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Wheeless' Textbook of Orthopaedics

Mallet Fracture of Thumb




- Non Operative Treatment:
  - indicated for small ( < 30-40%) fragment or displacement < 2 mm;
  - use mallet finger splint;

- Indications Operative Treatment:
  - fragments > 30% of joint surface or displacement > 3 mm may require ORIF;
  - volar subluxation from mallet fracture:
      - needs to be re-evaluated after application of splint across DIP joint;
      - volar frx may be associated with profundus avulsion;



Original Text by Clifford R. Wheeless, III, MD.