Table 1.
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.