PDF(Pubmed)
Abstract：
Bony mallet finger injuries, commonly seen as isolated incidents, typically occur in active individuals. We report a rare case of simultaneous avulsion fractures at the distal phalangeal bases of the second, third, and fourth fingers on the right hand of a 14-year-old boy following a forced passive flexion injury during a football game. The patient initially received conservative management with a finger extension splint for the distal interphalangeal (DIP) joints. However, one week after the injury, we performed surgical fixation on all affected digits using the K-wire extension block method due to multiple fractures and the patient\'s intolerance for the mallet finger splint. After six weeks, all K-wires were removed, and physiotherapy sessions began. Three months post-injury, the second and fourth DIP joints demonstrated an \"Excellent\" outcome, and the third DIP joint demonstrated a \"Good\" outcome based on Crawford\'s criteria for outcome assessment of mallet finger injury after management. This case highlights the importance of early detection and appropriate management of concomitant mallet finger injuries in pediatric patients to prevent potential complications that could impair hand function and quality of life.
摘要：
骨槌手指受伤，通常被视为孤立事件，通常发生在活跃的个体中。我们报告了一例罕见的第二指骨远端同时撕脱性骨折，第三,以及一个14岁男孩在足球比赛中被迫被动屈曲受伤后右手的第四根手指。患者最初接受了远端指间（DIP）关节的手指延伸夹板的保守治疗。然而,受伤一周后,由于多处骨折和患者对槌状手指夹板不耐受,我们使用K-wire延长块方法对所有受影响的手指进行了手术固定.六周后,所有的K线都被移除，理疗课程开始了。受伤后三个月,第二和第四个DIP关节表现出“优秀”的结果，根据Crawford对处理后的槌状手指损伤的结果评估标准，第三个DIP关节显示出“良好”的结果。此病例强调了早期发现和适当管理小儿患者伴随的槌状指损伤的重要性，以防止可能损害手功能和生活质量的潜在并发症。
