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ISSN 1405-0625 (Print)

2010, Number 2

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Cir Plast 2010; 20 (2)

The utility of ultrasound in the mallet finger deformity diagnosis

Cuenca-Pardo JA, Carral SR, Torres-González R, Rodríguez MMI

Language: Spanish
References: 30
Page: 67-72
PDF size: 321.17 Kb.


ABSTRACT

The physical examination diagnoses mallet finger deformity, but cannot determine internal damage. A simple X-ray of the finger may be useful for identifying bone damage. Ultrasound has been used for the diagnosis of tendon injuries. In the Trauma Hospital «Dr. Victorio de la Fuente Narvaez» of the Mexican Institute of Social Security, an observational study was performed in 16 patients, to determine the usefulness of ultrasound in the diagnosis of internal damage in the mallet finger deformity, comparing the results with those obtained through physical examination, X-rays and intraoperative exploration. Ultrasound is a dynamic medium that allows for exploration of the damaged tendon during finger flexion and extension and is the procedure that could detect the most changes in this type of deformity. Ultrasound had the highest sensitivity for the diagnosis of mallet finger deformity; furthermore, it is simple, noninvasive, economical and accessible, causes no damage and can be performed in all patients in the emergency ward. It determines with certainty the internal damage of the deformity, identifies the specific conditions of the extensor tendon and all the surrounding tissue, including bones and joints.


REFERENCES

  1. Hart RG, Kleinert SE, Lyon K. The Kleinert modified dorsal finger splint for mallet finger fracture. Am J Emerg Med 2005; 23(2): 145-148.

  2. Handoll HG, Vaghela MV. Interventions for treating mallet finger injuries (Review). The Cochrane Library 2008; 4: 1-30.

  3. Herbert HS, Boyes JH, Wilson JN. Mallet Finger. J Bone Joint Surg Am 1962; 44: 1061-1068.

  4. Baratz ME, Schmidth CHC, Huges TB. Lesiones de los tendones extensores. En: Green D. Cirugía de la mano. España: Marbán Libros S. L; 2007; I: pp. 192-199.

  5. Bendre AA, Hartigan BJ, Kalainov. Dedo en martillo. J Am Acad Orthop Surg 2005; 13(5): 336-344.

  6. Husain SN, Dietz JF, Kalainov DM, Lautenschlager EP. A biomechanical study of distal interphalangeal joint subluxation after mallet fracture injury. J Hand Surg Am 2008; 33(1): 26-30.

  7. Fernández AF, Chiong M. Nueva ortesis para el tratamiento del dedo en martillo de origen traumático, estudio preliminar. Rev Cubana Med Milit 2003; 32(1): 18-23.

  8. Brzezienski MA, Schneider LH. Las lesiones del tendón extensor de la articulación interfalángica distal. Clin mano 1995; 11(3):373-386.

  9. Rieger H, Grunert J, Winckler S, Brug E. The most common tendon injury in sports-hammer finger. Sportschaden Sportvertletz 1991; 5(3): 149-154.

  10. Lairmore JR, Engber WD. Serious, often subtle, finger injuries: avoiding diagnosis and treatment pitfalls. Phys Sportsmed 1998; 26: 57-69.

  11. Introcaso JH. Ecografía de codo, muñeca y mano. En: Van Holsbeeck MT. Ecografía musculoesquelética. España: Marbán Libros S. L; 2006: pp. 544-564.

  12. Peh WCG, Gilula LA. Examen radiográfico de la mano. En: Winzweig J. Secretos de la Cirugía Plástica, Reconstructiva y Estética. México: McGraw-Hill Interamericana Editores, S.A. de C.V; 1999: pp. 518.

  13. Kleinbaum Y, Heyman Y, Ganel Z, Blankstein A. Sonographic imaging of mallet finger. Ultraschall Med 2005; 26(3): 223-226.

  14. Tabbal GN, Bastidas N, Sharma S. Closed mallet thumb injury: a review of the literature and case study of the use of magnetic resonance imaging in deciding treatment. Plast Reconstr Surg 2009; 124(1): 222-226.

  15. Lkur EU, Acikel C, Ergun O, Bahattin C. Repair of chronic mallet finger deformity using mitek. Micro Arc Bone Anchor, Ann Plast Surg 2005; 54 (4): 393-396.

  16. Tetik C, Gudemez E. Modification of the extension block kirschner wire technique for mallet fractures. Clin Orthop Rel Res 2002; 404: 284-290.

  17. Muratore C, Medina J, Navarro R, Fouche G. Resultados del tratamiento ortopédico del dedo en martillo por ruptura subcutánea del tendón extensor. Serie de 170 casos. Rev Iberam Cir Mano 2006; 1(1): 31-37.

  18. Okafor B, Mbubaegbu C. Mallet deformity of the finger: Five-year follow-up of conservative treatment. J Bone Joint Surg Br 1997; 79(4): 544-547.

  19. Chan O, Hughes T. ABC of emergency radiology Hand. BMJ 2005; 330: 1073-1075.

  20. Lee YH, Kim JY, Chung MS, Baek GH, Gong HS. Two extension block Kirschner wire technique for mallet finger fractures. J Bone Joint Surg Br 2009; 91(11): 1478-1481.

  21. Murase T, Moritomo H, Tada K, Yoshida T. Pseudo mallet finger associated with exostosis of the phalanx: a report of 2 cases. J Hand Surg Am 2002; 27(5): 817-820.

  22. Pike J, Mulpuri K, Metzger M, Ng G, Wells N, Goetz T. Blinded, prospective, randomized clinical trial comparing volar, dorsal, and custom thermoplastic splinting in treatment of acute mallet finger. J Hand Surg Am 2010; 35(4): 580-588.

  23. Orhun H, Dursun M, Orhun E, Gürkan V, Altun G. Open reduction and K-wire fixation of mallet finger injuries: mid-term results. Acta Orthop Traumatol Turc 2009; 43(5): 395-399.

  24. Yeo CJ, Sebastin SJ, Chong AK. Fingertip injuries. Singapore Med J 2010; 51(1): 78-86.

  25. Jablecki J, Syrko M. Zone 1 extensor tendon lesions: current treatment methods and a review of literature. Orthop Traumatol Rehabil 2007; 9: 52-62.

  26. Kalainov DM, Hoepfner PE, Hartigan BJ. El tratamiento no quirúrgico de las fracturas cerradas de dedo en martillo. J Am Surg Hand 2005; 30(3): 580-586.

  27. Facca S, Nonnenmacher J, Liverneaux P. Tratamiento del dedo en martillo con el clavo dorsal pegado férula: análisis retrospectivo de 270 casos. Rev Orthop Chir 2007; 93(7): 682-689.

  28. Cobb TK. Arthroscopic distal interphalangeal joint arthrodesis. Tech Hand Up Extrem Surg 2008; 12(4): 266-269.

  29. Schmidt B, Weinberg A, Friedrich H. The mallet finger in children and adolescents. Mikrochir Chir Plast 2008; 40(3): 149-152.

  30. Schädel-Höpfner M, Windolf J, Antes G, Sauerland S, Diener MK. Evidence-based hand surgery: the role of Cochrane reviews. J Hand Surg Eur 2008; 33(2): 110-117.




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