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Effectiveness of cast immobilization in comparison to the gold-standard self-removal orthotic intervention for closed mallet fingers: a randomized clinical trial.
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Effectiveness of cast immobilization in comparison to the gold-standard self-removal orthotic intervention for closed mallet fingers: a randomized clinical trial.

Author: S Tocco Affiliation: Studio Terapico Kaiser, Via Trento 15/A, 43100 Parma, Italy. silvio.tocco@libero.itP BoccolariA LandiC LeonelliC MercantiAll authors
Edition/Format: Article Article : English
Publication:Journal of hand therapy : official journal of the American Society of Hand Therapists, 2013 Jul-Sep; 26(3): 191-200; quiz 201
Other Databases: WorldCatWorldCat
Summary:
STUDY DESIGN: Randomized clinical trial. INTRODUCTION: 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(®) (QC) compared to a removable, lever-type thermoplastic orthosis  Read more...
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Document Type: Article
All Authors / Contributors: S Tocco Affiliation: Studio Terapico Kaiser, Via Trento 15/A, 43100 Parma, Italy. silvio.tocco@libero.it; P Boccolari; A Landi; C Leonelli; C Mercanti; F Pogliacomi; S Sartini; L Zingarello; B Nedelec
ISSN:0894-1130
Language Note: English
Unique Identifier: 5534213615
Awards:

Abstract:

STUDY DESIGN: Randomized clinical trial. INTRODUCTION: 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(®) (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°; 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.

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    schema:description "RESULTS: LTTP subjects resulted in greater extensor lag than QC subjects (x = 5°; 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." ;
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