Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 Jan 18;2(1):71-74.
doi: 10.5811/cpcem.2017.7.34811. eCollection 2018 Feb.

Intraosseous Vascular Access Device as a Transarticular K-wire Alternative in Mallet Finger Laceration

Scott B Crawford  1
Affiliations
Case Reports

Intraosseous Vascular Access Device as a Transarticular K-wire Alternative in Mallet Finger Laceration

Scott B Crawford. Clin Pract Cases Emerg Med. .

Abstract

Mallet finger is a common injury often treated without operative intervention. When there is concern for skin integrity or a large articular component is involved, simple operative repair may be needed. This has been performed with transarticular Kirschner wire (K-wire) placement. This case discusses the novel use of an intraosseous vascular access device (IOVAD) as a potential adjunct to stabilization and alternative to treatment with operative K-wire fixation. A 53-year-old man was successfully treated using the inner trocar of the EZ-IO® system for a mallet finger injury with laceration, shown in comparison with another standard manual pinning approach using an 18-gauge needle. An IOVAD can be used successfully as an alternative to K-wire placement in patients with mallet finger injuries.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Pre-repair radiograph demonstrating a fracture (short arrow) to the fourth digit and mallet injury (long arrow) to the third digit.
Image 2
Image 2
Post-repair radiograph of 3rd and 4th digits: 4th digit fracture pinned with 18-gauge needle (short arrow); 3rd digit mallet injury pinned in extension with IOVAD needle trocar (long arrow).
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Newport ML. Extensor Tendon injuries in the hand. J Am Acad of Orthop Surg. 1997;5(2):59–66. - PubMed
    1. Badia A, Riano F. A simple fixation method for unstable bony mallet finger. J Hand Surg Am. 2004;29(6):1051–5. - PubMed
    1. Jablecki J, Syrko M. Zone 1 extensor tendon lesions: current treatment methods and a review of literature. Ortop Traumatol Rehabil. 2007;9(1):52–62. - PubMed
    1. Oetgen ME, Dodds SD. Non-operative treatment of common finger injuries. Curr Rev Musculoskelet Med. 2008;1(2):97–102. - PMC - PubMed
    1. Strauch RJ. Green’s Operative Hand Surgery. 6th ed. Vol. 1. Philadelphia PA: Elsevier; 2011.

Publication types