Conservative management of mallet injuries: A national survey of current practice in the UK

Z. Tolkien, S. Potter, N. Burr, M.D. Gardiner, J.M. Blazeby, A. Jain, J. Henderson

Research output: Contribution to journalArticle (Academic Journal)

1 Citation (Scopus)
325 Downloads (Pure)

Abstract

Introduction

Mallet injuries are common and usually treated conservatively. Various systematic reviews have found a lack of evidence regarding the best management, and it is unclear whether this uncertainty is reflected in current UK practice.
Methods

An online survey was developed to determine the current practice for the conservative treatment of mallet injury among specialist hand clinicians in the UK, including physiotherapists, occupational therapists and surgeons. Clinician's views of study outcome selection were also explored to improve future trials.
Results

In total, 336 professionals completed the survey. Inconsistency in overall practice was observed in splint type choice, time to discharge to GP, and assessment of adherence. Greater consistency was observed for recommended duration of continuous immobilisation. Bony injuries were most commonly splinted for 6 weeks (n = 228, 78%) and soft tissue injuries for either 8 weeks (n = 172, 56%) or 6 weeks (n = 119, 39%). Post-immobilisation splinting was frequently recommended, but duration varied between 2 and 10 weeks. The outcome rated as most important by all clinicians was patient satisfaction.
Discussion

There is overall variation in the current UK conservative management of mallet injuries, and the development of a standardised, evidence-based protocol is required. Clinicians' opinions may be used to develop a core set of outcome measures, which will improve standardisation and comparability of future trials.
Original languageEnglish
Pages (from-to)901-907
Number of pages7
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Volume70
Issue number7
Early online date23 Apr 2017
DOIs
Publication statusPublished - 31 Jul 2017

Structured keywords

  • Centre for Surgical Research

Keywords

  • Mallet finger
  • mallet thumb
  • mallet injury
  • splint
  • clinician survey

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