Mallet fracture

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Deformity to the fifth right finger while playing rugby.

Patient Data

Age: 30-year-old
Gender: Female

5th finger radiographs

x-ray

Avulsion fracture at the insertion of the extensor tendon in the proximal distal phalanx (dorsal aspect).

The reminder of the bones are unremarkable.

Case Discussion

This case illustrates a Mallet fracture: disruption of the extensor mechanism of the finger at the distal interphalangeal joint (DIP). There is avulsion fracture at the dorsal insertion of the extensor tendon at the distal phalanx. 

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