Comparison of Splinting Interventions for Treating Mallet Finger Injuries
Recruitment status was Not yet recruiting
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Mallet Finger |
Device: Circumferential thermoplastic thimble splint Device: dorsal aluminium foam "Mexican Hat" splint Device: stack splint (control) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study 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
- Complications
- Pain, measured by 10 point Visual Analogue Scale
| Estimated Enrollment: | 100 |
| Study Start Date: | May 2006 |
| Estimated Study Completion Date: | September 2007 |
Show Detailed Description Eligibility| Ages Eligible for Study: | 16 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- All referrals of patients with mallet finger injuries will be considered for inclusion with the exception of the following exclusion criteria.
Exclusion Criteria:
- open injuries
- mallet injury to thumb
- co-existing rheumatologic illness
- time from injury to presentation greater than 2 weeks
Contacts and Locations| Contact: Richard Bloom, MBBS, FRACS | +613 9276 2000 | R.Bloom@alfred.org.au |
| Australia, Victoria | |
| The Alfred Hospital | Not yet recruiting |
| Melbourne, Victoria, Australia, 3004 | |
| Contact: Lisa O'Brien, M.Clin.Sci +61 9276 3526 L.Obrien@alfred.org.au | |
| Contact: Ben Cunningham, B.Occ.Ther +61 9276 3526 B.Cunningham@alfred.org.au | |
| Principal Investigator: Lisa O'Brien, M.Clin.Sci | |
| Sub-Investigator: Ben Cunningham, B.Occ Ther | |
| Principal Investigator: | Lisa O'Brien, M.Clin.Sci | The Alfred Hospital |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00310570 History of Changes |
| Other Study ID Numbers: | Project 58/06 |
| Study First Received: | April 2, 2006 |
| Last Updated: | April 2, 2006 |
| Health Authority: | Australia: National Health and Medical Research Council |
Keywords provided by Bayside Health:
|
distal interphalangeal extensor tendon avulsion |
Additional relevant MeSH terms:
|
Finger Injuries Hand Injuries Wounds and Injuries |
ClinicalTrials.gov processed this record on June 18, 2013