with distal interphalangeal joint instability were established by dissecting 25%, 50%, 75%, and 100% of the bilateral collateral ligaments. Read More

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http://dx.doi.org/10.1097/CM9.0000000000000676DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7190220PMC

Using an Impact Hammer to Estimate Elastic Modulus and Thickness of a Sample During an Osteotomy.

J Biomech Eng 2020 Feb 3. Epub 2020 Feb 3.

CNRS, Laboratoire de Modélisation et de Simulation Multi-Echelle, UMR CNRS 8208,61 Avenue du Général de Gaulle, Créteil 94010, France.

Performing an osteotomy with a surgical mallet and an osteotome is a delicate intervention mostly based on the surgeon proprioception. It remains difficult to assess the properties of bone tissue being osteotomized. Mispositioning of the osteotome or too strong impacts may lead to bone fractures which may have dramatic consequences. Read More

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http://dx.doi.org/10.1115/1.4046200DOI Listing
February 2020

Avulsion Injuries of the Hand and Wrist.

Radiographics 2020 Jan-Feb;40(1):163-180

From the Department of Radiology and Imaging Sciences, University of Utah, 30 N 1900 E #1A071, Salt Lake City, UT 84132 (M.D.W., S.E.S., H.A., R.L.L., C.J.H., B.Y.C., M.S., P.K., M.K.M.); and Department of Diagnostic Radiology, Oregon Health and Science University, Portland, Ore (B.G.H.).

Injuries of the hand and wrist are frequently encountered in radiology. Avulsions of the hand and wrist are a heterogeneous group of injuries, but they often have a characteristic imaging appearance that relates to the intricate bone and soft-tissue anatomy and the mechanism of injury. The imaging appearance and this intricate form and function dictate treatment of hand and wrist avulsions. Read More

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http://dx.doi.org/10.1148/rg.2020190085DOI Listing
January 2020

Open reduction and compression with double Kirschner wires for the treatment of old bony mallet finger.

J Orthop Surg Res 2019 Dec 21;14(1):459. Epub 2019 Dec 21.

Department of Orthopedics, The Forth Medical Center of the General Hospital of People's Liberation Army of China, Haidian District, Beijing, China.

Background: The management of old bony mallet fingers is complicated. The aim of the study is to present a new method of open reduction and compression with double Kirschner wires (K-wires) in treating old bony mallet fingers.

Methods: This was a retrospective analysis of patients with old closed bony mallet fingers treated between June 2013 and December 2016. Read More

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http://dx.doi.org/10.1186/s13018-019-1513-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6925853PMC
December 2019
1.577 Impact Factor

Treatment of mallet fractures with a transverse two-hole mini plate.

Chin Med J (Engl) 2019 Nov;132(22):2757-2759

Department of Hand Surgery, Beijing Jishuitan Hospital, Beijing 100035, China.

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http://dx.doi.org/10.1097/CM9.0000000000000501DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6940099PMC
November 2019

Mini thigthrope® fixation of unstable bony avulsion of the extensor hallucis longus tendon.

Foot (Edinb) 2019 Sep 20;40:105-108. Epub 2019 Aug 20.

Foot and Ankle Surgery, Instituto de Ortopedia Jaime Slullitel, San Luis 2435, Rosario, Santa Fe, Argentina.

Reports of isolated avulsion fracture of the distal phalanx of the hallux that comprise the functionality of the extensor hallucis longus tendon (EHL) are scarce and treatment for such injury has only been described in isolated single case reports. Two patients with an unstable avulsion fracture of the distal phalanx treated with reinsertion of the EHL with a Mini ThigthRope® system are presented in this paper. Two patients whom suffered an extreme plantarflexion mechanism sought attention in our clinic. Read More

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http://dx.doi.org/10.1016/j.foot.2019.08.005DOI Listing
September 2019
1 Read

Excellent functional recovery after Kirschner-wire extension blocking technique for displaced closed bony mallet finger injuries; results of 36 cases.

Acta Orthop Belg 2019 Jun;85(2):240-246

Bony mallet finger injuries comprise 30% of all mallet injuries. Operative treatment of bony mallet fingers injuries still remains controversial. The aim of this study was to describe the k-wire extension blocking technique and the functional results using the PRWHE questionnaire. Read More

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June 2019
1 Read

Mallet finger - A modified technique using the finger nail as a fixation point for the temporary immobilization of the distal interphalangeal joint - A biomechanical study.

Clin Biomech (Bristol, Avon) 2019 10 7;69:64-70. Epub 2019 Jul 7.

Department of Trauma Surgery, Medical University Innsbruck, Anichstraße 35, 6020 Innsbruck, Austria. Electronic address:

Background: The aim of the current biomechanical study was to investigate a newly developed surgical technique for mallet fingers. The new method is based on the Ishiguro method which requires a K-wire through the distal interphalangeal joint for temporary fixation. The new technique avoids the joint trans fixation using a specially designed finger nail holder. Read More

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http://dx.doi.org/10.1016/j.clinbiomech.2019.07.004DOI Listing
October 2019
4 Reads

Extension-block pinning to treat bony mallet finger: Is a transfixation pin necessary?

Ulus Travma Acil Cerrahi Derg 2019 May;25(3):281-286

Department of Orthopaedics and Traumatology, Haseki Training and Research Hospital, İstanbul-Turkey.

Background: Extension-block pinning is a popular treatment for mallet fractures, but it is associated with several pitfalls. Of note, transfixation Kirschner wires used to fix the distal interphalangeal (DIP) joint may cause iatrogenic nail bed injury, bone fragment rotation, chondral damage, or osteoarthritis. The objective of this study was to determine whether a transfixation pin was necessary for extension-block pinning in the treatment of bony mallet fracture. Read More

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http://www.tjtes.org/eng/jvi.aspx?pdir=travma&plng=eng&a
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http://dx.doi.org/10.5505/tjtes.2018.59951DOI Listing
May 2019
19 Reads

Elastic fixation of mallet finger fractures using two K-wires: A case report of a new fixation technique.

Medicine (Baltimore) 2019 May;98(20):e15481

Department of Hand Surgery, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang, P.R. China.

Rationale: Mallet finger fracture is a common sports-related injury that may lead to the tearing of extensor tendon and protrusion of a bony fragment located at the base of the distal phalanx. We affirmed that the elastic fixation of with two K-wires technique is a good method to deal with Mallet Finger fractures that fractures could gain effective fixation than the conventional treatment method and avoid surgical incision complication PATIENT CONCERNS:: We reported a 33-year-old female patient came to our hospital complaining of mild pain, swelling and her right little finger was deformed because of sport's injury.

Diagnosis: Acute mallet finger fracture type IV B according to Doyle classification of mallet injuries. Read More

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http://dx.doi.org/10.1097/MD.0000000000015481DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6531267PMC
May 2019
7 Reads
5.723 Impact Factor

Delayed Extension Block Pinning in 27 Patients With Mallet Fracture.

Hand (N Y) 2019 Apr 4:1558944719840749. Epub 2019 Apr 4.

1 St. Antonius Ziekenhuis, Nieuwegein, The Netherlands.

Background: Untreated bony mallet fingers can cause an array of problems; therefore, adequate treatment is essential. The primary aim of this study was to determine the patient-reported functional outcome of delayed surgical intervention of bony mallet fingers. The secondary aim was to determine the complication rate of delayed surgical intervention. Read More

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http://dx.doi.org/10.1177/1558944719840749DOI Listing
April 2019
5 Reads

The patterns of phalangeal fractures in children and adolescents: a review of 512 cases.

Handchir Mikrochir Plast Chir 2019 Feb 13;51(1):49-53. Epub 2019 Feb 13.

Klinika za djecje bolesti Zagreb Pediatric Surgery.

Introduction: Fractures of the phalanges in children can often be underappreciated by the physician of first contact. Therefore it is necessary to point out which of these fractures, because of the risk of possible future complications, need special mention.

Materials And Methods: A retrospective review of 512 fractures of the phalanges in children and adolescents during an one year period. Read More

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http://dx.doi.org/10.1055/a-0824-7167DOI Listing
February 2019
10 Reads

Modified Extension Block Technique for Bony Mallet Injury of the Hallux.

J Foot Ankle Surg 2019 May 8;58(3):596-598. Epub 2019 Feb 8.

Professor, Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.

Bony mallet injury of the hallux is uncommon. In the few reports of this injury, authors have described surgical treatments such as closed reduction with percutaneous pinning and open surgical fixation with Kirschner wires or a suture anchor. However, the appropriate surgical management for this injury remains controversial. Read More

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http://dx.doi.org/10.1053/j.jfas.2018.09.018DOI Listing
May 2019
46 Reads

Comparison of Percutaneous Reduction and Pin Fixation in Acute and Chronic Pediatric Mallet Fractures.

J Pediatr Orthop 2019 Mar;39(3):146-152

Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children and Children's Medical Center of Dallas, Dallas, TX.

Background: Although pediatric mallet fractures are more common than adult fractures, no techniques have focused on surgical fixation of pediatric mallet fractures. This study aims to describe the technique and results of percutaneous reduction and fixation in acute and chronic pediatric mallet fractures.

Methods: This is a retrospective review of 51 pediatric mallet fractures treated with percutaneous wire fixation from 2007 to 2014; 38 were acute fractures and 13 were chronic (>4 wk from injury). Read More

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http://dx.doi.org/10.1097/BPO.0000000000000896DOI Listing
March 2019
9 Reads

An Evidence-Based Approach to Casting and Orthosis Management of the Pediatric, Adolescent, and Young Adult Population for Injuries of the Upper Extremity: A Review Article.

Clin J Sport Med 2019 Feb 4. Epub 2019 Feb 4.

Department of Physical Medicine and Rehabilitation, Mayo Clinic, Jacksonville, Florida.

Objective: Review the use of upper-extremity orthoses and casts after injuries to the wrist and hand in the pediatric, adolescent, and young adult population. The common injuries reviewed include pediatric distal radius fractures, scaphoid fractures, metacarpal fractures, mallet fingers, volar plate injuries of the proximal interphalangeal (PIP) joint, and ulnar collateral ligament (UCL) tears of the thumb metacarpophalangeal (MCP) joint.

Data Sources: We conducted a literature review from 1985 to 2016 of upper-extremity orthotic interventions. Read More

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http://dx.doi.org/10.1097/JSM.0000000000000718DOI Listing
February 2019
12 Reads

Mallet Finger Fracture Treated with Delta Wiring Technique: A Case Report of a New Fixation Technique.

J Orthop Case Rep 2019 ;10(1):98-101

Department of Orthopaedic Surgery, Sir J. J. Group of Hospitals and Grant Medical College, Mumbai, Maharashtra, India.

Introduction: Extension-block pinning is a popular surgical treatment method for mallet fractures but is associated with several pitfalls. Transfixation Kirschner wires used in the extension-block pinning technique may cause iatrogenic nail bed injury, bone fragment rotation, chondral damage, or osteoarthritis. The objective of this study was to determine the result of the delta wiring technique in a case of mallet finger with fracture fragment involving more than one-third of the distal phalanx articular surface. Read More

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http://dx.doi.org/10.13107/jocr.2019.v10.i01.1656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276571PMC
January 2019

A Modified Pull-out Wire Technique for Acute Mallet Fracture of the Finger.

Indian J Orthop 2018 Nov-Dec;52(6):611-615

Orthopaedic Surgery Department, Section of Hand Surgery, Changhua Christian Hospital, Changhua, Taiwan, ROC.

Background: A variety of surgical techniques for treating mallet fracture finger has been reported with different outcomes and complications. However, the optimal procedure remains controversial. This study describes surgical outcomes of mallet fractures of the finger with distal phalanx treated by modified pull-out wire fixation with Kirschner wire (K-wire) stabilization of the DIP joint in hyperextension. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_325_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241068PMC
December 2018
7 Reads

Supplemental Method for Reduction of Irreducible Mallet Finger Fractures by the 2-Extension Block Technique: The Dorsal Counterforce Technique.

J Hand Surg Am 2019 Aug 6;44(8):695.e1-695.e8. Epub 2018 Nov 6.

Department of Orthopaedic Surgery, Seoul National University Hospital, Seoul, Korea.

Purpose: We suggest a method to achieve anatomical reduction in mallet finger fractures that are insufficiently treated by the 2-extension block wire technique.

Methods: We performed a retrospective review of 18 patients who were found to have an irreducible dorsal fragment and distal interphalangeal joint incongruence owing to rotation of the dorsal fragment in the sagittal plane. In these cases, we additionally employed a dorsal counterforce technique to supplement the 2-extension block technique. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.09.016DOI Listing
August 2019
9 Reads

An 11-year-old with mallet finger.

Emerg Med J 2018 Nov;35(11):679-680

Department of Emergency Medicine, University Hospital Waterford, Waterford, Ireland.

An 11-year-old girl presented with pain and deformity in her right little finger distal interphalangeal joint (DIPJ). She was active in several sports including hurling and had a history of dyspraxia with frequent minor soft tissue injuries which had not required hospital assessment. Her mother was concerned about the possibility of a recent injury. Read More

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https://emj.bmj.com/content/35/11/679.full.pdf
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http://emj.bmj.com/lookup/doi/10.1136/emermed-2017-207361
Publisher Site
http://dx.doi.org/10.1136/emermed-2017-207361DOI Listing
November 2018
18 Reads

Loss of Midline Function in Brachial Plexus Birth Palsy Patients.

J Pediatr Orthop 2019 Mar;39(3):e232-e235

Shriners Hospital for Children, Philadelphia, PA.

Background: Loss of midline function impairs the child's ability to perform certain activities of daily living such as dressing, buttoning, and perineal care. The purpose of this study was to assess brachial plexus birth palsy (BPBP) patients with loss of midline function with respect to etiology and treatment.

Methods: A retrospective review of all BPBP patients with loss of midline function was performed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001251DOI Listing
March 2019
22 Reads

Extension block and direct pinning methods for mallet fracture: A comparative study.

Arch Plast Surg 2018 Jul 15;45(4):351-356. Epub 2018 Jul 15.

Department of Plastic & Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Background: Mallet fracture can easily occur during sports activities or in daily life; however, the principles and methods of treatment for such fractures remain debated. Among the surgical treatments, various methods of closed reduction have been proposed. We treated patients with the extension block method (EBM) and the direct pinning method (DPM), and then compared the results. Read More

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http://dx.doi.org/10.5999/aps.2017.01431DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062697PMC
July 2018
11 Reads

Patient satisfaction after hook plate treatment of bony avulsion fracture of the distal phalanges.

Eur J Med Res 2018 Jul 20;23(1):35. Epub 2018 Jul 20.

Interdisciplinary Hand Department IHZ, Department of Trauma Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.

Background: Bony avulsion fractures of the distal phalanges can result in mallet finger deformity if not treated appropriately. Therefore, only minimally displaced fractures can be treated conservatively with a good outcome, as dislocation occurs very often. Several surgical treatment options have been developed during the past decades. Read More

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http://dx.doi.org/10.1186/s40001-018-0332-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6053819PMC
July 2018
8 Reads

When the Injury's Healing Process Meets the Needs of a Top-Level Volleyball Player: A Nonconventional Treatment of a Mallet Fracture Reinjury.

Am J Phys Med Rehabil 2019 02;98(2):e10-e12

From the Department of Rehabilitation (DC, MZ, CF), and Orthopaedics and Traumatology Unit (MB), Foligno Hospital, Foligno, Italy; and Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey (LÖ).

Managing top-level athlete's recovery after an injury is very complicated because it requires a challenging combination of clinical and social/professional aspects with the need to return as soon as possible to sports play. Herein, we report a top-level volleyball player for whom a finger splint combined with a custom made thermoplastic protection was used for the conservative management of a Mallet fracture reinjury. This way our player continued training and competitions in contrast to conventional rehabilitation protocols, which suggest to avoid new traumas until the healing phase is completed. Read More

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http://dx.doi.org/10.1097/PHM.0000000000000984DOI Listing
February 2019
20 Reads

[Short-term effectiveness of Kirschner wire elastic fixation in treatment of Doyle type and mallet finger].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 11;31(11):1287-1290

Department of Orthopedics, the 454th Hospital of Chinese PLA, Nanjing Jiangsu, 210001,

Objective: To evaluate the short-term effectiveness of Kirschner wire (K-wire) elastic fixation in the treatment of Doyle type Ⅰ and Ⅱ mallet finger.

Methods: Between July 2016 and March 2017, 18 patients with Doyle type Ⅰ and Ⅱ mallet finger were treated. There were 12 males and 6 males, with an average age of 45 years (range, 16-61 years). Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201706051
Publisher Site
http://dx.doi.org/10.7507/1002-1892.201706051DOI Listing
November 2017
16 Reads

Derotation of the mallet piece: A crucial point in mallet fracture surgery.

Hand Surg Rehabil 2018 Jun 6. Epub 2018 Jun 6.

Department of orthopedics and traumatology, Okmeydani Training and Research Hospital, 34365 Şişli, Istanbul, Turkey.

Mallet fracture is an avulsion of the extensor tendon and fracture of the dorsal rim of the articular surface of distal phalanx at the same time. If a part of the mallet fracture is angled or rotated to such a degree that prevents full anatomic reduction, malunion and deformities may occur as a result. The objective of this study was to describe a new surgical technique to provide derotation of the mallet fracture. Read More

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http://dx.doi.org/10.1016/j.hansur.2018.03.004DOI Listing
June 2018
11 Reads

Development of a blunt chest injury care bundle: An integrative review.

Injury 2018 Jun 7;49(6):1008-1023. Epub 2018 Apr 7.

Faculty of Nursing and Midwifery (Sydney Nursing School), The University of Sydney, Mallet St., Camperdown, NSW, Australia; The George Institute for Global Health, Bridge Street, Sydney, NSW, Australia; Emergency Services, Illawarra Shoalhaven Local Health District, Wollongong Hospital, Crown St., Wollongong, NSW, Australia. Electronic address:

Background: Blunt chest injuries (BCI) are associated with high rates of morbidity and mortality. There are many interventions for BCI which may be able to be combined as a care bundle for improved and more consistent outcomes.

Objective: To review and integrate the BCI management interventions to inform the development of a BCI care bundle. Read More

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http://dx.doi.org/10.1016/j.injury.2018.03.037DOI Listing
June 2018
10 Reads

A retrospective study of closed extension block pinning for mallet fractures: Analysis of predictors of postoperative range of motion.

J Plast Reconstr Aesthet Surg 2018 06 14;71(6):876-882. Epub 2018 Feb 14.

Department of Hand Surgery, Tokyo Hand Surgery & Sports Medicine Institute, Takatsuki Orthopaedic Hospital, Tokyo, Japan.

Background: Extension block pinning is a simple and reliable technique for mallet fractures, but poor results are sometimes obtained. The predictors of postoperative range of motion after extension block pinning of mallet fingers were investigated.

Methods: The outcomes for postoperative active motion of the distal interphalangeal (DIP) joint, such as flexion angle, extension loss, and total range of motion, were examined. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.01.041DOI Listing
June 2018
14 Reads

Tips Under the Skin: A Simple Modification of Extension Block Pinning for Mallet Fractures.

Orthopedics 2018 Mar 2;41(2):e299-e302. Epub 2018 Mar 2.

Pins exposed out of the skin after surgery for mallet fractures keep patients from washing their hands. The authors buried the tips of all pins under the skin while performing extension block pinning for 14 patients with mallet fractures. The patients were allowed to wash their hands 4 to 5 days postoperatively, without any dressing or splinting. Read More

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http://www.healio.com/doiresolver?doi=10.3928/01477447-20180
Publisher Site
http://dx.doi.org/10.3928/01477447-20180226-05DOI Listing
March 2018
13 Reads

Outcomes Following Operative Treatment of Adolescent Mallet Fractures.

HSS J 2018 Feb 25;14(1):83-87. Epub 2017 May 25.

Division of Pediatric Orthopaedic Surgery, Rainbow Babies and Children's Hospital, Case Western Reserve University, 11100 Euclid Avenue, RBC 6081, Cleveland, OH 44106 USA.

Background: Many surgeons advocate for surgical intervention of adult mallet fractures that involve either subluxation of the distal interphalangeal (DIP) joint or those that involve more than one-third of the articular surface. However, the efficacy of operative treatment and complication rates are unclear regarding the adolescent population.

Questions/purposes: The goal of this study is to evaluate the clinical outcomes following operative fixation of bony mallet fractures in the adolescent population. Read More

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http://dx.doi.org/10.1007/s11420-017-9563-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5786583PMC
February 2018
7 Reads

Evaluation of interobserver agreement in Albertoni's classification for mallet finger.

Rev Bras Ortop 2018 Jan-Feb;53(1):2-9. Epub 2017 Dec 12.

Departamento de Ortopedia e Traumatologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Objective: To measure the reliability of Albertoni's classification for mallet finger.

Methods: Agreement study. Forty-three radiographs of patients with mallet finger were assessed by 19 responders (12 hand surgeons and seven residents). Read More

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http://dx.doi.org/10.1016/j.rboe.2017.12.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5771784PMC
December 2017
15 Reads

Surgical and Nonsurgical Management of Mallet Finger: A Systematic Review.

J Hand Surg Am 2018 02 22;43(2):146-163.e2. Epub 2017 Nov 22.

The Ohio State University College of Medicine, Columbus, OH; Department of Orthopedic Surgery, Nationwide Children's Hospital, Columbus, OH. Electronic address:

Purpose: The current literature describes multiple surgical and nonsurgical techniques for the management of mallet finger injuries, and there is no consensus on the indications for surgical treatment. The objective of this study was to determine, through a literature review, if any conclusions can be drawn concerning the indications for surgery in mallet finger injuries; the treatment outcomes of surgical versus nonsurgical management; the most effective methods of surgical and nonsurgical treatment; and the most common treatment complications of mallet finger injuries.

Methods: A systematic review of multiple databases was performed. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.10.004DOI Listing
February 2018
11 Reads

Outcome of Hook Plate Fixation of Mallet Fractures.

J Hand Surg Asian Pac Vol 2017 Dec;22(4):416-422

1 Department of Hand Surgery, Singapore General Hospital, Singapore.

Background: Hook plate fixation of closed mallet fractures was first described in 2007, but there has subsequently been a lack of studies examining the outcomes and complications of this technique.

Methods: This paper aims to assess the clinical outcomes of hook plate fixation of closed mallet fractures by retrospectively reviewing 31 closed, bony mallet injuries that were surgically fixed with a hook plate between 2002-2011.

Results: Patients who underwent hook plate fixation had a median time to radiographic union of 83 days. Read More

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http://dx.doi.org/10.1142/S0218810417500435DOI Listing
December 2017
12 Reads

Correlation between extension-block K-wire insertion angle and postoperative extension loss in mallet finger fracture.

Orthop Traumatol Surg Res 2018 02 9;104(1):127-132. Epub 2017 Oct 9.

Department of Orthopedic Surgery, Eulji University College of Medicine, 1306, Dunsan-dong, Seo-gu, 35233 Daejeon, Republic of Korea.

Introduction: Extension-block pinning represents a simple and reliable surgical technique. Although this procedure is commonly performed successfully, some patients develop postoperative extension loss. To date, the relationship between extension-block Kirschner wire (K-wire) insertion angle and postoperative extension loss in mallet finger fracture remains unclear. Read More

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http://dx.doi.org/10.1016/j.otsr.2017.08.018DOI Listing
February 2018
48 Reads

Conservative management equally effective to new suture anchor technique for acute mallet finger deformity: A prospective randomized clinical trial.

J Hand Ther 2018 Oct - Dec;31(4):429-436. Epub 2017 Sep 28.

Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul University, İstanbul, Turkey.

Study Design: Prospective randomized controlled trial.

Purpose Of The Study: This study was designed to compare our new suture anchor technique with conservative management in acute Wehbe-Schneider type I A-B and II A-B mallet fingers.

Methods: Twenty nine patients who presented to our clinic between 2013 and 2015 were randomized for surgical or conservative treatment. Read More

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http://dx.doi.org/10.1016/j.jht.2017.07.006DOI Listing
November 2019
26 Reads

The Role of High Frequency Ultrasonography in Diagnosis of Acute Closed Mallet Finger Injury.

Sci Rep 2017 09 8;7(1):11049. Epub 2017 Sep 8.

Shandong University, Shandong Medical Imaging Research Institute, Shandong, China.

To evaluate the role of high frequency ultrasonography in diagnosis of acute closed mallet finger injury. 36 patients diagnosed with mallet finger were included in this study. All patients underwent ultrasonography, magnetic resonance imaging(MRI) and X-ray examinations. Read More

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http://dx.doi.org/10.1038/s41598-017-10959-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5591239PMC
September 2017
45 Reads

Comparison of Treatment Results for Mallet Finger Fractures in Children Between Low-Intensity Pulsed Ultrasound Stimulation and Ishiguro's Method.

Hand (N Y) 2018 01 8;13(1):80-85. Epub 2017 Mar 8.

1 Saiseikai Kawaguchi General Hospital, Japan.

Background: We compared the treatment results for displaced mallet finger fractures in children between low-intensity pulsed ultrasound (LIPUS) stimulation and Ishiguro's method, which involves extension block and arthrodesis of the distal interphalangeal (DIP) joint with pinning.

Methods: Eleven cases (5 females and 6 males; average age, 13.5 years) of mallet finger were operated with Ishiguro's method, and 8 cases (3 females and 5 males; average age, 13. Read More

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http://dx.doi.org/10.1177/1558944717692095DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5755870PMC
January 2018
28 Reads

Common Hand Problems with Different Treatments in Countries in Asia and Europe.

Hand Clin 2017 08;33(3):561-569

Plastic Surgery and Hand Surgery Division, University Hospital Zurich, Zurich, Switzerland.

Common hand problems are treated differently in different countries. This article attempts to bring together the views of surgeons from different countries on some of the most common hand problems that hand surgeons encounter in daily practice. In practice, the correct treatment of these problems may be the most important and influential to patients. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.04.010DOI Listing
August 2017
16 Reads

The Nonoperative Management of Hand Fractures in United Kingdom.

Authors:
Grey Giddins

Hand Clin 2017 08;33(3):473-487

The Hand to Elbow Clinic, 29a James Street West, Bath BA1 2BT, UK. Electronic address:

Hand fractures (excluding small avulsion fractures and scaphoid fractures) almost always unite with bone. The role of the hand surgeon is not to achieve bone union but to achieve stability in an adequate position, often with some displacement, and maintenance of good soft tissue gliding. This article establishes that many fractures treated operatively do no better and often could not realistically do better than with good nonoperative treatment. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.04.006DOI Listing
August 2017
19 Reads

The Versatile Hook Plate in Avulsion Fractures of the Hand.

Ann Plast Surg 2017 Sep;79(3):270-274

From the *Department of Plastic and Hand Surgery, Queen Elizabeth Hospital, Birmingham; and †Department of Orthopaedics, Royal South Hants Hospital, Southampton, United Kingdom.

Avulsion fractures can pose technical difficulties for surgical fixation. The fragments are often small and around finger joints with access being difficult due to attachment of ligaments or tendons. Traditionally, these have been treated using K wires, lag screws, or pullout sutures. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001119DOI Listing
September 2017
48 Reads