Journal
JOURNAL OF HAND SURGERY-EUROPEAN VOLUME
Volume 40, Issue 1, Pages 8-15Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/1753193414554772
Keywords
Mallet fractures; DIP joint; subluxation; extension block pinning
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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. Level of evidence: Level V
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