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When the Injury's Healing Process Meets the Needs of a Top-Level Volleyball Player

A Nonconventional Treatment of a Mallet Fracture Reinjury

Checcarelli, Daniele, MD; Zampolini, Mauro, MD; Berloco, Michele, MD; Fusco, Claudia, MD; Özçakar, Levent, MD

American Journal of Physical Medicine & Rehabilitation: February 2019 - Volume 98 - Issue 2 - p e10–e12
doi: 10.1097/PHM.0000000000000984
Case Report

Managing top-level athlete's recovery after an injury is very complicated because it requires a challenging combination of clinical and social/professional aspects with the need to return as soon as possible to sports play. Herein, we report a top-level volleyball player for whom a finger splint combined with a custom made thermoplastic protection was used for the conservative management of a Mallet fracture reinjury. This way our player continued training and competitions in contrast to conventional rehabilitation protocols, which suggest to avoid new traumas until the healing phase is completed. After 8 wks, we obtained the fracture healing and a complete functional recovery without major medical complications. From our results, we suggest that novel treatment strategies or modification of conventional rehabilitation protocols are worth consideration for the management of high-level sports players' injuries. However, new clinical studies with a larger sample can compare these results with those resulting from both surgical procedures and from immobilization and rest as well.

From the Department of Rehabilitation (DC, MZ, CF), and Orthopaedics and Traumatology Unit (MB), Foligno Hospital, Foligno, Italy; and Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey (LÖ).

All correspondence should be addressed to: Daniele Checcarelli, MD, Department of Rehabilitation, Foligno Hospital, Via Arcamone, 06034 Foligno (PG), Italy.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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