Department| Volume 20, ISSUE 4, P362-363, October 2007

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Effectiveness of Cast Immobilization in Closed Mallet Finger Injury: A Prospective Randomized Comparison with Thermoplastic Splinting

      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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