Treatment of Chronic Bony Mallet Fingers by Dorsal Extension Block Pinning with Percutaneous Curettage

Dorsal extension block pinning is a commonly performed surgical technique for acute bony mallet fingers. However, the treatment of chronic bony mallet finger remains controversial. We investigated the use of dorsal extension block pinning with percutaneous curettage for chronic bony mallet fingers....

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Main Authors: Fumiaki Takase, Kyoko Yamasaki, Takeshi Kokubu, Yutaka Mifune, Atsuyuki Inui, Ryosuke Kuroda
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/7297951
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author Fumiaki Takase
Kyoko Yamasaki
Takeshi Kokubu
Yutaka Mifune
Atsuyuki Inui
Ryosuke Kuroda
author_facet Fumiaki Takase
Kyoko Yamasaki
Takeshi Kokubu
Yutaka Mifune
Atsuyuki Inui
Ryosuke Kuroda
author_sort Fumiaki Takase
collection DOAJ
description Dorsal extension block pinning is a commonly performed surgical technique for acute bony mallet fingers. However, the treatment of chronic bony mallet finger remains controversial. We investigated the use of dorsal extension block pinning with percutaneous curettage for chronic bony mallet fingers. Seven patients with chronic bony mallet fingers were treated by dorsal extension block pinning with percutaneous curettage. The average age was 17 (range, 12–23) years, and the average time from injury to surgery was 20 (range, 7–49) weeks. Bone union was achieved in all patients. None of the patients experienced pain after bone union. The average loss of distal interphalangeal joint extension was 6 (range, 5–20) degrees, and the average flexion was 59 (range, 40–80) degrees. The Crawford functional score was excellent in three patients, good in two, and fair in two. Dorsal extension block pinning with percutaneous curettage could be a useful treatment for chronic bony mallet fingers.
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series Case Reports in Orthopedics
spelling doaj-art-235b4874edc141e29f00cc783243c8f92025-02-03T06:07:26ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/72979517297951Treatment of Chronic Bony Mallet Fingers by Dorsal Extension Block Pinning with Percutaneous CurettageFumiaki Takase0Kyoko Yamasaki1Takeshi Kokubu2Yutaka Mifune3Atsuyuki Inui4Ryosuke Kuroda5Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, JapanDepartment of Orthopaedic Surgery, Mitsubishi Kobe Hospital, 6-1-34 Wadamiya-Dori, Hyogo-ku, Kobe, Hyogo 652-0863, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, Hyogo 650-0017, JapanDorsal extension block pinning is a commonly performed surgical technique for acute bony mallet fingers. However, the treatment of chronic bony mallet finger remains controversial. We investigated the use of dorsal extension block pinning with percutaneous curettage for chronic bony mallet fingers. Seven patients with chronic bony mallet fingers were treated by dorsal extension block pinning with percutaneous curettage. The average age was 17 (range, 12–23) years, and the average time from injury to surgery was 20 (range, 7–49) weeks. Bone union was achieved in all patients. None of the patients experienced pain after bone union. The average loss of distal interphalangeal joint extension was 6 (range, 5–20) degrees, and the average flexion was 59 (range, 40–80) degrees. The Crawford functional score was excellent in three patients, good in two, and fair in two. Dorsal extension block pinning with percutaneous curettage could be a useful treatment for chronic bony mallet fingers.http://dx.doi.org/10.1155/2018/7297951
spellingShingle Fumiaki Takase
Kyoko Yamasaki
Takeshi Kokubu
Yutaka Mifune
Atsuyuki Inui
Ryosuke Kuroda
Treatment of Chronic Bony Mallet Fingers by Dorsal Extension Block Pinning with Percutaneous Curettage
Case Reports in Orthopedics
title Treatment of Chronic Bony Mallet Fingers by Dorsal Extension Block Pinning with Percutaneous Curettage
title_full Treatment of Chronic Bony Mallet Fingers by Dorsal Extension Block Pinning with Percutaneous Curettage
title_fullStr Treatment of Chronic Bony Mallet Fingers by Dorsal Extension Block Pinning with Percutaneous Curettage
title_full_unstemmed Treatment of Chronic Bony Mallet Fingers by Dorsal Extension Block Pinning with Percutaneous Curettage
title_short Treatment of Chronic Bony Mallet Fingers by Dorsal Extension Block Pinning with Percutaneous Curettage
title_sort treatment of chronic bony mallet fingers by dorsal extension block pinning with percutaneous curettage
url http://dx.doi.org/10.1155/2018/7297951
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