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

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Abstract

[Indexed for MEDLINE] 19. J Hand Surg Eur Vol. 2015 Jan;40(1):8-15. doi: 10.1177/1753193414554772. Epub 2014 Oct 21. Mallet fingers with bone avulsion and DIP joint subluxation. Wada T(1), Oda T(2). Author information: (1)Department Orthopaedic Surgery, Saisei-kai Otaru Hospital, Otaru, Japan twada@sapmed.ac.jp. (2)Department Orthopaedic Surgery, Saisei-kai Otaru Hospital, Otaru, Japan. One-third of all mallet fingers are associated with a fracture. Mallet fractures associated with large fracture fragments may result in volar subluxation of the distal phalanx. The management of mallet fractures varies based on injury pattern and surgeon preference. These treatment options include splinting regimens, closed reduction and percutaneous pinning and open reduction and internal fixation. Although numerous surgical techniques have been described, there is little clear consensus on operative treatment. Moreover, there is insufficient evidence to support operative over nonoperative treatment for mallet fractures. © The Author(s) 2014. DOI: 10.1177/1753193414554772