Article

PURPOSE: To determine if there is a superior orthosis and wearing regimen for the
conservative treatment of mallet finger injuries.
The secondary purpose is to
examine the current evidence to evaluate if a night orthosis is necessary
following the initial immobilization phase. METHODS: A comprehensive literature
search was conducted using the search terms mallet finger, splint, orthosis, and
conservative treatment. RESULTS: Four randomized controlled trials (RCTs) were
included in the systematic review. In all 4 RCTs mallet fingers were immobilized
continuously for 6 weeks in acute injuries and 8 weeks for chronic injuries.
CONCLUSIONS: Two of the three studies found a large effect size for orthotic
intervention ranging from 2.17 to 12.12. Increased edema and age and decreased
patient adherence seem to negatively influence DIP extension gains. Recommended
immobilization duration is between 6 to 8 weeks and with additional weeks of
immobilization in cases of persistent lags.
LEVEL OF EVIDENCE: 1a.
CI - Copyright (c) 2015 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS