Scientific/Clinical Article| Volume 32, ISSUE 4, P452-456, October 2019

Evaluation of written and video education tools after mallet finger injury


      • We evaluated the use of written and online video education tools after acute mallet finger injury.
      • Written and video instructions were reported as helpful, and most patients preferred having both types of instructions.
      • This study provides evidence of the usefulness of online videos as an educational aid.


      Study Design

      Prospective cohort.


      Successful nonoperative treatment of mallet finger injuries requires compliance to prolonged immobilization and understandable educational materials.

      Purpose of the Study

      This study evaluated the use of written and online video education tools after mallet finger injury.


      After ethics board approval and informed consent, adults with an acute mallet finger injury referred to hand therapy were included. Standard nonoperative treatment was instituted with orthotic immobilization and verbal instructions, in addition to an education pamphlet and an online video link. A questionnaire regarding the educational materials was administered at the follow-up appointment.


      There were 61 patients (mean age, 42 ± 14 years). The middle (n = 21) and ring (n = 22) fingers were most commonly injured. All patients were fluent in English. Written instructions (n = 57) were used by more patients than the videos (n = 30). Comparing patients who viewed the video with those who did not, there were no differences (P > .05) in demographics (sex, age, education, work status, and second language). Both written and video instructions were reported as helpful; mean helpful score for the video was significantly (P = .03) higher than written instructions. Most patients preferred having written and video instructions, and both were easy to understand and convenient.


      In our study of patients with acute mallet finger injuries, written and video instructions were utilized and both were reported as helpful.


      This study provides evidence of the usefulness of online videos as an educational aid and the opportunity for future investigations to improve patient access to education materials.


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      JHT Read for Credit

      Quiz: # 636

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to There is only one best answer for each question.
      • # 1.
        Mallet management included
        • a.
          orthotic immobilization
        • b.
          patient education
        • c.
          an online video link
        • d.
          all of the above
      • # 2.
        The study design was
        • a.
        • b.
          a case series
        • c.
          prospective cohort
        • d.
          retrospective cohort
      • # 3.
        The use of the educational materials was evaluated via
        • a.
          a questionnaire
        • b.
          patient interviews
        • c.
          chart reviews
        • d.
          therapist examination
      • # 4.
        The video link was shown to be
        • a.
          an equivalent tool to written instructions
        • b.
          a more effective tool than written instructions
        • c.
          an ineffective tool
        • d.
          too technically challenging to gain patient compliance
      • # 5.
        The evidence supports the use of an online video link in addition to traditional interventions in the management of acute mallet finger injuries
        • a.
        • b.
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.