To assess whether there is a difference in the outcome in treatment of acute mallet fingers (exist 4 weeks), using the same protocol of intensive follow-up by the 'Handencentrum'.
ID
Source
Brief title
Condition
- Tendon, ligament and cartilage disorders
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The primary endpoint will be the degree of extension (in degrees) of the
involved DIP joint six months after the start of therapy.
Secondary outcome
- To investigate if there are differences in scores of the Michigan Hand
Outcome Questionnaire - Dutch Language Version (MHOQ-DLV) and the Patient Rated
Wrist/Hand Evaluation - Dutch Language Version (PRWHE-DLV).
- The degree of flexion of the involved joint
- The grabbing strength of the involved hand
Background summary
The standard treatment of acute uncomplicated mallet finger in the Netherlands
is often a Stack splint worn for six weeks, possibly followed by hand or
physiotherapy. The treatment of chronic mallet finger is however less straight
forward. Some choose to treat these injuries by 6 weeks splint therapy followed
by physiotherapy, while others opt for surgery by a tenodermodese. The results
of splint therapy in a chronic mallet injuries, according to the literature,
are similar to the treatment of an acute malletvinger splint. A prospective
study that confirms this, is however still lacking.
Study objective
To assess whether there is a difference in the outcome in treatment of acute
mallet fingers (exist <2 weeks) compared to chronic mallet fingers (exist > 4
weeks), using the same protocol of intensive follow-up by the 'Handencentrum'.
Study design
The research will be conducted at the 'Handencentrum Eindhoven', the
Netherlands. There, they will determined it is an acute (exist <2 weeks) or
chronic (exist >4 weeks) mallet injury. Both will be treated with a similar
protocol. After a period of 6 months, the results of this treatment will be
evaluated.
Study burden and risks
The extra burden for participants compared to the *normal* treatment is that
they need to fill in multipele questionnaires, need to have an additional
X-rays taken (of the involved finger and the contralateral finger) and
additional out-patient clinic visit is required. The filing in of the
questionnaires and additional out-patient visit will require time of the
participants. The two additional X-rays will give a radiation dose of <0.01
mSv. The authors are of opinion that this dose is so small that it is to be
neglected.
Michelangelolaan 2
Eindhoven 5623EJ
NL
Michelangelolaan 2
Eindhoven 5623EJ
NL
Listed location countries
Age
Inclusion criteria
All patients who report themselfs at the 'Handencentrum Eindhoven'with a mallet finger who meet the following criteria:
- Age: between 18 and 65 years
- participants need to be able to make their own desicion
- injuries that exist no longer then two weeks (acute)
- injuries that exist longer than four weeks (chronic)
Exclusion criteria
- Deformities or disease of the involved DIP joint
- Open injury
- Inability the complete splinting therapy (e.g. the likelihood of compliance is low due to psychiatric disorders or beginning Alzheimer disease
Design
Recruitment
Medical products/devices used
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL44454.060.13 |