• Kristin Valdes, Nancy Naughton, and Lori Algar.
• Drexel University, Philadelphia, PA, USA; Hand Works Therapy, 744the Rialto, Venice, FL 34285, USA. Electronic address: hotglassgal@comcast.net.
• J Hand Ther. 2015 Jul 1; 28 (3): 237-45; quiz 246.

PurposeTo 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.MethodsA comprehensive literature search was conducted using the search terms mallet finger, splint, orthosis, and conservative treatment.ResultsFour 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.ConclusionsTwo 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 Evidence1a.Copyright © 2015 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

10 keywords...

hide…