2024年10月21日 · Diagnosis is made clinically when the distal phalanx rests at ~45° of flexion with lack of active DIP extension. Treatment is usually extension splinting of DIP joint for 6-8 weeks. Surgical management is indicated for volar subluxation of the distal phalanx, chronic injuries, or significant arthritis.

2023年2月16日 · Make sure the volar proximal edge is free of the volar PIP crease and the proximal dorsal length is just short of the dorsal PIP joint. Apply 2 straps at the proximal aspect and midway. This is a good choice if the digit has significant dressing bulk as it …

2019年9月1日 · Third– The volar gutter version works really well for patients with dorsal wounds. It is also a quick splint to make, but is slightly less stable for more active patients. I’ll keep it distal to the volar PIP crease in length unless a swan neck deformity is a concern.

2021年5月2日 · The volar gutter version works really well for patients with dorsal wounds. It is also a quick splint to make, but is slightly less stable for more active patients. I’ll keep it distal to the volar PIP crease in length unless a swan neck deformity is a concern.

There are a variety of different application options. The simplest is a volar-to-dorsal ‘I’ strip with no tension volarly and 15-25% tension dorsally to a tension-off anchor proximal to dorsal DIP apex. While this dorsal tension can help hold the DIP in slight extension, I find that it is not usually enough support to replace a splint entirely.

Splint / Cast • Fabricate splint or cast positioning DIP joint in full to slight hyper-extension • If the patient demonstrates hyperextension at the PIP joint, it may be necessary to also splint or cast the PIP joint in 30 degrees of flexion for the first 3 weeks (3) • If the patient does not have full DIP joint extension, it may be

Although several studies report excellent results arguing for at least a trial of splinting for all chronic mallet injuries, 3,5,25 surgical intervention is recommend if there is an extensor lag of 40 degrees or if injury limits function in an effort to improve active distal interphalangeal joint extension. 3,5,25 Among the most commonly ...

2024年4月12日 · Volar splinting, however, requires only one band of tape around the finger, at the level of the distal joint, to achieve three-point fixation; thus, the volar splint is slightly easier to...

Mallet finger is a flexion deformity of the finger resulting from injury to the extensor mechanism at the base of the distal phalanx. This article discusses the current clinical assessment and appropriate management of mallet finger injuries. Mallet finger usually results from forced flexion of an extended finger.

2023年11月17日 · Application of stockinette for volar splint. Video courtesy of Kenneth R Chuang, MD. Wrap the padding (eg, Webril) over the stockinette (see the video below). Overlap each layer by half the...