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Effectiveness of cast immobilization in comparison to the gold-standard self-removal orthotic intervention for closed mallet fingers

TOCCO S; BOCCOLARI P; LANDI A; LEONELLI C; MERCANTI C; POGLIACOMI F; SARTINI S; ZINGARELLO L; NEDELEC B
J HAND THER , 2013, vol. 26, n° 3, p. 191-200
Doc n°: 166911
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.jht.2013.01.004
Descripteurs : DD86 - TRAITEMENTS - MAIN-DOIGTS, EC24 -ORTHESE DE MEMBRE SUPERIEUR

Although orthotic
immobilization has become the preferable treatment choice for closed mallet
injuries, it is unclear whether orthosis self-removal has an impact on the final
outcome. PURPOSE: To evaluate the treatment efficacy of cast immobilization of
closed mallet fingers using Quickcast((R)) (QC) compared to a removable,
lever-type thermoplastic orthosis (LTTP). METHODS: 57 subjects were randomized in
2 groups. DIPj extensor lag and the Gaberman success scale were used as primary
outcomes. RESULTS: LTTP subjects resulted in greater extensor lag than QC
subjects (x = 5 degrees ; p = 0.05) at 12 weeks from baseline, and high edema and
older age negatively affected DIPj extensor lag. No other differences were found
between groups. CONCLUSION: Cast immobilization seems to be slightly more
effective than the traditional approach probably for its greater capacity to
reduce edema.
LEVEL OF EVIDENCE: 1B.
CI - Copyright (c) 2013 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS

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