scholarly journals Mallet fracture

2021 ◽  
Author(s):  
Elton RRT.
Keyword(s):  
2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jung Il Lee ◽  
Ki-Chul Park ◽  
Hyun Soo So ◽  
Duk Hee Lee

Abstract Background Mini-hook plate has been described for the treatment of various small avulsion fragments in the hand. This retrospective study aimed to evaluate clinical outcomes after mini-hook plate fixation in patients with an avulsion fracture around the interphalangeal or metacarpophalangeal joints of the hand. Methods Nineteen patients with avulsion fractures around the interphalangeal or metacarpophalangeal joints of the hand were included in this study. Seven patients had a mallet fracture, and 12 patients had other phalangeal avulsion fractures including central slip, collateral ligament, volar plate, and flexor avulsion fractures. The osseous union and functional outcomes, including finger joint motion, joint stability, pinching strength, and the disabilities of the arm, shoulder, and hand score, were evaluated. Results The mean duration of follow-up was 33.8 months. All patients in mallet and other phalangeal avulsion fractures achieved osseous union between the avulsion fragment and phalangeal bone, and there was no joint subluxation. There were no significant differences in the disabilities of the arm, shoulder, and hand scores. However, the patients with mallet fracture have lower mean percentage values of the total active range of motion and pinching strength than other phalangeal avulsion fractures. We abandoned this procedure in mallet fractures because the early results after mini-hook plate fixation in mallet fractures appeared unfavorable. Conclusion These results suggest that the mini-hook plate fixation can provide sufficient stability and good clinical outcomes in those with phalangeal avulsion fractures. However, the outcomes for mallet fractures were not as good as those for other phalangeal avulsion fractures.


2018 ◽  
Vol 37 (4) ◽  
pp. 202-205 ◽  
Author(s):  
B. Karslıoğlu ◽  
M. Uzun ◽  
C. Tetik ◽  
E. Tasatan ◽  
A.C. Tekin ◽  
...  

2014 ◽  
Vol 39 (10) ◽  
pp. 2067-2069 ◽  
Author(s):  
Ali Moradi ◽  
Amir Reza Kachooei ◽  
Chaitanya S. Mudgal
Keyword(s):  

Hand ◽  
2017 ◽  
Vol 13 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Tsuyoshi Ota ◽  
Soichiro Itoh ◽  
Yoshihiko Matsuyama

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, 13.0 years) were treated with LIPUS stimulation. Lateral radiographs were used to determine the distance of fragment displacement and the percentage of the articular surface involved in the fragments. Functional outcomes in flexion and extension and those estimated using Crawford’s evaluation criteria at the final visits were assessed in each group. Results: The duration needed for fracture healing was longer, however, active extension and flexion of the DIP joint were significantly larger in the LIPUS group compared with those in the pinning group. Functional recovery was excellent in all cases in the LIPUS group; however, recovery was good in 3 cases and excellent in 8 cases in the pinning group. Extension of the DIP joint was significantly larger when pins were removed in 35 or lesser days postoperatively compared with cases in which pin fixation was continued for more than 35 days. Conclusions: LIPUS therapy may be recommended as an option to treat type I mallet finger in children for whom initiation of treatment was delayed up to 8 weeks. When Ishiguro’s method is applied to the displaced mallet fracture in children, arthrodesis of the DIP joint for more than 5 weeks should be avoided to prevent flexion contracture.


2020 ◽  
Vol &NA; (6) ◽  
pp. 657-663
Author(s):  
Yong Yang ◽  
Wei-Guang Zhang ◽  
Zhong-Zhe Li ◽  
Shan-Lin Chen ◽  
Wen Tian

2014 ◽  
Vol 134 (5) ◽  
pp. 741-746 ◽  
Author(s):  
Hyun-Joo Lee ◽  
In-Ho Jeon ◽  
Poong-Taek Kim ◽  
Chang-Wug Oh

1998 ◽  
Vol 2 (3) ◽  
pp. 206-209 ◽  
Author(s):  
MAKOTO KONDO ◽  
MICHIO MINAMI ◽  
SADATOSHI KATO ◽  
AKIO MINAMI ◽  
KIYOSHI KANEDA
Keyword(s):  

2018 ◽  
Vol 52 (6) ◽  
pp. 611
Author(s):  
Chia-Chieh Wu ◽  
Yueh-Hsiu Lu ◽  
Chen-Pu Hsieh
Keyword(s):  
Pull Out ◽  

2021 ◽  
Vol 27 (3) ◽  
pp. 143-148
Author(s):  
Aleksandr S. Zolotov ◽  
Pavel A. Berezin ◽  
Il’ya S. Sidorenko

Background. For several centuries, eponyms have been a convenient means of communication between clinicians. For some eponyms among modern surgeons, controversy over authors priority continues. There is still no consensus on the so-called mallet fracture. In domestic and foreign literature, there are several authors names for this fracture I.F. Bush fracture, W. Busch fracture, P. Segond fracture. The aim of the study is to collect the most reliable information about the history of the eponym of avulsion of the distal phalanx of the fingers at the site of attachment of the extensor tendon, the so-called mallet fracture, to determine and prove the priority of the true author of the eponym. Materials and Methods. A search for information was carried out in domestic and foreign publications, manuals on traumatology and orthopedics, periodicals, Internet resources (eLIBRARY, PubMed, Scholar Google). Results. The list of likely authors of mallet fracture includes three surgeons: Ivan F. Busch (17711843, Russia), Paul Ferdinand Segond (18511912, France), Karl David Wilhelm Busch (18261881, Germany). When analyzing primary sources, it was found that for the first time mallet fracture was described by the French surgeon Paul Ferdinand Segond in 1880. This fact was also recognized by the German surgeon W. Busch, who a year later published an article on this damage. In the well-known Guide to the Teaching of Surgery by Ivan F. Bush, published in the early 19th century, information about a fracture of the distal phalanx of the finger at the site of attachment of the extensor tendon was not found. Conclusion. Taking into account the publications known to date, mallet fracture should be called the Segond fracture.


2020 ◽  
Vol 3 (1) ◽  
pp. 25-28
Author(s):  
Hara A

Introduction: Operative treatment of mallet finger fractures is generally recommended for patients in whom more than one-third of the articular surface is involved with volar subluxation. We present a case of conservative treatment with chronic nonunion of a mallet finger fracture after failed mallet finger surgery. Presentation of Case: A 16-year-old boy presented with a bony fragment (mallet formation) of his left long finger. The fragment occupied 40% of the articular surface, with volar subluxation of the distal phalanx. Percutaneous needle curettage of the fracture site and pinning were performed. Six weeks later, the fragment was displaced and had rotated. Hence, all the pins were removed, and a splint was applied. The fracture displayed nonunion and volar subluxation of the distal phalanx. The patient continued with the splinting, and the fracture finally healed. At 27 months after the surgery, radiological examination showed very good remodeling of the distal interphalangeal joint surface with anatomic joint congruence. Functional results at 27 months were good according to Crawford’s classification. Conclusion: Chronic nonunion of a mallet finger can be cured conservatively even when a fracture gap is seen along with displacement of the fragment and volar subluxation of the distal phalanx.


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