Author/Authors :
Er, Mehmet Serhan Akdeniz Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Türkiye , Erten, Recep Abdullah Afyon Kocatepe Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Türkiye , Eroğlu, Mehmet Afyon Kocatepe Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Türkiye , Altınel, Levent Akdeniz Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Türkiye
Abstract :
Mallet finger is a deformity that result from sudden and extreme forced flexion on extensor mechanism at the base of distal phalanx. In acute stage, it can be treated successfully by immobilization of distal interphalangeal joint with hyperextension splints. However, if there is volar subluxation of distal phalanx or fracture including more than one third of articular surface of distal interphalangeal joint and in delayed cases, surgery is indicated. In this paper, a 35 year-old female patient who was treated by closed reduction and extension block technique after two weeks from the trauma because of the mallet finger deformity of 4th fingers in both hands is presented. Pins were removed after 6 weeks from the operation and full range of motion of distal interphalangel joint was observed on three months follow-up. Although conservative treatment is the choice of treatment for acute phase of trauma, we recommend surgical treatment in delayed cases and in the injuries involving the fractures more than 1/3 of articular surface.
