Percutaneous Tenodermodesis for Mallet Fingers: An Office-based Procedure.

Techniques in Hand & Upper Extremity Surgery
Kjell Van RoyenTsu-Min Tsai

Abstract

Mallet fingers are injuries to the extensor tendon at the distal interphalangeal (DIP) joint and can present as a bony avulsion or as a soft tissue injury. Nonbony mallet fingers are frequently splinted in extension between 6 and 8 weeks. If splinted correctly, most results are good with a mean DIP joint extension lag between 5 and 10 degrees. However, decreased swelling, hygienic considerations and patient compliance can lead to splint removal and a less favorable outcome. We present a percutaneous tenodermodesis using only a digital block and a 4.0 nylon suture. This office-based procedure provides joint reduction and prevents joint movement during the immobilization period. The suture can be removed after 8 weeks, allowing active mobilization of the DIP joint. We present the results of 8 patients with a mean follow-up of 3 months and mean initial extension lag of 32 degrees, resulting in a mean final extension lag of 2 degrees and excellent outcomes using the Crawford criteria.

References

Mar 1, 1984·The Journal of Hand Surgery·G P Crawford
Sep 1, 1994·The Journal of Hand Surgery·S F GarbermanC A Peimer
Jan 1, 1996·International Orthopaedics·G FoucherE Lenoble
Mar 15, 2005·The American Journal of Emergency Medicine·Raymond G HartKathleen Lyons
Sep 9, 2005·The Journal of the American Academy of Orthopaedic Surgeons·Anup A BendreDavid M Kalainov
Dec 11, 2007·Revue de chirurgie orthopédique et réparatrice de l'appareil moteur·S FaccaP Liverneaux
Nov 28, 2008·Injury·Robert A E Clayton, Charles M Court-Brown
Sep 10, 2014·The Journal of Hand Surgery·Egemen AltanLevent Yalçın
May 25, 2015·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Kristin ValdesLori Algar
Mar 29, 2016·Archives of Plastic Surgery·Santiago Salazar BoteroPhilippe André Liverneaux
Oct 22, 2016·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Young Hak RohGoo Hyun Baek
Apr 30, 2017·Hand : Official Journal of the American Association for Hand Surgery·Gregory A Lamaris, Michael K Matthew
Nov 28, 2017·The Journal of Hand Surgery·James S Lin, Julie Balch Samora

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Techniques in Hand & Upper Extremity Surgery
Eon K Shin, Donald S Bae
The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
B M KatzmanD A Caligiuri
The Journal of Hand Surgery
James S Lin, Julie Balch Samora
© 2022 Meta ULC. All rights reserved