Clinical Practice and Cases in Emergency Medicine
Intraosseous Vascular Access Device as a Transarticular K-wire Alternative in Mallet Finger Laceration
- Author(s): Crawford, Scott B.
- et al.
Published Web Locationhttps://doi.org/10.5811/cpcem.2017.7.34811
Mallet finger is a common injury often treated without operative intervention. When there isconcern for skin integrity or a large articular component is involved, simple operative repair maybe needed. This has been performed with transarticular Kirschner wire (K-wire) placement. Thiscase discusses the novel use of an intraosseous vascular access device (IOVAD) as a potentialadjunct to stabilization and alternative to treatment with operative K-wire fixation. A 53-year-old manwas successfully treated using the inner trocar of the EZ-IO® system for a mallet finger injury withlaceration, shown in comparison with another standard manual pinning approach using an 18-gaugeneedle. An IOVAD can be used successfully as an alternative to K-wire placement in patients withmallet finger injuries.