abstract  background: the goal of this report is to show our results with extension block technique for treatment of mallet fracture. the indications for this technique were the presence of a large bone fragment, and palmar subluxation.  methods: we retrospectively assessed the results of treatment in 14 mallet fractures  which have been treated by extension block technique to determine the ran...

Close reduction by extension-block K-wire fixation for acute mallet fracture is a relatively novel mode of treatment which is based on two sound orthopedic principles - stable arc splinting and early protected motion. Distal interphalangeal joint splinting is still the technique commonly used for mallet fractures with significant morbidity and only moderate functional outcome. We have demonstra...

Mallet fingers with an avulsion fracture of the distal phalanx or rupture of the terminal tendon of the extensor mechanism is known as a common injury, while mallet thumb is very rare. In this paper, the case of a 19-year-old woman with a sprained left thumb sustained while playing basketball is presented. Plain radiographs and computed tomography revealed an avulsion fracture involving more th...

INTRODUCTION Close reduction by extension-block K-wire fixation for acute mallet fracture is based on two sound orthopedic principles - stable arc splinting and early protected motion. Distal interphalangeal joint splinting is still the technique commonly used for mallet fractures with significant morbidity and only moderate functional outcome. CASE REPORT We have demonstrated here Ishiguro's...

PURPOSE Treatment of Mallet fingers or fractures remains a controversial topic. No evident preference can be distilled from the reports of the clinical results obtained by conservative treatment with splints and internal fixation. If operative treatment is indicated, several techniques can be used. However, each technique has disadvantages like the risk of comminution of the fragment, the risk ...

Mallet hallux injury typically occurs due to trauma from forced hyperflexion. The is commonly an avulsion fracture of the extensor hallucis longus tendon at distal end great toe, but can also rupture around its insertion into first phalanx. It rare for both types occur simultaneously. A mallet toe occurring in rarely reported, and there no established standard treatment method. Here, we present...

OBJECTIVE We use the extension block Kirschner wire method that orginated from Ishigura to treat mallet fracture and evaluate its efficiency. METHODS 38 patients were treated prospectively. Mean follow-up was 18 months and all patients evaluated radiologically and clinically according to Crawford's criteria. RESULTS Union was obtained in all patients. The results obtained were satisfactory ...

Mallet finger involves loss of continuity of the extensor tendon over the distal interphalangeal joint. This common hand injury results in a flexion deformity of the distal finger joint and may lead to an imbalance between flexion and extension forces more proximally in the digit. Mallet injuries can be classified into four types, based on skin integrity and the presence or absence of bony invo...

We treated 32 displaced mallet finger fractures by a two extension block Kirschner-wire technique. The clinical and radiological outcomes were evaluated at a mean follow-up of 49 months (25 to 84). The mean joint surface involvement was 38.4% (33% to 50%) and 18 patients (56%) had accompanying joint subluxation. All 32 fractures united with a mean time to union of 6.2 weeks (5.1 to 8.2). Congru...