Purpose: Conservative treatment through splinting has gained favorable recognition over the
various surgical approaches for closed tendinous or bony (Type I) mallet injuries.
However, conservative treatment outcomes vary greatly in part due to the heterogeneity
of the splint models and treatment protocols available to hand therapists. One common
denominator is the necessity to clean the finger regularly to prevent skin ulceration
beneath the splint. No study to date was found in the literature that addressed the
potential impact of this inevitable cleansing process. The aim of this study was to
evaluate the effectiveness of full-time cast immobilization in the treatment of closed
mallet fingers in comparison with the traditionally used custom-made thermoplastic
splint, which requires removal for skin hygiene.
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Copyright
© 2007 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.
