ISSN 2458-7834
 

Original Article 


Non-surgical management of displaced bony mallet injuries using dorsal hyperextension splint: an early-term outcome analysis

Burç Özcanyüz, Atilla Arık.

Abstract
Purpose: There is still controversy over the ideal treatment of acute bony mallet injuries. The purpose of this study was to evaluate outcomes of a dorsal hyperextension splint treatment for displaced bony mallet injuries.
Methods: A retrospective review of a single institution database identified all acute displaced bony mallet injuries that were conservatively treated using dorsal hyperextension aluminum splint in a one-year period. In this method, each splint is custom-made and applied by a one surgeon at the clinic. The demographics, treatment process, complications, and outcomes were reviewed.
Results: Seventeen patients (11 men, 6 women) with a mean age of 25.1 years (range 15–45) were enrolled. The mean treatment delay was 7 days (range 1–21). Radiographic healing was achieved in all patients at a mean duration of 5½ weeks (range 4–6 weeks). Early complications included the maceration, prolonged erythema in two patients and a partial thickness wound in one patient. The mean follow-up period was 22 months (range 17–26) for fifteen patients. Late complications included two slight swan neck deformities and one complex regional pain syndrome. Four patients had noticeable (>5°) extension lag between 6° and 11°. Two patients had intractable pain with Visual Analog Scale of 3 and 4 points. Overall, 12 out of 15 fingers were subjectively rated as good or excellent.
Conclusion: Using a dorsal hyperextension splint, conservative treatment of displaced bony mallet injury provides overall good results in terms of union rates, patient outcomes, function, and few complications in a short term.

Key words: Keywords: mallet finger, bony mallet, hyperextension, splint


 
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Pubmed Style

BO, Arık A. Non-surgical management of displaced bony mallet injuries using dorsal hyperextension splint: an early-term outcome analysis. Hand Microsurg. 2022; 11(3): 127-134. doi:10.5455/handmicrosurg.120604


Web Style

BO, Arık A. Non-surgical management of displaced bony mallet injuries using dorsal hyperextension splint: an early-term outcome analysis. https://handmicrosurgeryjournal.com/?mno=120604 [Access: January 04, 2023]. doi:10.5455/handmicrosurg.120604


AMA (American Medical Association) Style

BO, Arık A. Non-surgical management of displaced bony mallet injuries using dorsal hyperextension splint: an early-term outcome analysis. Hand Microsurg. 2022; 11(3): 127-134. doi:10.5455/handmicrosurg.120604



Vancouver/ICMJE Style

BO, Arık A. Non-surgical management of displaced bony mallet injuries using dorsal hyperextension splint: an early-term outcome analysis. Hand Microsurg. (2022), [cited January 04, 2023]; 11(3): 127-134. doi:10.5455/handmicrosurg.120604



Harvard Style

, B. O. & Arık, . A. (2022) Non-surgical management of displaced bony mallet injuries using dorsal hyperextension splint: an early-term outcome analysis. Hand Microsurg, 11 (3), 127-134. doi:10.5455/handmicrosurg.120604



Turabian Style

, Burc Ozcanyuz, and Atilla Arık. 2022. Non-surgical management of displaced bony mallet injuries using dorsal hyperextension splint: an early-term outcome analysis. Hand and Microsurgery, 11 (3), 127-134. doi:10.5455/handmicrosurg.120604



Chicago Style

, Burc Ozcanyuz, and Atilla Arık. "Non-surgical management of displaced bony mallet injuries using dorsal hyperextension splint: an early-term outcome analysis." Hand and Microsurgery 11 (2022), 127-134. doi:10.5455/handmicrosurg.120604



MLA (The Modern Language Association) Style

, Burc Ozcanyuz, and Atilla Arık. "Non-surgical management of displaced bony mallet injuries using dorsal hyperextension splint: an early-term outcome analysis." Hand and Microsurgery 11.3 (2022), 127-134. Print. doi:10.5455/handmicrosurg.120604



APA (American Psychological Association) Style

, B. O. & Arık, . A. (2022) Non-surgical management of displaced bony mallet injuries using dorsal hyperextension splint: an early-term outcome analysis. Hand and Microsurgery, 11 (3), 127-134. doi:10.5455/handmicrosurg.120604





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