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Optimising the conservative management of closed tendinous mallet finger injury.

Authors
  • Duarte, Ariana1
  • 1 Imperial College London, London, England.
Type
Published Article
Journal
Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
Publication Date
Sep 08, 2020
Volume
28
Issue
5
Pages
35–40
Identifiers
DOI: 10.7748/en.2020.e1974
PMID: 32573149
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Mallet finger injuries are a common presentation in the emergency department. These injuries result from a forced flexion at the distal interphalangeal joint (DIPJ) that causes extensor tendon disruption, and possibly bone avulsion, at the base of the distal phalanx. This article describes the anatomy, mechanisms, classification and assessment of mallet finger injury. It reviews different types of splints used in the conservative management of closed tendinous mallet finger injury and discusses the latest evidence regarding immobilisation methods and treatment duration. Maintaining the DIPJ in extension during treatment is essential, so the article stresses the importance of patient adherence to treatment. © 2020 RCN Publishing Company Ltd. All rights reserved. Not to be copied, transmitted or recorded in any way, in whole or part, without prior permission of the publishers.

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