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January 20, 2026The Journal Of Hand Surgery0 citationsOpen Access

The Role of the Collateral Ligaments in Stabilizing the Distal Interphalangeal Joint in Fingers With Small Mallet Fractures: A Biomechanical Study

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JCJack C. CaseyJCJoseph CusanoPWPeter T. Wronski

Key Points

  • This study aims to understand how collateral ligament injury affects stability in distal interphalangeal joints for mallet fractures.
  • Conducted a biomechanical analysis of collateral ligaments in the distal interphalangeal joint.
  • Assessed stability of joints with mallet fractures involving less than 40% of the articular surface.
  • Used physical examination techniques to evaluate finger stability.
  • Injury to collateral ligaments significantly contributed to joint instability in mallet fractures.
  • The assessment revealed that small mallet fractures need careful evaluation for stability.
  • Physical examination proved essential in determining the effect of collateral ligament injury.

Abstract

Collateral ligament injury contributes to DIP joint instability in mallet fractures involving <40% of the articular surface, supporting the need for assessing finger stability with a physical examination.

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Cite This Study

Casey et al. (2026) studied this question.

synapsesocial.com/papers/696f1a239e64f732b51ee6e9https://doi.org/10.1016/j.jhsa.2025.11.007
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