MALLET FINGER

SURMILA APRI YULISA

IDENTIFICATION

• Name : Mr. Darwan Sanwan

• Age : 54 years old
• Consult date : May, 15th 2017
• Address : Jl. DI Panjaitan No. 35, Plaju
• Job : PNS
CHIEF COMPLAIN
•Male, 54 y.o comes with left ring fingers
deformity
CLINICAL HISTORY

• 2 weeks ago , a man, 54 years old had a traffic accident.

• He was hit by a car from the side with medium speed while riding his
motorcycle across the road. At that time, the patient landing took place on the
left body and his hand to turn inwards.
• After the traumatic event he complain that deformity on his left little finger.
GENERAL STATE

• General condition : Good

• Sensory : Compos mentis
• Vital Sign
 Blood pressure : 140/100 mmHg
 Pulse rate : 84 x/minute
 Respiratory rate : 20 x/minute
 Temperature : 36,6°C
LOCAL STATE
•Regio Manus Sinistra (Digiti V)
REGIO MANUS SINISTRA
LOOK
• Surgical scar (-), wound (-)
• Swollen (-)
• Muscle atrophy (-)
• Discolouration (-)
• Deformity (+)  Mallet finger on digiti V
FEEL
•Skin: warm
•Pain (-) on all finger
•Crepitation (-)
MOVE
• Muscle power: 5
• Range of Motion (ROM):
• Digiti I
CMC joint : Radial abduction  flexion 500 (normal), extension 500 (normal)
Palmar abduction  abduction 700 (normal), adduction 00 (normal)
MCP joint : Flexion 500 (normal), extension 00 (normal)
IP joint : Flexion 750 (normal), extension 100 (normal)
Oposition : thumb is able to touch basal of the little finger (normal)
• Digiti II
MCP joint : Flexion 900 (normal), extension 300 (normal),
abduction 200 (normal), adduction 200 (normal)
PIP joint : Flexion 1100 (normal), extension 00 (normal)
DIP joint : Flexion 800 (normal), extension 100 (normal)

• Digiti III
MCP joint : Flexion 900 (normal), extension 300 (normal),
abduction 200 (normal), adduction 200 (normal)
PIP joint : Flexion 1100 (normal), extension 00 (normal)
DIP joint : Flexion 800 (normal), extension 100 (normal)
• Digiti IV
MCP joint : Flexion 900 (normal), extension 300 (normal),
abduction 200 (normal), adduction 200 (normal)
PIP joint : Flexion 1100 (normal), extension 00 (normal)
DIP joint : Flexion 800 (normal), extension 100 (normal)

• Digiti V
MCP joint : Flexion 900 (normal), extension 300 (normal),
abduction 200 (normal), adduction 200 (normal)
PIP joint : Flexion 1100 (normal), extension 00 (normal)
DIP joint : Flexion 800 (normal), extension - (abnormal)
ASSESSMENT
•Mallet finger on digiti V sinistra
PLAN
• Splint thermoplastic stack (mallet) or splint plaster cast

• Kirschner wire fixation

MALLET FINGER
THANK YOU