외상성 망치 수지: 최신 지견에 대한 종설

Abstract

Mallet finger deformities can be divided into tendinous caused by tendon rupture and bony fracture. In many cases, conservative treatment is possible. The goal of treating traumatic mallet to accurately restore the ruptured or fractured bone its proper position, correct extension lag flexion contracture, prevent joint arthritis, full range motion through appropriate exercises at right time. cases finger, immobilization with a splint cast for least 6 weeks in extended position required. During this period, distal interphalangeal should strictly limited, while movement proximal allowed. Patient compliance protocol essential achieving good outcomes. If fails if deformity recurs after initial surgery, satisfactory results achieved tenodermodesis surgery. involves fragment 3 mm more subluxation phalanx, surgical recommended. primary closed reduction percutaneous pinning block technique.