The Ishiguro Technique for the Treatment of Mallet Finger Fracture in Adolescent-Juniper Publishers

Mallet finger is the avulsion of the extensor tendon from the base of the distal phalanx with or without bony fragment. It occurs because of the hyper flexion or axial loading of the inter phalangeal joint, most often due to bicycle injuries and ball games. Injuries of the abruption extensor tendon in adolescents are rare. Treatment options for mallet finger fracture are primary conservative such as splint or cast. Splints or casts immobilize musculoskeletal injuries while alleviating pain and promoting healing. However, these interventions differ in their technique, indications, benefits, and risks. Operative treatment is indicated in case of fractures involving more than one third of the articular surface and/or volar subluxation of the inter phalangeal joint as well as open fractures and when conservative treatment is not successful. Reposition and internal fixation is required in the case of instable phalanx fractures and fractures with extensive destruction. These methods include: wire, intraosseous wire sutures, extra-and intraosseous compression pin fixation, and mini screw fixation.

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