ISSN 2458-7834
 

Original Article 


Comparison of conservative and extension block pinning methods in the treatment of bony mallet finger injuries

Ali Şahin, Esra Demirel, Şahin Çepni, Mesut Tahta.

Abstract
Purpose: The aim of the study was to compare and determine the effectiveness of conservative splint treatment and surgical extension block pinning treatment of mallet fractures containing more than one-third of the articular surface.
Methods: The study included 39 patients who were diagnosed with acute closed bony mallet finger of which the fracture line contained at least one-third of the articular surface, treated between January 2017 and January 2020. Of the patients, 23 (16 men and 7 women) were treated surgically with the extension block pinning method and 16 (12 men and 4 women) were treated with the hyperextension finger splint. Patients with a follow-up period of at least one year were evaluated. The patients were compared based on their Crawford mallet finger outcome assessment criteria, Michigan Hand Outcome Questionnaire scores and joint restriction limitations. Data were analyzed with the SPSS 21 package program. The significance level was p<0.05.
Results: The mean age in the conservative group 29.81 ± 9.89 (18-51) and the mean follow-up duration was 26.87 ± 9.53(12-38) months. The mean age in the EBP group was 36.83 ± 13.72 (18-64) years and the mean follow-up duration was 31.61 ± 9.05(14-41) months. According to the Crawford assessment criteria, the patients in the EBP group had the following outcomes: excellent in 7 patients (30.4%), good in 3 patients (13%), fair in 11 patients (8.7%), and poor in 2 patients (8.7%). In the conservative group, 4 (25%) patients had excellent outcome, 4 (25%) had good outcome, 6 (37.5%) had fair outcome and 2 (12.5%) had poor outcome. There was no significant difference between the groups in terms of MHOQ scores.
Conclusion: In conclusion, it was found that there are no differences between surgical and conservative treatments after bony mallet finger injuries in terms of functional outcomes but permanent complication and flexion limitation are more common after surgical treatment while active extension limitation is more common after the conservative treatment. According to this information, the individual treatment approach should be adapted considering the variables like the patient's age and profession.

Key words: mallet finger, extension block pinning, splinting


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Ali Şahin
Articles by Esra Demirel
Articles by Şahin Çepni
Articles by Mesut Tahta
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Şahin A, Demirel E, Cepni , Tahta M. Comparison of conservative and extension block pinning methods in the treatment of bony mallet finger injuries. Hand Microsurg. 2021; 10(3): 169-176. doi:10.5455/handmicrosurg.52553


Web Style

Şahin A, Demirel E, Cepni , Tahta M. Comparison of conservative and extension block pinning methods in the treatment of bony mallet finger injuries. https://handmicrosurgeryjournal.com/?mno=52553 [Access: May 27, 2022]. doi:10.5455/handmicrosurg.52553


AMA (American Medical Association) Style

Şahin A, Demirel E, Cepni , Tahta M. Comparison of conservative and extension block pinning methods in the treatment of bony mallet finger injuries. Hand Microsurg. 2021; 10(3): 169-176. doi:10.5455/handmicrosurg.52553



Vancouver/ICMJE Style

Şahin A, Demirel E, Cepni , Tahta M. Comparison of conservative and extension block pinning methods in the treatment of bony mallet finger injuries. Hand Microsurg. (2021), [cited May 27, 2022]; 10(3): 169-176. doi:10.5455/handmicrosurg.52553



Harvard Style

Şahin, A., Demirel, . E., Cepni, . . & Tahta, . M. (2021) Comparison of conservative and extension block pinning methods in the treatment of bony mallet finger injuries. Hand Microsurg, 10 (3), 169-176. doi:10.5455/handmicrosurg.52553



Turabian Style

Şahin, Ali, Esra Demirel, Şahin Cepni, and Mesut Tahta. 2021. Comparison of conservative and extension block pinning methods in the treatment of bony mallet finger injuries. Hand and Microsurgery, 10 (3), 169-176. doi:10.5455/handmicrosurg.52553



Chicago Style

Şahin, Ali, Esra Demirel, Şahin Cepni, and Mesut Tahta. "Comparison of conservative and extension block pinning methods in the treatment of bony mallet finger injuries." Hand and Microsurgery 10 (2021), 169-176. doi:10.5455/handmicrosurg.52553



MLA (The Modern Language Association) Style

Şahin, Ali, Esra Demirel, Şahin Cepni, and Mesut Tahta. "Comparison of conservative and extension block pinning methods in the treatment of bony mallet finger injuries." Hand and Microsurgery 10.3 (2021), 169-176. Print. doi:10.5455/handmicrosurg.52553



APA (American Psychological Association) Style

Şahin, A., Demirel, . E., Cepni, . . & Tahta, . M. (2021) Comparison of conservative and extension block pinning methods in the treatment of bony mallet finger injuries. Hand and Microsurgery, 10 (3), 169-176. doi:10.5455/handmicrosurg.52553





Most Viewed Articles
  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract & References » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract & References » doi: 10.5455/handmicrosurg.1577

  • Munchausen’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract & References » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract & References » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract & References » doi: 10.5455/handmicrosurg.172436

  • Most Downloaded
  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

  • Hand grip strength: Age and gender stratified normative data in Anatolian population
    Melih Unal, Ozkan Kose, Hasan Onur Arik, Ferhat Guler, Baver Acar, Halil Yalcin Yuksel
    Hand Microsurg. 2018; 7(1): 16-23
    » Abstract » doi: 10.5455/handmicrosurg.257058

  • Synovial chondromatosis of the wrist
    Murat Kayalar, Abuzer Uludag, Basak Doganavsargil Yakut, Ahmet Savran
    Hand Microsurg. 2018; 7(2): 109-111
    » Abstract » doi: 10.5455/handmicrosurg.269392

  • Most Cited Articles
  • The rise of wide awake hand surgery - Contribution from Turkey
    Egemen Ayhan, Emre Ozdemir, Ender Gumusoglu, Kadir Cevik, Metin M Eskandari
    Hand Microsurg. 2018; 7(3): 125-134
    » Abstract » doi: 10.5455/handmicrosurg.299709
    Cited : 6 times [Click to see citing articles]

  • Giant lipomas of the hand
    Gokce Yildiran, Osman Akdag, Mehtap Karamese, Muhammed Nebil Selimoglu, Zekeriya Tosun
    Hand Microsurg. 2015; 4(1): 8-11
    » Abstract & References » doi: 10.5455/handmicrosurg.175443
    Cited : 3 times [Click to see citing articles]

  • Upper extremity tumors
    Levent Eralp , Halil Buldu
    Hand Microsurg. 2013; 2(3): 105-114
    » Abstract & References » doi: 10.5455/handmicrosurg.164446
    Cited : 3 times [Click to see citing articles]

  • Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report
    Mehmet Unal, Eren Cansu, Hakan Cift
    Hand Microsurg. 2016; 5(2): 88-91
    » Abstract » doi: 10.5455/handmicrosurg.193633
    Cited : 3 times [Click to see citing articles]

  • Hirudo medicinalis - historical and biological background and their role in microsurgery: Review article
    Abdul Kerim Yapici, Muzaffer Durmus, Mehmet Tanyuksel, Selim Turkkan, Harun Yasin Tuzun, Arsen Arsenishvili
    Hand Microsurg. 2017; 6(1): 34-38
    » Abstract » doi: 10.5455/handmicrosurg.217838
    Cited : 3 times [Click to see citing articles]