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Adult Bony Mallet Fractures

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Pediatric and Adult Hand Fractures

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Abstract

Mallet finger is a common hand injury that involves disruption of the extensor mechanism at the distal interphalangeal joint resulting in a flexion deformity at the distal finger. Mallet injuries can be classified based on skin integrity and the presence or absence of bony involvement. The majority of mallet injuries can be treated successfully with nonoperative management in the form of splinting with minimal to no morbidity. There are various techniques for operative intervention for injuries that have failed conservative management or involve more than one-third of the articular surface and demonstrate joint subluxation.

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References

  1. Doyle JR. Extensor tendons: acute injuries. In: Green DP, Pederson CW, Hotchkiss RN, editors. Green’s operative hand surgery. 4th ed. New York: Churchill Livingstone; 1999. p. 195–8.

    Google Scholar 

  2. Lamaris GA, Matthew MK. The diagnosis and management of mallet finger injuries. Hand (N Y). 2017;12(3):223–8.

    Article  PubMed  Google Scholar 

  3. Clayton RAE, Court-Brown CM. The epidemiology of musculoskeletal tendinous and ligamentous injuries. Injury. 2008;39(12):1338–44.

    Article  PubMed  Google Scholar 

  4. Stark HH, Boyes JH, Wilson JN. Mallet finger. J Bone Joint Surg Am. 1962;44(6):1061–8.

    Article  PubMed  Google Scholar 

  5. Robb WA. The results of treatment of mallet finger. J Bone Joint Surg Br Vol. 1959;41(3):546–9.

    Article  Google Scholar 

  6. Wehbe MA, Schneider LH. Mallet fractures. J Bone Joint Surg. 1984;66(5):658–69.

    Article  CAS  PubMed  Google Scholar 

  7. Patel MR, Desai SS, Bassini-Lipson L. Conservative management of chronic mallet finger. J Hand Surg. 1986;11(4):570–3.

    Article  CAS  Google Scholar 

  8. Moradi A, Braun Y, Oflazoglu K, Meijs T, Ring D, Chen N. Factors associated with subluxation in mallet fracture. J Hand Surg Eur Vol. 2017;42(2):176–81.

    Article  CAS  PubMed  Google Scholar 

  9. Kalainov DM, Hoepfner PE, Hartigan BJ, Carroll C, Genuario J. Nonsurgical treatment of closed mallet finger fractures. J Hand Surg. 2005;30(3):580–6.

    Article  Google Scholar 

  10. Okafor B, Mbubaegbu C, Munshi I, et al. Mallet deformity of the finger: five year follow-up of conservative treatment. J Bone Joint Surg Br Vol. 1997;79(4):544–7.

    Article  CAS  Google Scholar 

  11. Trickett RW, Brock J, Shewring DJ. The non-operative management of bony mallet injuries. J Hand Surg Eur Vol. 2021;46(5):460–5.

    Article  PubMed  Google Scholar 

  12. Gaberman SF, Diao E, Peimer CA. Mallet finger: results of early versus delayed closed treatment. J Hand Surg. 1994;19(5):850–2.

    Article  Google Scholar 

  13. Pike J, Mulpuri K, Metzger M, et al. Blinded, prospective, randomized clinical trial comparing volar, dorsal, and custom thermoplastic splinting in treatment of acute mallet finger. J Hand Surg. 2010;35(4):580–8.

    Article  Google Scholar 

  14. O’Brien LJ, Bailey MJ. Single blind, prospective, randomized controlled trial comparing dorsal aluminum and custom thermoplastic splints to stack splint for acute mallet finger. Arch Phys Med Rehabil. 2011;92(2):191–8.

    Article  PubMed  Google Scholar 

  15. Warren RA, Norris SH, Ferguson DG. Mallet finger: a trial of two splints. J Hand Surg Br. 1988;66(5):658–9.

    Google Scholar 

  16. Hofmeister EP, Mazurek MT, Shin AY. Extension block pinning for large mallet fractures. J Hand Surg. 2003;28(3):453–9.

    Article  Google Scholar 

  17. Toker S, Türkmen F, Pekince O, Korucu İ, Karalezli N. Extension block pinning versus hook plate fixation for treatment of mallet fractures. J Hand Surg. 2015;40(8):1591–6.

    Article  Google Scholar 

  18. Takami H, Takahashi S, Ando M. Operative treatment of mallet finger due to intra-articular fracture of the distal phalanx. Arch Orthop Trauma Surg. 2000;120:9–13.

    Article  CAS  PubMed  Google Scholar 

  19. Bauze A, Bain GI. Internal suture for mallet finger fracture. J Hand Surg Br Eur Vol. 1999;24(6):688–92.

    Article  CAS  Google Scholar 

  20. Kronlage SC, Faust D. Open reduction and screw fixation of mallet fractures. J Hand Surg Eur Vol. 2004;29(2):135–8.

    Article  CAS  Google Scholar 

  21. Tetik C, Gudemez E. Modification of the extension block Kirschner wire technique for mallet fractures. Clin Orthop Relat Res. 2002;404:284–90.

    Article  Google Scholar 

  22. Yamanaka K, Sasaki T. Treatment of mallet fractures using compression fixation pins. J Hand Surg Br Eur Vol. 1999;24(3):358–60.

    Article  CAS  Google Scholar 

  23. Ulusoy MG, Karalezli N, Kocer U. Pull-in suture technique for the treatment of mallet finger. Plast Reconstr Surg. 2006;118(3):696–702.

    Article  CAS  PubMed  Google Scholar 

  24. Teoh LC, Lee JYL. Mallet fractures: a novel approach to internal fixation using a hook plate. J Hand Surg Eur Vol. 2007;32(1):24–30.

    Article  CAS  PubMed  Google Scholar 

  25. Lee YH, Kim JY, Chung MS. Two extension block Kirschner wire technique for mallet finger fractures. J Bone Joint Surg. 2009;91(11):1478–81.

    Article  CAS  Google Scholar 

  26. Fritz D, Lutz M, Arora R, et al. Delayed Kirschner wire compression technique for mallet fracture. J Hand Surg Eur Vol. 2005;30(2):180–4.

    Article  CAS  Google Scholar 

  27. Rocchi L, Genitiempo M. Percutaneous fixation of mallet fractures by the “umbrella handle” technique. J Hand Surg Eur Vol. 2006;31(4):407–12.

    Article  CAS  Google Scholar 

  28. Badia A, Riano F. A simple fixation method for unstable bony mallet finger. J Hand Surg. 2004;29(6):1051–5.

    Article  Google Scholar 

  29. Damron TA, Engber WD. Surgical treatment of mallet finger fractures by tension band technique. Clin Orthop Relat Res. 1994;300:133–40.

    Article  Google Scholar 

  30. Lubahn JD. Mallet finger fractures: a comparison of open and closed technique. J Hand Surg Am. 1989;14(2 Pt 2):394–6.

    Article  CAS  PubMed  Google Scholar 

  31. Thillemann JK, Thillemann TM. Splinting versus extension-block pinning of bony mallet finger: a randomized clinic trial. J Hand Surg Eur Vol. 2020;45(6):574–81.

    Article  PubMed  Google Scholar 

  32. Auchincloss JM. Mallet-finger injuries: a prospective, controlled trial of internal and external splintage. Hand. 1982;14(2):168–73.

    Article  CAS  PubMed  Google Scholar 

  33. Yoon JO, Baek H, Kim JK. The outcomes of extension block pinning and nonsurgical management for mallet fracture. J Hand Surg. 2017;42(5):387.e1–7.

    Article  Google Scholar 

  34. Stern PJ, Kastrup JJ. Complications and prognosis of treatment of mallet finger. J Hand Surg. 1988;13(3):329–34.

    Article  CAS  Google Scholar 

  35. Kang HJ, Shin SJ, Kang ES. Complications of operative treatment for mallet fractures of the distal phalanx. J Hand Surg Br. 2001;26(1):28–31.

    Article  PubMed  Google Scholar 

  36. Handoll HHG, Vaghela MV. Interventions for treating mallet finger injuries. Cochrane Database Syst Rev. 2004;(3):CD004574.

    Google Scholar 

  37. Lin JS, Samora JB. Surgical and nonsurgical management of mallet finger: a systematic review. J Hand Surg. 2018;43(2):146–63.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Philadelphia Hand to Shoulder Center, Thomas Jefferson University, Philadelphia, PA, USA

    Andrew J. Miller

  2. Thomas Jefferson University, Philadelphia, PA, USA

    Philip M. Petrucelli

Authors
  1. Andrew J. Miller
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  2. Philip M. Petrucelli
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Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA

    Joshua M. Abzug

  2. Atrium Health Carolinas Medical Center, Charlotte, NC, USA

    R. Glenn Gaston

  3. Philadelphia Hand to Shoulder Center, Thomas Jefferson University Hospital, Philadelphia, PA, USA

    A. Lee Osterman

  4. Rothman Orthopaedic Institute Department of Orthopaedic Surgery, Thomas Jefferson University, Philadelphia, PA, USA

    Richard J. Tosti

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Miller, A.J., Petrucelli, P.M. (2023). Adult Bony Mallet Fractures. In: Abzug, J.M., Gaston, R.G., Osterman, A.L., Tosti, R.J. (eds) Pediatric and Adult Hand Fractures. Springer, Cham. https://doi.org/10.1007/978-3-031-32072-9_18

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  • DOI: https://doi.org/10.1007/978-3-031-32072-9_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-32071-2

  • Online ISBN: 978-3-031-32072-9

  • eBook Packages: MedicineMedicine (R0)

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