Mallet Fracture Workup

  • Author: Michael E Robinson, MD; Chief Editor: Craig C Young, MD   more...
 
Updated: Nov 28, 2011
 

Imaging Studies

  • Obtain anteroposterior, lateral, and oblique radiographs of the involved digit.
Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

Michael E Robinson, MD  Consulting Staff, Department of Orthopedics, Division of Primary Care Sports Medicine, Permanente Medical Group and Kaiser Hospital

Michael E Robinson, MD is a member of the following medical societies: American Medical Society for Sports Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Anthony J Saglimbeni, MD  President, South Bay Sports and Preventive Medicine Associates; Private Practice; Team Internist, San Francisco Giants; Team Internist, West Valley College; Team Physician, Bellarmine College Prep; Team Physician, Presentation High School; Team Physician, Santa Clara University; Consultant, University of San Francisco, Academy of Art University, Skyline College, Foothill College, De Anza College

Anthony J Saglimbeni, MD, is a member of the following medical societies: California Medical Association and Santa Clara County Medical Association

Disclosure: South Bay Sports and Preventive Medicine Associates, Inc Ownership interest Other

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Henry T Goitz, MD  Academic Chair and Associate Director, Detroit Medical Center Sports Medicine Institute; Director, Education, Research, and Injury Prevention Center; Co-Director, Orthopaedic Sports Medicine Fellowship

Henry T Goitz, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons and American Orthopaedic Society for Sports Medicine

Disclosure: Nothing to disclose.

Jon B Whitehurst, MD  Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital

Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America

Disclosure: Nothing to disclose.

Chief Editor

Craig C Young, MD  Professor, Departments of Orthopedic Surgery and Community and Family Medicine, Medical Director of Sports Medicine, Director of Primary Care Sports Medicine Fellowship, Medical College of Wisconsin

Craig C Young, MD is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, American Medical Society for Sports Medicine, and Phi Beta Kappa

Disclosure: Nothing to disclose.

References

  1. Tuttle HG, Olvey SP, Stern PJ. Tendon avulsion injuries of the distal phalanx. Clin Orthop Relat Res. Apr 2006;445:157-68. [Medline].

  2. Browner BD, Jupiter JB, Levine AM, Trafton PG, eds. Skeletal Trauma: Fractures, Dislocations, Ligamentous Injuries. Philadelphia, Pa: WB Saunders Co; 1992.

  3. Wang QC, Johnson BA. Fingertip injuries. Am Fam Physician. May 15 2001;63(10):1961-6. [Medline]. [Full Text].

  4. Anderson D. Mallet finger - management and patient compliance. Aust Fam Physician. Jan-Feb 2011;40(1-2):47-8. [Medline].

  5. Jablecki J, Syrko M. Zone 1 extensor tendon lesions: current treatment methods and a review of literature [Polish, English]. Ortop Traumatol Rehabil. Jan-Feb 2007;9(1):52-62. [Medline]. [Full Text].

  6. Simpson D, McQueen MM, Kumar P. Mallet deformity in sport. J Hand Surg [Br]. Feb 2001;26(1):32-3. [Medline].

  7. Smit JM, Beets MR, Zeebregts CJ, Rood A, Welters CF. Treatment options for mallet finger: a review. Plast Reconstr Surg. Nov 2010;126(5):1624-9. [Medline].

  8. Ulusoy MG, Karalezli N, Koçer U, et al. Pull-in suture technique for the treatment of mallet finger. Plast Reconstr Surg. Sep 2006;118(3):696-702. [Medline].

  9. Hoffman DF, Schaffer TC. Management of common finger injuries. Am Fam Physician. May 1991;43(5):1594-607. [Medline].

  10. Leibovic SJ. Arthrodesis of the interphalangeal joints with headless compression screws. J Hand Surg [Am]. Sep 2007;32(7):1113-9. [Medline].

  11. Peterson JJ, Bancroft LW. Injuries of the fingers and thumb in the athlete. Clin Sports Med. Jul 2006;25(3):527-42, vii-viii. [Medline].

  12. Rettig AC. Epidemiology of hand and wrist injuries in sports. Clin Sports Med. Jul 1998;17(3):401-6. [Medline].

  13. Rocchi L, Genitiempo M, Fanfani F. Percutaneous fixation of mallet fractures by the "umbrella handle" technique. J Hand Surg [Br]. Aug 2006;31(4):407-12. [Medline].

  14. Teoh LC, Lee JY. Mallet fractures: a novel approach to internal fixation using a hook plate. J Hand Surg Eur Vol. Feb 2007;32(1):24-30. [Medline].

 
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Typical mallet finger deformity.
Mallet fracture with volar subluxation of the distal phalanx.
Dorsal aluminum foam splint for the treatment of a mallet finger.
Molded plastic splint for the treatment of a mallet finger.
Stable mallet fracture that involves 40% of the joint surface.
 
 
 
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