[Conservative treatment results of the acute and chronic mallet finger].
BACKGROUND
In the treatment of the acute ligamentous mallet finger, conservative therapy with a Stack or Winterstein splint is an established approach, though there are many different conservative therapy regimes. There are even more therapy options for the chronic mallet finger (more than 4 weeks old) including different operation techniques.


METHODS
In a retrospective study, 44 patients with an acute and 33 patients with a chronic ligamentous mallet finger treated with a Stack or Winterstein splint were investigated.


RESULTS
The results in both groups are satisfactory (SD <10 degrees : 70.5% in the acute, 87.9% in the chronic lesions). The subjective satisfaction (scale 1-6) was high in both groups. It was even significantly higher in the group with the chronic lesions (acute: 2.55+/-1.63, chronic: 1.82+/-1.38). In both groups there was no correlation between an initially high extension deficit and a bad therapy outcome.


CONCLUSIONS
Also in chronic ligamentous mallet finger, conservative therapy should be attempted before an operation, irrespective of the initial extension deficit, especially because the stress and the therapy risk for the patient with this therapy is small.
Reiter
A
A
Handchirurgie, Vulpius Klinik, Akademisches Lehrkrankenhaus der Universität Heidelberg, Bad Rappenau. areiter@vulpiusklinik.de
Hasan
M
M
Unglaub
F
F
Dreyhaupt
J
J
Hahn
P
P
D000208:Acute Disease; D000328:Adult; D002908:Chronic Disease; D003627:Data Interpretation, Statistical; D005260:Female; D005383:Finger Injuries / Q000628:therapy*; D006227:Hand Deformities, Acquired / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012189:Retrospective Studies; D013165:Splints; D013708:Tendon Injuries / Q000628:therapy*; D016896:Treatment Outcome