PDF(Pubmed)
Abstract：
BACKGROUND: Mallet fingers are the most common tendon injuries of the hand. Bony avulsion distal finger extensor tendon ruptures causing a mallet finger require special attention and management. In this monocentral study, we analyzed the clinical and individual outcomes succeeding minimal invasive k-wire extension block treatment of bony mallet fingers.
METHODS: In a retrospective study, we sent a self-designed template and a QUICK-DASH score questionnaire to all patients, who were treated because of a bony mallet finger between 2009 and 2022 and fulfilled the inclusion criteria. A total of 244 requests were sent out. 72 (29.5%) patients participated in the study. Forty-five men and twenty-seven women were included.
RESULTS: 98.7% (n = 75) of the cases were successfully treated. Patients were highly satisfied with the treatment (median 8.0; SD ± 2.9; range 1.0-10.0). Based on the QUICK-DASH score, all patients showed no difficulties in daily life. The extent of avulsion did not influence the outcome.
CONCLUSIONS: We conclude that the minimally invasive treatment of a bony mallet finger should be offered to every patient, because it is safe, fast, and reliable. Thus, we propose to perform extension-block pinning independently of the articular area.
METHODS: In a retrospective study, we sent a self-designed template and a QUICK-DASH score questionnaire to all patients, who were treated because of a bony mallet finger between 2009 and 2022 and fulfilled the inclusion criteria. A total of 244 requests were sent out. 72 (29.5%) patients participated in the study. Forty-five men and twenty-seven women were included.
RESULTS: 98.7% (n = 75) of the cases were successfully treated. Patients were highly satisfied with the treatment (median 8.0; SD ± 2.9; range 1.0-10.0). Based on the QUICK-DASH score, all patients showed no difficulties in daily life. The extent of avulsion did not influence the outcome.
CONCLUSIONS: We conclude that the minimally invasive treatment of a bony mallet finger should be offered to every patient, because it is safe, fast, and reliable. Thus, we propose to perform extension-block pinning independently of the articular area.
摘要：
背景：锤状手指是最常见的手部肌腱损伤。骨性撕脱远端指伸肌腱断裂导致锤状指需要特别注意和处理。在这项单中心研究中，我们分析了微创k线延长阻滞治疗骨性槌状手指的临床和个体结局。
方法：在一项回顾性研究中，我们向所有患者发送了自行设计的模板和QUICK-DASH评分问卷，他们在2009年至2022年间因骨槌手指而接受治疗，并符合纳入标准。总共发送了244个请求。72名（29.5%）患者参加了研究。包括45名男性和27名女性。
结果：98.7%(n=75)的病例治疗成功。患者对治疗非常满意（中位数8.0；SD±2.9；范围1.0-10.0）。根据QUICK-DASH评分,所有患者在日常生活中没有出现困难。撕脱的程度不影响结果。
结论：我们得出结论，骨槌指的微创治疗应该提供给每个患者，因为它很安全,快,和可靠的。因此，我们建议独立于关节区域进行延伸阻滞钉扎。
方法：在一项回顾性研究中，我们向所有患者发送了自行设计的模板和QUICK-DASH评分问卷，他们在2009年至2022年间因骨槌手指而接受治疗，并符合纳入标准。总共发送了244个请求。72名（29.5%）患者参加了研究。包括45名男性和27名女性。
结果：98.7%(n=75)的病例治疗成功。患者对治疗非常满意（中位数8.0；SD±2.9；范围1.0-10.0）。根据QUICK-DASH评分,所有患者在日常生活中没有出现困难。撕脱的程度不影响结果。
结论：我们得出结论，骨槌指的微创治疗应该提供给每个患者，因为它很安全,快,和可靠的。因此，我们建议独立于关节区域进行延伸阻滞钉扎。
