Osseöz Mallet Parmak Tedavisinde Konservatif Tedavinin Sonuçları: Retrospektif Olgu Serisi

Abstract

Amaç: Bu çalışmanın amacı, osseöz mallet parmaklarda konservatif tedavinin klinik ve radyolojik sonuçlarını araştırmaktır. Materyal ve Metot: Osseöz mallet parmak yaralanması tanısı alan 26 hasta (17 erkek, 9 kadın; ortalama yaş=32,4 yaş aralığı=18–48) retrospektif olarak incelendi. Mallet parmak yaralanmaları Wehbe- Schneider sınıflamasına göre sınıflandırıldı. Anteroposterior ve lateral grafilerde distal interfalangeal eklem (DIE) açılanması, radyografik kaynama, osteoartrit ve dorsal fragman varlığı incelendi. Fonksiyonel sonuçları değerlendirmek için Crawford kriterleri kullanıldı. Bulgular: Wehbe-Schneider sınıflamasına göre 13 hasta tip IA, 11 hasta tip IB ve 2 hasta tip IC idi. Travma sonrası kliniğimize ortalama başvuru süresi 1,09 gün (aralık, 0–9) idi. Ortalama takip süresi 7,38 aydı (aralık=6–10 ay). Son kontrollerde ağrı için ortalama postoperatif vizüel analog skala skoru 0,01 (aralık=0–2) idi. Ortalama DIP ekstansiyon defisiti 4,03° (aralık=0–10°) olarak kaydedildi. Son kontrolde 7 hastada dorsal hörgüç saptandı. Crawford kriterlerine göre fonksiyonel sonuçlar 9 hastada mükemmel, 12 hastada iyi, 4 hastada orta ve 1 hastada kötü olarak belirlendi. Sonuç: Bu çalışma, osseöz mallet parmakların tedavisinde konservatif tedavinin, tatmin edici radyolojik ve klinik sonuçlarla birlikte etkili bir tedavi yöntemi olduğunu ortaya koymuştur.

Keywords

• osseöz mallet
• konservatif tedavi
• perkütan
• K teli

Results of Conservative Treatment in Osseous Mallet Finger: A Retrospective Case Series

Abstract

Aim: This study investigated conservative treatment’s clinical and radiological results in osseous mallet fingers. Material and Method: 26 patients (17 males, 9 females; mean age=32.4 age range=18–48) diagnosed with osseous mallet finger injury were retrospectively reviewed and included in this retrospective study. Mallet finger injuries were categorized according to the Wehbe-Schneider classification. Distal interphalangeal joint (DIJ) angulation, radiographic union, osteoarthritis, and dorsal fragment occurrence were examined on anteroposterior and lateral X-rays. Crawford’s criteria were used to evaluate the functional outcomes. Results: According to Wehbe-Schneider classification, 13 patients were type IA, 11 were type IB, and 2 were type IC. The mean time of the admission to our clinic after trauma was 1.09 days (range, 0–9). The mean follow-up was 7.38 months (range=6–10 months). The mean postoperative visual analog scale score for pain was 0.01 (range=0–2) at the last visits. The mean DIP extension deficits were 4.03° (range=0–10°). A dorsal hump was detected in 7 patients at the last follow-up. According to Crawford’s criteria, functional outcomes were perfect in 9 patients, as good in 12, moderate in 4, and poor in 1. Conclusion: Evidence from this study has revealed that conservative treatment is an effective treatment modality in the management of osseous mallet fingers with satisfactory radiological and clinical outcomes.

Keywords

• osseous mallet
• conservative treatment
• percutaneous
• K wire

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