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The Diagnosis and Management of Mallet Finger Injuries

机译:槌状手指损伤的诊断与处理

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Background: Mallet finger is a common injury of the extensor tendon insertion causing an extension lag of the distal interphalangeal joint. Methods: We reviewed the most current literature on the epidemiology, diagnosis, and management of mallet finger injuries focusing on the indications and outcomes of surgical intervention. Results: Nonoperative management has been advocated for almost all mallet finger injuries; however, complex injuries are usually treated surgically. There is still controversy regarding the absolute indications for surgical intervention. Conclusions: Although surgery is generally indicated in the case of mallet fractures involving more than one-third of the articular surface as well as in all patients who develop volar subluxation of the distal phalanx, a significant advantage of surgical management even in those complicated cases has yet to be clearly proven.
机译:背景:槌状指是伸肌腱插入的常见损伤,导致远端指间关节伸展滞后。方法:我们回顾了有关槌指受伤的流行病学,诊断和处理的最新文献,重点是手术干预的指征和结果。结果:几乎所有的槌状手指受伤都提倡非手术治疗;但是,复杂的损伤通常可以通过手术治疗。关于手术干预的绝对适应症仍存在争议。结论:尽管一般在涉及超过三分之一关节面的槌骨骨折病例以及所有发生远端指骨掌半脱位的患者中进行手术治疗,但是即使在那些复杂病例中,手术治疗的显着优势尚未得到明确证明。

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