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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Measurement of ICF components following conservative treatment of acute and chronic mallet finger injuries: Nonrandomized clinical trial

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  • presenting/speaker Erfan Shafiee - University of Social Welfare and Rehabilitation Sciences, Tehran University of Medical Sciences, Tehran, Iran
  • Maryam Farzad - University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  • Hadi Beikpour - Tehran University of Medical Sciences, Tehran, Iran

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1056

doi: 10.3205/19ifssh1462, urn:nbn:de:0183-19ifssh14620

Published: February 6, 2020

© 2020 Shafiee et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Clinical issue/s: Treatment approaches following mallet finger injuries can be varied based on its severity, from conservative with prolonged immobilization of the DIP joint in neutral or slight hyperextension to surgical interventions. Although use of prolonged immobilization with splinting is well accepted in acute patients, its effectiveness in chronic patients is controversial.

Skin complication is known to be the most important factor in lack of patient compliance and adherence to treatment.

Besides, in recent studies ICF components are not fully considered in treatment and evaluation of patients.

Clinical reasoning: If splinting approach could also be effective in chronic patients, it can restricts surgical complications and improves patient's functional status.

Using thermoplastic materials with less skin complications can facilitates patient's compliance and adherence to treatment.

Just evaluating physical impairments can not captures health condition of a patient.

Focusing on physical impairment is not comprehensive enough to measure the actual health status of a client.

Innovative, analytical or new approach: In this study we used splinting in treatment of chronic mallet finger injuries (as we do for acute patients) with weekly follow up to refit the splint, check skin status and consider the patient's condition with the splint.

Educating the patients to remove the splint and wash their hand to prevent skin complications.

Focusing on ICF components (Participation, disability) in evaluation and treatment procedure in addition to physical impairment (extension lag and active flexion).

Contribution to advancing HT practice: Considering participation and disability status level could help therapists and surgeons to a better clinical reasoning.

Improving all aspects of health condition could help the patient to fully recover from its disability.

Considering patient satisfaction, compliance, adherence to treatment, and disability level in all parts of treatment duration, enhances all aspects of health condition, not only physical impairments.