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. 2017 Feb 10;10(1):1–9. doi: 10.1007/s12178-017-9395-6

Table 1.

Commonly referenced classifications of mallet finger injuries

Doyle [11]
 Type I Closed injury, with or without small dorsal avulsion fracture
 Type II Open injury, laceration of tendon
 Type III Open injury with loss of skin, subcutaneous cover, and tendon substance
 Type IV Mallet fracture
  A Transepiphyseal plate fracture in children
  B Hyperflexion injury with fracture of articular surface of 20 to 50%
  C Hyperextension injury with fracture of the articular surface >50% and with early or late volar subluxation of distal phalanx
Wehbé and Schneider [12] (for bony mallet injuries)
 Type Ia Fractures without subluxation of the distal interphalangeal joint
 Type IIa Fractures with subluxation of the distal interphalangeal joint
 Type IIIa Epiphyseal and physeal injuries
 Subtype A Fracture fragment involving less than one-third of the articular surface of the distal phalanx
 Subtype B Fracture fragment involving one-third to two-thirds of the articular surface
 Subtype C Fragment that includes more than two thirds of the articular surface
Burton [13] (for chronic mallet injuries)
 Stage I Supple, passively correctable deformity
 Stage II Fixed contracture, contracted lateral bands
 Stage III Fixed contracture, joint fibrosis, collateral ligament and palmar plate contractures

aEach of these fracture types may be divided into three subtypes. Any of these fractures may be accompanied by hyperextension of the proximal interphalangeal joint.