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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Mallet Finger

Tendon Injuries

A 35-year-old cricket player presents after being struck on the fingertip by a ball 2 days ago. He is unable to actively extend the DIP joint of his ring finger, which rests in 40 degrees of flexion. Passive extension is full. Radiographs show a small avulsion fracture involving 20% of the articular surface without volar subluxation. Regarding mallet finger:

Mark each as TRUE or FALSE

A

Mallet finger results from disruption of the terminal extensor tendon (terminal slip) insertion on t...

B

Classification includes tendinous (pure soft tissue injury) and bony types; bony mallet is further c...

C

Mallet finger affects the PIP joint; the mechanism is hyperextension; patients can actively extend t...

D

Non-operative treatment with continuous DIP extension splinting (Stack or Oval-8) for 6-8 weeks is t...

E

Surgical indications include volar subluxation of the distal phalanx (unstable joint), fractures inv...

Answer the questions to see explanations

Click T (True) or F (False) for each option