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Mallet injuries are common and usually treated conservatively. Various systematic reviews have found a lack of evidence regarding the best management, and it is unclear whether this uncertainty is reflected in current UK practice.An online survey was developed to determine the current practice for the conservative treatment of mallet injury among specialist hand clinicians in the UK, including physiotherapists, occupational therapists and surgeons. Clinician's views of study outcome selection were also explored to improve future trials.In total, 336 professionals completed the survey. Inconsistency in overall practice was observed in splint type choice, time to discharge to GP, and assessment of adherence. Greater consistency was observed for recommended duration of continuous immobilisation. Bony injuries were most commonly splinted for 6 weeks (n = 228, 78%) and soft tissue injuries for either 8 weeks (n = 172, 56%) or 6 weeks (n = 119, 39%). Post-immobilisation splinting was frequently recommended, but duration varied between 2 and 10 weeks. The outcome rated as most important by all clinicians was patient satisfaction.There is overall variation in the current UK conservative management of mallet injuries, and the development of a standardised, evidence-based protocol is required. Clinicians' opinions may be used to develop a core set of outcome measures, which will improve standardisation and comparability of future trials.

Original publication

DOI

10.1016/j.bjps.2017.04.009

Type

Journal article

Journal

Journal of plastic, reconstructive & aesthetic surgery : JPRAS

Publication Date

07/2017

Volume

70

Pages

901 - 907

Addresses

Bristol Centre for Surgical Research, School of Social and Community Medicine, University of Bristol, 39 Whatley Road, Clifton, Bristol, BS8 2PS, UK.

Keywords

Thumb, Humans, Finger Injuries, Patient Discharge, Occupational Therapy, Immobilization, Splints, Patient Compliance, Orthopedics, Surgery, Plastic, Time Factors, Physical Therapy Specialty, Surveys and Questionnaires, Practice Patterns, Physicians', United Kingdom, Conservative Treatment