American family physician | 2001 | Wang QC, Johnson BA
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[Indexed for MEDLINE] 11. Hand (N Y). 2017 May;12(3):223-228. doi: 10.1177/1558944716642763. Epub 2016 Mar 30. The Diagnosis and Management of Mallet Finger Injuries. Lamaris GA(1), Matthew MK(2). Author information: (1)1 The Cleveland Clinic Foundation, OH, USA. (2)2 Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. BACKGROUND: Mallet finger is a common injury of the extensor tendon insertion causing an extension lag of the distal interphalangeal joint. METHODS: We reviewed the most current literature on the epidemiology, diagnosis, and management of mallet finger injuries focusing on the indications and outcomes of surgical intervention. RESULTS: Nonoperative management has been advocated for almost all mallet finger injuries; however, complex injuries are usually treated surgically. There is still controversy regarding the absolute indications for surgical intervention. CONCLUSIONS: Although surgery is generally indicated in the case of mallet fractures involving more than one-third of the articular surface as well as in all patients who develop volar subluxation of the distal phalanx, a significant advantage of surgical management even in those complicated cases has yet to be clearly proven. DOI: 10.1177/1558944716642763 PMCID: PMC5480656
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