Simultaneous Bony Mallet Fingers of Two Phalanx in a Patient: A Rarely Seen Case Report

Year 2017, , 23 - 25, 25.04.2017

Erdal Uzun

https://doi.org/10.19127/mbsjohs.309375

Abstract

Mallet
finger deformity is a common hand injury and usually occurs after a direct
impact of sudden and extreme trauma forcing the distal interphalangeal joint to
get flexion with an extended proximal interphalangeal joint. Deformity is
especially associated with ball use disrupting the extensor mechanism at the
base of distal phalanx. Mallet finger deformity in acute stage can be treated
by immobilization of distal interphalangeal joint with hyperextension splints.
But the surgery becomes the choice in delayed cases and if there is a fracture
including more than one third of articular surface of distal interphalangeal
joint or distal phalanx volar subluxation. In the literature there are great
sum of studies including mallet finger deformities as simultaneous, bilateral
or multiple variations and treatment strategies. But in the literautre there is
no study about simultaneous bony mallet fingers deformity reported. Here, we
present the case of a 30 year old female with simultaneous bony mallet fingers
in the third and fourth ray and the conservative treatment of with splinting
for six weeks. At the last time follow up the patient was able to use her hand
without any diffuculty and she had full range of motion of distal
interphalangel joint.

Keywords

Bony mallet finger, Simultaneous, Treatment

References

• Anderson D. Mallet finger-Management and patient compli¬ance. Aust Fam Physician 2011;40:47-8.
• Bloom JM, Khouri JS, Hammert WC. Current concepts in the evaluation and treatment of mallet finger injury. Plast Reconstr Surg 2013;132:560-6.
• Çıraklı A, Zengin EÇ, Sezgin H, Çıraklı S, Erdoğan M. Avulsion fracture of the anterior inferior iliac spine among amateur soccer players. JAEMCR 2013;4:136-8.
• Er MS, Erten RA, Eroğlu M, Altınel L. Bilateral simultaneous mallet finger: An unusual case. Dicle Medical Journal 2014;41(1):231-3.
• Hamas RS, Horrell ED, Pierret GP. Treatment of mallet fi nger due to intra-articular fracture of the distal phalanx. J Hand Surg Am 1978;3:361-3.
• Kanaya K, Wada T, Yamashita T. The Thompson proce¬dure for chronic mallet finger deformity. J Hand Surg Am 2013;38:1295-1300.
• Miranda BH, Murugesan L, Grobbelaar AO, Jemec B. Percutaneous Blunt Needle Reduction of Bony Mallet Injuries. Tech Hand Up Extrem Surg 2015;19(2):81-3.
• Stern PJ, Kastrup JJ. Complications and prognosis of treatment of mallet finger, J Hand Surg 1988;13:329-34.