AI Article Synopsis
- A 14-year-old boy sustained simultaneous avulsion fractures in the distal phalanges of three fingers while playing football, due to a forced passive flexion injury.
- Initial treatment involved a splint, but after one week, surgical fixation was performed using the K-wire extension block method due to the patient's discomfort.
- Three months post-surgery, the outcomes for the finger joints were assessed as "Excellent" and "Good," emphasizing the need for timely diagnosis and management of mallet finger injuries in children to avoid complications.
Article Abstract
Bony mallet finger injuries, commonly seen as isolated incidents, typically occur in active individuals. We report a rare case of simultaneous avulsion fractures at the distal phalangeal bases of the second, third, and fourth fingers on the right hand of a 14-year-old boy following a forced passive flexion injury during a football game. The patient initially received conservative management with a finger extension splint for the distal interphalangeal (DIP) joints. However, one week after the injury, we performed surgical fixation on all affected digits using the K-wire extension block method due to multiple fractures and the patient's intolerance for the mallet finger splint. After six weeks, all K-wires were removed, and physiotherapy sessions began. Three months post-injury, the second and fourth DIP joints demonstrated an "Excellent" outcome, and the third DIP joint demonstrated a "Good" outcome based on Crawford's criteria for outcome assessment of mallet finger injury after management. This case highlights the importance of early detection and appropriate management of concomitant mallet finger injuries in pediatric patients to prevent potential complications that could impair hand function and quality of life.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544867 | PMC |
| http://dx.doi.org/10.7759/cureus.44441 | DOI Listing |
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