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Rehabilitation Practice and Science

Translated Title

閉合性鎚狀指損傷保守療法－以林口長庚醫院整形外科經驗為例

Abstract

Objective: Mallet finger injury is a common injury in hand therapy. Orthoses are used as the standard method to conservatively treat simple tendon mallet finger injuries worldwide. Different types of orthoses have advantages and disadvantages. We explored the clinical outcomes of treating mallet fingers by using a series of casereports from the plastic department of Linkou Chang Gung Memorial Hospital, and we analyzed how these outcomes differed across patient characteristics, injured fingers, and clinical problems. We also compared our findings with findings from previous research. Methods: Medical records were reviewarticleed to collect the treatment results of adult patients who were diagnosed with Doyle Type I mallet finger injury in our department from January 2010 to May 2018. All patients were treated with custom-made orthosis. Completion of the treatment was defined as patients treated over 8 weeks and getting subjectively satisfactory hand function. Crawford classification was applied to evaluate the clinical outcome. Patients' gender, age, and distribution of injured hands and finger were analyzed, and the results were compared to other studies. Result: Forty-eight adult patients met the inclusion criteria, and 25 patients completed the treatment program. The age and sex ratio and the time to start treatment in this study were similar to studies in other countries. However, we found that the incidence of mallet finger injury was similar across both hands and that the little finger and ring finger were the most commonly injured fingers. These two findings are in contrast to findings from other studies, which found that mallet finger was more commonly observed on the dominant hand and on the middle finger. The outcomes of the successfully followed up group were excellent in 40% of patients, good in 28%, and fair in 32% based on the Crawford classification. Nearly half of the patients did not return to the clinic after receiving hand therapy one or two times. The left hand was affected in 60.9% of group who was lost to follow-up. The injured side was significantly different between the successfully followed up group and the group lost to follow-up. Conclusion: Orthotic treatment combined with the integration of exercise programs and follow-up assessments can achieve satisfactory functional outcomes for patients with Doyle's type I mallet finger injury.

Language

Traditional Chinese

First Page

43

Last Page

51

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