Comparison of Splinting Interventions for Treating Mallet Finger Injuries
Recruitment status was: Not yet recruiting
Stubbing of the finger-tip is a common injury in sports such as basketball, volleyball, cricket and football. This can result in a Mallet finger deformity, where the end joint of a finger cannot be actively straightened out. In most mallet finger cases seen at The Alfred, the skin remains intact, and the impairment results from a tear of the extensor tendon or an avulsion (a small fracture where the tendon attaches to the bone). Treatment commonly involves immobilising the end joint of the finger in a splint for six or more weeks so patient compliance is a major factor in the quality of the outcome achieved.
This study aims to compare two different types of splintage (the commonly used thermoplastic thimble splint and the aluminium-foam “Mexican hat” splint which is in use in Britain) with a control splint (thermoplastic prefabricated “stack splint” with tape). Outcome measures will include patient compliance with the splint, degree of extensor lag, active movement of the joint, and any complications.
The null hypothesis is that there are no differences in outcome between different methods of conservative splinting treatment for mallet finger.
Device: Circumferential thermoplastic thimble splint
Device: dorsal aluminium foam "Mexican Hat" splint
Device: stack splint (control)
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Treatment
|Official Title:||Comparison of Splinting Interventions for Minimising Extensor Lag in Mallet Finger Injuries|
- Degree of extensor lag at distal inter-phalangeal (DIP)joint
- Active range of motion at DIP
- Patient compliance with splinting regime, based on self-report (as described above)
- Patient satisfaction with result on 5-point likert scale
- Pain, measured by 10 point Visual Analogue Scale
|Study Start Date:||May 2006|
|Estimated Study Completion Date:||September 2007|
Please refer to this study by its ClinicalTrials.gov identifier: NCT00310570
|The Alfred Hospital|
|Melbourne, Victoria, Australia, 3004|
|Principal Investigator:||Lisa O'Brien, M.Clin.Sci||The Alfred|