A mallet finger is a common injury where rupture or division of the extensor mechanism at the level of the distal interphalangeal joint of the finger prevents active extension. These injuries are managed in a variety of settings such as accident and emergency departments, hand clinics and occupational therapy centres. Treatment commonly involves splinting of the finger for 6 or more weeks. Less frequently, surgical fixation is used to correct the deformity. The patient outcome following either external splinting or surgical management is broadly similar and each technique has its own advocates.
1Several forms of external splinting have been described with the Stack splint being in common use.
- Handoll H.H.
- Vaghela M.V.
Interventions for treating mallet finger injuries.
Cochrane Database Syst Rev. 2004; 3 (CD004574)
2If the splint is worn correctly the outcome is usually good. However, unsatisfactory outcomes are frequently encountered due to poor patient compliance with the splint.
- Stack H.G.
A modified splint for mallet finger.
J Hand Surg [Br]. 1986; 11: 263
3In an effort to increase our success rate with the management of mallet finger injuries we introduced patient information leaflets documenting the correct use of the Stack and audited their impact on our outcomes.
- Kinninmonth A.W.
- Holburn F.
A comparative controlled trial of a new perforated splint and a traditional splint in the treatment of mallet finger.
J Hand Surg [Br]. 1986; 11: 261-262
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- Interventions for treating mallet finger injuries.Cochrane Database Syst Rev. 2004; 3 (CD004574)
- A modified splint for mallet finger.J Hand Surg [Br]. 1986; 11: 263
- A comparative controlled trial of a new perforated splint and a traditional splint in the treatment of mallet finger.J Hand Surg [Br]. 1986; 11: 261-262
- The treatment of mallet finger. The results in a series of 148 consecutive cases and a review of the literature.Br J Surg. 1968; 55: 653-667
- Mallet finger: a trial of two splints.J Hand Surg [Br]. 1988; 13: 151-153
- The NHS Plan: A Plan for Investment, A Plan for Reform.HMSO, London2000
- Effect of educational leaflets and questions on knowledge of contraception in women taking the combined contraceptive pill: randomised controlled trial.BMJ. 1998; 316: 1948-1952
- Reducing antibiotic use for acute bronchitis in primary care: blinded, randomised controlled trial of patient information leaflet.BMJ. 2002; 324: 91-94
Published online: June 02, 2007
© 2007 Published by Elsevier Inc.