Ramponi Denise R, Hellier Susan D
School of Nursing, Education, and Human Studies, Robert Morris University, Moon Township, Pennsylvania.
Adv Emerg Nurs J. 2019 Jul/Sep;41(3):198-203. doi: 10.1097/TME.0000000000000251.
This article provides an overview of issues associated with traumatic injury to the distal finger that results in extensor tendon disruption or bony avulsion at the base of the distal phalanx. Commonly referred to as mallet finger, drop finger, or baseball finger, terminal extensor tendon injuries are a common presentation to the emergency department. Providers need to be advised of evidence-based management of these extensor tendon injuries in order to prevent decreased function and permanent deformity. Current evidence supports nonoperative interventions, but injuries need to be addressed in a timely manner in order to avoid poor outcomes.
本文概述了与手指远端创伤性损伤相关的问题,这些损伤会导致远端指骨基部的伸肌腱断裂或骨撕脱。末端伸肌腱损伤通常被称为槌状指、垂指或棒球指,是急诊科常见的病症。需要告知医疗服务提供者这些伸肌腱损伤的循证管理方法,以防止功能下降和永久性畸形。目前的证据支持非手术干预,但损伤需要及时处理,以避免不良后果。