Materiały źródłowe

• #1 Mallet Finger: What It Is, Complications & Recovery Time

  https://my.clevelandclinic.org/health/diseases/21825-mallet-finger

  Mallet finger occurs when the tip of your finger droops downward. An injury to your extensor tendon causes it. […] Mallet finger is an injury to the tip of your finger that causes it to droop downward, making your finger look like a mallet. It happens when you injure the extensor tendon that extends the tip of your finger (terminal extensor). […] The main symptom of mallet finger is that your fingertip droops and you cant straighten it. It usually follows an injury. […] If you dont get treatment for mallet finger, it might be permanent. […] If youve injured your finger and cant move it normally, see a healthcare provider. […] Before you see a healthcare provider about your injury, you can treat it with some first aid: Sanitize the finger, especially if its bleeding or the nail has detached. Wrap the finger in sterile gauze, apply ice and elevate it to reduce swelling. Take some over-the-counter pain relievers if you need to. Make a temporary splint by carefully and lightly taping your injured finger to a tongue depressor.

• #2 Mallet Finger – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/mallet-finger-baseball-finger/

  Mallet finger is an injury to the thin tendon that straightens the end joint of a finger or thumb. This joint is called the distal interphalangeal (DIP) joint in the fingers and the interphalangeal (IP) joint in the thumb. […] With a mallet finger injury, the fingertip droops and cannot be actively straightened. […] A mallet finger injury requires medical treatment to ensure the finger regains as much function as possible. Most doctors recommend seeking treatment within a week of the injury. […] Most mallet finger injuries are treated with splinting. A splint holds the fingertip straight (in extension) until it heals. […] To restore function to the finger, the splint must be worn full time for 6 to 8 weeks. […] Your doctor may consider surgical repair if there is a large avulsion fracture fragment, or the joint is out of line (subluxed). […] Regardless of treatment, most patients with mallet finger have a good outcome when properly and promptly treated.

• #3 Mallet Finger: What It Is and How to Treat It | University of Utah Health

  https://healthcare.utah.edu/healthfeed/2024/05/mallet-finger-what-it-and-how-treat-it

  Mallet finger, also known as baseball finger, is an injury to the last joint on your finger that causes a deformity where the finger appears crooked or drooping. […] Mallet finger is most often caused by an object forcefully hitting the fingertip and bending the joint too far, which can result in a torn or detached tendon or even a broken bone. […] If you have the following symptoms after a finger injury, see a doctor as soon as you can, ideally within a few days of the injury: Inability to straighten the finger, A drooping appearance of the fingertip, Pain, swelling, or bruising around the area, Blood collecting underneath the nail, Detached fingernail. […] If left untreated, your finger could become stiff and have a higher risk of reinjury. […] Untreated mallet finger can also lead to a condition called swan neck deformity, where the joint below your injury becomes hyperextended to compensate for the flexion happening in the last knuckle.

• #4 Mallet Finger | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/mallet-finger

  Mallet finger is an injury to the end of a finger. […] Your child may need to wear a splint or cast to keep their finger straight and in one position. […] Needs to wear it for 24 hours a day for 6 to 8 weeks, even when bathing. […] After the injury heals and your child doesnt need to wear the splint or cast anymore, the finger may not be perfectly straight. […] Your child will have follow-up appointments with their doctor or health care provider to check the healing of their finger. […] The Hand and Upper Extremity Program expertly care for children with mallet finger.

• #5 Rehabilitation following mallet finger – South Tees Hospitals NHS Foundation Trust

  https://www.southtees.nhs.uk/resources/rehabilitation-following-mallet-finger/

  Mallet finger is a common injury. It can occur in a number of ways, but most commonly when a straight finger is stubbed and forced to bend suddenly at the joint near the tip. The tendon on the back of the joint snaps or pulls off its attachment to the bone. As a result, you can no longer straighten the finger at this joint except by lifting it with the other hand. The finger adopts a dropped or mallet position. […] The mallet finger splint is a simple splint and effective way to treat this injury. The splint is designed to keep the joint straight while the tendon heals. […] Treatment is most likely to succeed if the splint is: Always taped securely in place. Worn constantly day and night for a minimum of six to eight weeks. […] The splinted finger must be kept clean and dry at all times. If the skin becomes wet inside the splint it will become very sore. It is important to wash both your finger and the splint daily.

• #6 Mallet Finger: What It Is and How to Treat It | University of Utah Health

  https://healthcare.utah.edu/healthfeed/2024/05/mallet-finger-what-it-and-how-treat-it

  Mallet finger, also known as baseball finger, is an injury to the last joint on your finger that causes a deformity where the finger appears crooked or drooping. […] Mallet finger is most often caused by an object forcefully hitting the fingertip and bending the joint too far, which can result in a torn or detached tendon or even a broken bone. […] If you have the following symptoms after a finger injury, see a doctor as soon as you can, ideally within a few days of the injury: Inability to straighten the finger, A drooping appearance of the fingertip, Pain, swelling, or bruising around the area, Blood collecting underneath the nail, Detached fingernail. […] If left untreated, your finger could become stiff and have a higher risk of reinjury. […] Untreated mallet finger can also lead to a condition called swan neck deformity, where the joint below your injury becomes hyperextended to compensate for the flexion happening in the last knuckle.

• #7 Mallet Finger | Causes, Symptoms & Treatments

  https://www.osc-ortho.com/blog/mallet-finger/

  Mallet finger is a term used to describe an injury to the extensor tendon (opposite the palm side) of the finger’s outermost joint. It can be caused by playing a sport, for example, where a basketball hits the fingertip and causes a “finger-jam”, or by a crushing accident at a job site or simply by being cut in a kitchen accident. It usually happens to the middle or index fingers but can happen to any finger. The tendon alone may be injured without a bone fracture, the tendon may be ruptured with a small fracture, or the tendon may be ruptured with a large fracture. […] The symptoms are pain, swelling, redness and tenderness at the outermost joint of the affected finger and the inability to extend the finger without assistance. Medical attention should be sought immediately, especially if there is a laceration or if a fracture is suspected. Mild cases of mallet finger are sometimes ignored because the patient can use their hand and they just opt to “rub some dirt on it”, rest and tape their finger until it feels better. My recommendation would be to get it checked out and at least have x-rays performed to rule out a fracture, which is common for this injury.

• #8 Mallet Finger: What It Is, Complications & Recovery Time

  https://my.clevelandclinic.org/health/diseases/21825-mallet-finger

  Mallet finger occurs when the tip of your finger droops downward. An injury to your extensor tendon causes it. […] Mallet finger is an injury to the tip of your finger that causes it to droop downward, making your finger look like a mallet. It happens when you injure the extensor tendon that extends the tip of your finger (terminal extensor). […] The main symptom of mallet finger is that your fingertip droops and you cant straighten it. It usually follows an injury. […] If you dont get treatment for mallet finger, it might be permanent. […] If youve injured your finger and cant move it normally, see a healthcare provider. […] Before you see a healthcare provider about your injury, you can treat it with some first aid: Sanitize the finger, especially if its bleeding or the nail has detached. Wrap the finger in sterile gauze, apply ice and elevate it to reduce swelling. Take some over-the-counter pain relievers if you need to. Make a temporary splint by carefully and lightly taping your injured finger to a tongue depressor.

• #9 Mallet Finger Treatment | Ohio State Medical Center

  https://wexnermedical.osu.edu/orthopedics/hand-and-upper-extremity/mallet-finger

  Mallet finger, also known as drop finger or baseball finger, is an injury to the tendon that straightens your fingertip. This condition primarily affects the last joint of your finger or thumb, causing the fingertip to droop and making it difficult to extend fully. […] If you have mallet finger, youll be unable to straighten your finger, it droops at the tip, is painful and looks bruised or swollen. […] The hand specialists and orthopedic surgeons at The Ohio State University Wexner Medical Center in Columbus, Ohio, offer expert care if you have mallet finger or another hand condition, and will get you back to enjoying life quickly following injury. […] In the immediate aftermath of the injury, you should put an ice pack on the injured finger and limit movement as much as possible. […] Your doctor will determine the best long-term treatment plan for complete healing. Most treatment options are nonsurgical and include:

• #10 Patient Education Article – Columbia Orthopaedic Group – Patient Education

  https://education.columbiaorthogroup.com/patient-education-article/mallet-finger-injury-baseball-finger-95/?pesource=5

  A mallet finger injury causes loss of movement, pain, and swelling. The joint at the end of the finger is noted to droop. Most mallet finger injuries are treated with splinting. In cases of fracture or malalignment, surgery may be necessary to treat the condition. […] The majority of mallet finger injuries are treated with splinting. You will wear a finger splint full time for about six weeks. It is important not to remove the finger splint at any time, even while you shower. If the finger splint is removed, even for the shortest amount of time, the treatment is disrupted and the process must start all over. The full time splint schedule is followed by a part time splint wearing schedule for another three or four weeks. The splint should be removed, however, in a certain way, to allow observation and care of the skin. The finger must be kept in extension by resting it on a flat surface whenever the splint is removed.

• #11 Mallet Finger: What It Is and How to Treat It | University of Utah Health

  https://healthcare.utah.edu/healthfeed/2024/05/mallet-finger-what-it-and-how-treat-it

  First, your doctor will likely perform an x-ray to determine if there is a fracture. […] Luckily, most mallet finger injuries are treatable without surgery. […] A common treatment is wearing a finger splint that keeps the fingertip in an extended position. […] You have to be very careful not to flex your finger down when you take your splint off, Goodenough says. […] Cold therapy helps reduce swelling and pain. […] Elevation also helps reduce swelling and pain. […] Avoid using your injured hand and stop doing the activity that caused the injury until you are fully healed and cleared by a doctor. […] Rarely, surgery is needed to repair a mallet finger. […] With prompt and proper medical treatment, most people with a mallet finger injury make full recoveries and can resume normal activities after a few weeks of healing. […] Your doctor may suggest physical therapy exercises that will relieve stiffness and strengthen the muscles in your hand after inactivity during recovery.

• #12

  https://www.orthobullets.com/hand/6014/mallet-finger

  Mallet Finger is a finger deformity caused by disruption of the terminal extensor tendon distal to DIP joint. […] Diagnosis is made clinically when the distal phalanx rests at ~45 of flexion with lack of active DIP extension. […] Treatment is usually extension splinting of DIP joint for 6-8 weeks. Surgical management is indicated for volar subluxation of the distal phalanx, chronic injuries, or significant arthritis. […] Nonoperative treatment includes extension splinting of DIP joint for 6-8 weeks for 24 hours daily. […] Volar splinting has fewer complications than dorsal splinting. […] Begin progressive flexion exercises at 6 weeks. […] No differences in patient satisfaction or extensor lag between operative and nonoperative treatment. […] ~80% of patients have satisfactory outcome.

• #13 Mallet Finger – Diagnosis and Treatment : Emergency Care BC

  https://emergencycarebc.ca/clinical_resource/clinical-summary/mallet-finger-diagnosis-and-treatment/

  Mallet injuries can be classified according to the Doyle System (4): […] The goal of treatment is to restore DIP joint extension and prevent a swan neck deformity (1, 3). […] Most mallet finger injuries can be treated non-surgically. Commonly reported indications for non-surgical treatment include closed injury and a fracture fragment size that is < ⅓ of the joint surface area (1,3). [...] Non-surgical treatment involves applying a splint on the volar or dorsal aspect of the finger to maintain the DIP joint in extension for 6-8 weeks (1,3). [...] The main challenge with splinting is patient compliance. [...] Indications include size of fracture (more than one-third of articular surface involvement) and subluxation of the distal phalanx (1,3). [...] Complications that can occur include nail deformity, infection, and hardware failures (1,3). [...] Patient can be discharged home with splint and follow-up instructions.

• #14 Mallet Finger: What It Is, Complications & Recovery Time

  https://my.clevelandclinic.org/health/diseases/21825-mallet-finger

  Mallet finger occurs when the tip of your finger droops downward. An injury to your extensor tendon causes it. […] Mallet finger is an injury to the tip of your finger that causes it to droop downward, making your finger look like a mallet. It happens when you injure the extensor tendon that extends the tip of your finger (terminal extensor). […] The main symptom of mallet finger is that your fingertip droops and you cant straighten it. It usually follows an injury. […] If you dont get treatment for mallet finger, it might be permanent. […] If youve injured your finger and cant move it normally, see a healthcare provider. […] Before you see a healthcare provider about your injury, you can treat it with some first aid: Sanitize the finger, especially if its bleeding or the nail has detached. Wrap the finger in sterile gauze, apply ice and elevate it to reduce swelling. Take some over-the-counter pain relievers if you need to. Make a temporary splint by carefully and lightly taping your injured finger to a tongue depressor.

• #15 Helpful Treatments for Mallet Finger: SOUTHERN WESTCHESTER ORTHOPEDICS & SPORTS MEDICINE: Sports Medicine

  https://www.westchesterorthopedic.com/blog/helpful-treatments-for-mallet-finger

  Mallet finger is a tendon injury affecting the top joint of any finger or thumb. The injured tendon no longer straightens the joint, giving your finger a bend that you cant straighten. […] The hand and wrist injury specialists at Southern Westchester Orthopedics Sports Medicine see many cases of mallet finger, as its a common baseball injury. Our experienced orthopedic surgeons can diagnose and treat your case of mallet finger, regardless of the cause. […] You can start treatment by icing and elevating the hand with the affected finger above the level of your heart. This minimizes fluid retention and swelling. Acetaminophen helps with the discomfort or pain, or you may choose a nonsteroidal anti-inflammatory like ibuprofen or naproxen to relieve pain and combat swelling. […] You can fashion a temporary splint to straighten and hold the affected joint. A tongue depressor padded with cotton balls works well.

• #16 Mallet Finger – Melbourne Hand Center – Expert Orthopedic Hand Care in Brevard County

  https://www.melbournehandcenter.com/mallet-finger/

  A mallet finger is a deformity of the finger caused when the tendon that straightens your finger (the extensor tendon) is damaged. […] The majority of mallet finger injuries can be treated without surgery. Ice should be applied immediately and the hand should be elevated (fingers toward the ceiling.) Medical attention should be sought within a week after injury. It is especially important to seek immediate attention if there is blood beneath the nail or if the nail is detached. This may be a sign of a nail bed laceration or an open (compound) fracture. […] There are many different types of splints/casts for mallet fingers. The goal is to keep the fingertip straight until the tendon heals. Most of the time, a splint will be worn full-time for eight weeks. […] Your surgeon or hand therapist will instruct you about how to wear the splint and will also show you exercises to maintain motion in the middle joint (the proximal interphalangeal joint) so your finger does not become stiff.

• #17 Mallet Finger – OrthoInfo – AAOS

  https://orthoinfo.aaos.org/en/diseases–conditions/mallet-finger-baseball-finger/

  Mallet finger is an injury to the thin tendon that straightens the end joint of a finger or thumb. This joint is called the distal interphalangeal (DIP) joint in the fingers and the interphalangeal (IP) joint in the thumb. […] With a mallet finger injury, the fingertip droops and cannot be actively straightened. […] A mallet finger injury requires medical treatment to ensure the finger regains as much function as possible. Most doctors recommend seeking treatment within a week of the injury. […] Most mallet finger injuries are treated with splinting. A splint holds the fingertip straight (in extension) until it heals. […] To restore function to the finger, the splint must be worn full time for 6 to 8 weeks. […] Your doctor may consider surgical repair if there is a large avulsion fracture fragment, or the joint is out of line (subluxed). […] Regardless of treatment, most patients with mallet finger have a good outcome when properly and promptly treated.

• #18 Mallet finger – aftercare Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/selfcare-instructions/mallet-finger-aftercare

  Mallet finger – aftercare; Drop finger – aftercare; Avulsion fracture – mallet finger – aftercare […] Wearing a splint on your finger to keep it straight is the most common treatment for mallet finger. You may need to wear a splint for different lengths of time. […] If your tendon is only stretched, not torn, it should heal in 4 to 6 weeks if you wear a splint all the time. […] If your tendon is torn or pulled off the bone, it should heal in 6 to 8 weeks of wearing a splint all the time. After that, you will need to wear your splint for another 3 to 4 weeks, at night only. […] Your splint is made of hard plastic or aluminum. A trained professional should make your splint to make sure it fits correctly and your finger is in the right position for healing. […] You should keep your splint on unless your health care provider tells you that you can take it off. Each time you take it off and bend your finger tip, it can lengthen your recovery time.

• #19 Mallet Finger | Summit Orthopedics

  https://www.summitortho.com/find-care/services-conditions/hand-wrist/hand-wrist-related-conditions-treatments/mallet-finger/

  Mallet finger treatment often begins by straightening the finger with a splint, which you will wear for six to eight weeks. […] Keeping your finger in a straight position allows the bone or tendon to heal properly. The mallet finger splint stays on 24 hours a day taking it off risks retearing the tendon. […] Most cases of mallet finger do not require surgery. At Summit Orthopedics, we aim to treat mallet finger first with nonsurgical options. However, if your mallet finger injury is severe and involves a bone fracture, Summit’s experienced orthopedic surgeons can repair the fracture with minimally invasive surgery. […] With prompt, expert treatment, you should recover within eight weeks. This can be longer if you need surgery. Physical therapy can help speed recovery and restore your hand to its full range of motion. […] Complications for mallet finger are minimal, especially if you receive treatment at the first signs of injury. Without immediate care, some people experience deformity and stiffness in their finger.

• #20 Mallet finger – aftercare | Lima Memorial Health System

  https://www.limamemorial.org/health-library/HIE%20Multimedia/60/000538

  Mallet finger occurs when you cannot straighten your finger at its last joint. When you do try to straighten it, the tip of your finger remains bent toward your palm. […] Wearing a splint on your finger to keep it straight is the most common treatment for mallet finger. You may need to wear a splint for different lengths of time. […] If your tendon is only stretched, not torn, it should heal in 4 to 6 weeks if you wear a splint all the time. […] If your tendon is torn or pulled off the bone, it should heal in 6 to 8 weeks of wearing a splint all the time. After that, you will need to wear your splint for another 3 to 4 weeks, at night only. […] Your splint is made of hard plastic or aluminum. A trained professional should make your splint to make sure it fits correctly and your finger is in the right position for healing.

• #21 Mallet finger – aftercare | Lima Memorial Health System

  https://www.limamemorial.org/health-library/HIE%20Multimedia/60/000538

  You should keep your splint on unless your health care provider tells you that you can take it off. Each time you take it off and bend your finger tip, it can lengthen your recovery time. […] Be careful when you take off your splint to clean it. […] Keep your finger straight the whole time the splint is off. […] Letting your fingertip droop or bend may mean you will have to wear your splint even longer. […] When it is time for your splint to come off, your provider will examine how well your finger has healed. […] If your finger has not healed at the end of treatment, your provider may recommend another 4 weeks of wearing the splint. […] Contact your provider if: Your finger is still swollen at the end of your treatment time.

• #22 Hand Therapy – Mallet Injury of the Finger (PIFU) | Hull University Teaching Hospitals NHS Trust

  https://www.hey.nhs.uk/patient-leaflet/hand-therapy-mallet-injury-of-the-finger-pifu/

  A mallet finger is where the tip of your finger becomes bent towards your palm and you are unable to straighten it, you may experience swelling and pain as a result of this. […] A splint will have been fitted to the tip of your finger which will keep the tip of your finger straight. This allows the tendon /bone to stay together and heal. This will take 8 weeks for a soft tissue mallet and 6 weeks for a bony mallet. […] The splint should fit securely, not cause any soreness, and not become loose or fall off. The splint should be worn at all times, including when you are in bath/shower and when you are in bed, during this first period of continuous splinting. If you do not follow these instructions your ability to straighten the end of your finger may not return to normal. […] The splinted finger must be kept clean and dry at all times. If the skin becomes wet inside the splint, it will become very sore. Its important to wash both your finger and the splint at least once a day, following these instructions:

• #23 Rehabilitation following mallet finger – South Tees Hospitals NHS Foundation Trust

  https://www.southtees.nhs.uk/resources/rehabilitation-following-mallet-finger/

  When re-applying the splint support the tip of the finger on the table and keep the joint straight whilst you slide the splint back on. Secure the splint soundly with fresh tape. […] Your hand therapist will check your finger at six weeks and if your tendon is able to straighten your finger well, you will be started on gradual exercises to regain the bend. If the finger is still dropped the splint will be kept on in place continuously for a further two weeks. […] It takes 12 weeks for your tendon to completely heal, so it is important to follow all advice to get the best result. […] The splint is designed to interfere as little as possible with normal use of your hand. […] If you experience any of the following problems before your next review appointment: The splint becomes too tight or too slack you cannot keep it on. You develop sores in the skin under the splint.

• #24 Mallet Finger (Baseball Finger) – Montgomery Orthopaedics

  https://www.montgomeryorthopaedics.com/specialties/hand-upper-extremities/mallet-finger

  Most mallet fingers heal well, although often there is a slight loss of full extension. […] While treatment of a closed mallet finger is not an acute emergency, the improper, partial or untreated injury can lead to further problems such as a swan neck deformity. […] Yes activity is permitted. […] Typical treatment with an alumifoam splint for mallet finger injuries. […] 8 weeks full time splinting, 4 weeks part time splinting. […] Full time splinting of the DIP JOINT distal interphalangeal joint (8 weeks). […] It is important to make sure the splint keeps the fingertip straight. […] The skin must be kept clean. […] DO NOT MOVE THE FINGERTIP WHEN UNSPLINTED FOR 8 WEEKS. […] HOWEVER, The PIP joint must be MOVED so it does not get stiff. […] After 8 weeks then part time splinting begins for 4 weeks. […] ALWAY CALL OR ASK IF YOU HAVE QUESTIONS or PAIN or SKIN IRRITATION. […] The successful treatment of these injuries is relatively simple in many ways but time consuming and there is great need for attention to seemingly minor details.

• #25 Mallet finger – aftercare Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/selfcare-instructions/mallet-finger-aftercare

  Mallet finger – aftercare; Drop finger – aftercare; Avulsion fracture – mallet finger – aftercare […] Wearing a splint on your finger to keep it straight is the most common treatment for mallet finger. You may need to wear a splint for different lengths of time. […] If your tendon is only stretched, not torn, it should heal in 4 to 6 weeks if you wear a splint all the time. […] If your tendon is torn or pulled off the bone, it should heal in 6 to 8 weeks of wearing a splint all the time. After that, you will need to wear your splint for another 3 to 4 weeks, at night only. […] Your splint is made of hard plastic or aluminum. A trained professional should make your splint to make sure it fits correctly and your finger is in the right position for healing. […] You should keep your splint on unless your health care provider tells you that you can take it off. Each time you take it off and bend your finger tip, it can lengthen your recovery time.

• #26 Mallet Finger Injury – Ozark Orthopaedics

  https://ozarkorthopaedic.com/mallet-finger-injury/

  Mallet finger is the name for a ruptured (torn) tendon at the tip of the finger. A tendon rupture is where a tendon rips off the bone where its normally attached. […] Splinting is the least risky, most effective treatment option for these injuries. The best splints are made by a hand therapist out of thin, moldable plastic. […] But even more important than the splint material is the fact that the splint MUST be worn full time. If you remove the splint and let the finger droop ONE TIME, all the healing is torn apart, and you have to start over. […] The therapist can teach you some tricks of wearing the splint, but its safer not to remove the splint for a full SIX WEEKS. […] Even when you do what youre supposed to do and the splint is made perfectly, EVERY mallet finger injury heals with a slight droop. It may be three degrees or 10 degrees, but it wont be completely normally straight at the end of the process. […] Another reason the splint doesnt work well is if the constant splinting is started late a week or more after the injury. Theres just too much scar tissue formed between the ends of the tendon for it to heal correctly.

• #27 The Diagnosis and Management of Mallet Finger Injuries

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5480656/

  Mallet finger is a common injury of the extensor tendon insertion causing an extension lag of the distal interphalangeal joint. […] Nonoperative management has been advocated for almost all mallet finger injuries; however, complex injuries are usually treated surgically. […] Although surgery is generally indicated in the case of mallet fractures involving more than one-third of the articular surface as well as in all patients who develop volar subluxation of the distal phalanx, a significant advantage of surgical management even in those complicated cases has yet to be clearly proven. […] The treatment of the mallet finger ranges from nonoperative with prolonged splinting and immobilization to open reduction and rigid fixation depending on the extent of the injury as well as the time from injury to presentation.

• #28 The Diagnosis and Management of Mallet Finger Injuries

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5480656/

  Nonoperative management has been suggested as first-line treatment option for almost all mallet finger injuries. […] Treatment involves complete immobilization of the involved joint in full extension or slight overextension for at least 6 weeks, followed by 2 weeks of nighttime splinting. […] Importance of compliance with maintaining complete and continuous immobilization of the affected joint cannot be overstressed, as if the distal interphalangeal joint is allowed to flex during the course of 6 weeks, the course needs to be restarted. […] Despite the many different types of splints available for the management of mallet finger injuries, none has been proven to be superior to another. […] Although nonoperative management appears to be the mainstay of treatment for closed injuries only involving the extensor tendon, surgery does have a role in cases of patients with poor compliance to continuous splinting or certain professionals (musicians, surgeons).

• #29 The Diagnosis and Management of Mallet Finger Injuries

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5480656/

  In those cases, the distal interphalangeal joint is fixed in extension using a K-wire, which is removed after 8 weeks to be followed by 2 weeks of external splinting during nighttime. […] In the case of mallet finger associated with an underlying distal phalanx fracture, surgery is recommended if the fracture involves more than 30% of the articular surface or if there is palmar subluxation of the distal phalanx. […] Surgical procedures performed for chronic mallet finger aim to address the length loss of the extensor tendon system and ultimately the resulting imbalance between flexion and extension systems across the proximal and distal interphalangeal joints. […] In case of persistent symptoms, deformity, and functional impairment following splinting and surgical management, arthrodesis is the primary salvage procedure used.

• #30 Mallet Finger: What It Is and How to Treat It | University of Utah Health

  https://healthcare.utah.edu/healthfeed/2024/05/mallet-finger-what-it-and-how-treat-it

  First, your doctor will likely perform an x-ray to determine if there is a fracture. […] Luckily, most mallet finger injuries are treatable without surgery. […] A common treatment is wearing a finger splint that keeps the fingertip in an extended position. […] You have to be very careful not to flex your finger down when you take your splint off, Goodenough says. […] Cold therapy helps reduce swelling and pain. […] Elevation also helps reduce swelling and pain. […] Avoid using your injured hand and stop doing the activity that caused the injury until you are fully healed and cleared by a doctor. […] Rarely, surgery is needed to repair a mallet finger. […] With prompt and proper medical treatment, most people with a mallet finger injury make full recoveries and can resume normal activities after a few weeks of healing. […] Your doctor may suggest physical therapy exercises that will relieve stiffness and strengthen the muscles in your hand after inactivity during recovery.

• #31 Mallet finger injury treatment programme | CUH

  https://www.cuh.nhs.uk/patient-information/mallet-finger-injury-treatment-programme/

  This leaflet is aimed at providing information for patients and their families / carers about mallet finger injuries and treatment required to recover from the injury. […] To treat your mallet injury, you will need to wear a splint to prevent your finger tip from bending to allow the tendon to heal. […] The splint must be worn at all times, other than to wash the skin. […] If you are unable to straighten your finger tip while completing your exercises, stop exercising, put your mallet splint back on and contact the hand therapy department. […] You will be reviewed by your occupational therapist again who will check the motion of your finger. […] Your therapist may provide you with additional exercises to maximise your finger movement as well as the strength of your finger.

• #32 The Powerless Finger: Mallet Finger

  https://ascdocs.com/the-powerless-finger-mallet-finger/

  In order to assure that your splint is fitted properly, consultation with a certified hand therapist is recommended. The hand therapist will also show you exercises to maintain motion in the middle joint (the proximal interphalangeal joint) so your finger does not become stiff, making this next step very important. Once your mallet finger has healed, your surgeon or hand therapist will teach you exercises to regain motion in the fingertip. […] You may be in need for surgical repair if there is a large bone fragment or joint mal-alignment. In these cases, pins, wires or even small screws are used to secure the bone fragment and realign the joint. Surgery may also be considered if you are unable to wear a splint full time for eight weeks. […] Get your finger back to normal with the best care and consultation at Advanced Specialty Care. Our board certified hand specialists can treat mallet finger as well as carpel tunnel syndrome, nerve injuries, osteoarthritis, and unsightly conditions like ganglions, arthritic spurs, protruding veins and skin blemishes.

• #33 Mallet Finger – Connecticut Orthopaedics

  https://www.ct-ortho.com/patient-resources/patient-education/articles/mallet-finger/

  Mallet finger is a condition caused by disruption of the tendon (extensor mechanism) of the finger joint at the base of the fingernail. […] The specific difference between a sprain and a mallet finger is the latter is associated with a rupture of the tendon that extends the tip or DIP joint. […] On the negative side, the treatment is full time splinting, keeping the finger completely straight at the DIP joint but encouraging flexion of the remainder of the finger. […] The splint can be changed by the therapist, but the finger needs to be maintained in an extended position. […] If any skin irritation occurs, call our office immediately so we can check the finger. We will also have the therapist check the finger, splint and skin to assure that no problem occurs. […] By participating in the splint and therapy program, we can usually maximize function. […] It is very important that you understand the concept of PROGRESSIVE MOBILIZATION once you are released to begin moving the finger. […] This program of gradually increasing motion helps to strengthen the tendon as it limbers up the joint, which will be quite stiff from our treatment.

• #34 Mallet finger

  https://info.health.nz/conditions-treatments/bones-and-joints/mallet-finger

  After you have had your splint on for one week, you will have an appointment to check it fits properly. You will usually need to wear the splint all the time for 6 to 8 weeks’ then gradually remove it. […] When you have worn the mallet splint for 6 weeks, you can start to remove it. Even after 6 weeks, your tendon is not fully healed, so you will need to remove the splint over time. […] If your finger is not drooping without the splint, remove it for one hour in the morning and one hour in the evening. Use your hand and finger normally for light everyday activities for the next 3 days. […] If your finger still does not droop after 3 days, remove the splint for 2 hours morning and evening for the rest of the week. […] Use your hand normally and only wear the splint at night. At the end of week 6, you can stop using the splint. […] If your finger starts to droop again, start wearing the splint again and contact your hand therapist. You might have to wear the splint full time again for 2 weeks, then restart gradually removing it.

• #35

  https://sportsmedicine.northside.com/conditions/elbow-wrist-and-hand/mallet-finger

  You will likely be able to return to your normal activities or sports, as long as you wear your splint all the time. […] Be careful when you take off your splint to clean it. Keep your finger straight the whole time the splint is off. […] When it is time for your splint to come off, your health care provider will examine how well your finger has healed. Swelling in your finger when you are no longer wearing the splint may be a sign that the tendon has not healed yet. You may need another x-ray of your finger. […] Call your doctor if your finger is still swollen at the end of your treatment time.

• #36 Mallet Finger: What It Is and How to Treat It | University of Utah Health

  https://healthcare.utah.edu/healthfeed/2024/05/mallet-finger-what-it-and-how-treat-it

  Mallet finger, also known as baseball finger, is an injury to the last joint on your finger that causes a deformity where the finger appears crooked or drooping. […] Mallet finger is most often caused by an object forcefully hitting the fingertip and bending the joint too far, which can result in a torn or detached tendon or even a broken bone. […] If you have the following symptoms after a finger injury, see a doctor as soon as you can, ideally within a few days of the injury: Inability to straighten the finger, A drooping appearance of the fingertip, Pain, swelling, or bruising around the area, Blood collecting underneath the nail, Detached fingernail. […] If left untreated, your finger could become stiff and have a higher risk of reinjury. […] Untreated mallet finger can also lead to a condition called swan neck deformity, where the joint below your injury becomes hyperextended to compensate for the flexion happening in the last knuckle.

• #37 Mallet Finger Treatment | Ohio State Medical Center

  https://wexnermedical.osu.edu/orthopedics/hand-and-upper-extremity/mallet-finger

  Splinting: Wearing a splint keeps your finger straight and helps the tendon heal. You may need to wear the split for six to eight weeks. […] Ice and rest: Applying ice to the injured finger can help reduce swelling and pain. Limiting use of the finger while you recover will help it heal faster. […] Medication: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and reduce inflammation. […] If your mallet finger injury is complex, its possible you may need hand surgery to help your finger heal. […] Mallet finger can be serious if not treated properly. Without treatment, its possible you could experience permanent drooping of your fingertip, reduced finger function or chronic pain.

• #38 Mallet Finger (Baseball Finger) – Montgomery Orthopaedics

  https://www.montgomeryorthopaedics.com/specialties/hand-upper-extremities/mallet-finger

  A mallet finger occurs when the extensor tendon at the tip of a finger ruptures. […] Treatment depends largely upon the extent the soft tissue and underlying boney injury. […] Most of these mallet finger injuries can be treated with splinting. […] Typically the split is left in place full time for six to eight weeks with a time for part time splinting after that depending upon what daily activity is done by the patient with a typical part time period of 6 4 weeks more. […] These injuries typically are treated like non-boney injuries. […] These injuries may respond to splinting and splinting is often used however a small bump may always be present at the joint. […] In adults with severe open injury more immediate surgery may also be offered. […] Delayed treatment of mallet finger deformity may consist of splinting initially and at times surgical methods are offered to correct chronic deformities and other associated joint and tendon problems that may accompany the chronic situation.

• #39 Mallet Finger – Melbourne Hand Center – Expert Orthopedic Hand Care in Brevard County

  https://www.melbournehandcenter.com/mallet-finger/

  In children, mallet finger injuries may involve the cartilage that controls bone growth. The doctor must carefully evaluate and treat this injury in children so that the finger does not become stunted or deformed. […] Surgical repair may be considered when mallet finger injuries have large bone fragments or joint mal-alignment. In these cases, pins, wires or even small screws are used to secure the bone fragment and realign the joint.

• #40 Mallet Finger In Children | Children’s Hospital Colorado

  https://www.childrenscolorado.org/conditions-and-advice/conditions-and-symptoms/conditions/mallet-finger/

  A mallet finger is a deformity of the finger that happens when the extensor tendon (the tendon that straightens your finger) is injured or damaged. […] Most mallet fingers are treated by wearing a splint on the finger for up to eight weeks. The splint keeps the finger straight so the tendon can heal. This treatment is only successful if the splint is worn all the time and only a specially trained provider can remove or change the splint. […] Our Hand and Upper Extremity Program at Children’s Colorado provides a comprehensive, multidisciplinary approach to the care of your child. This means you have access to leading specialists from multiple departments who work together to treat your child. […] Your child’s care team includes pediatric experts from orthopedic surgery, physical medicine, rehabilitation, occupational therapy and nursing.

• #41 Mallet Finger Injuries – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK459373/

  Nurses and clinicians should assist in the education of the patient and family to get the best possible outcome. […] Orthopedic or emergency department nurses should educate patients about splinting and communicate with the treating provider if there are issues. […] Irrespective of the type of treatment, patients should be encouraged to seek physical therapy.

• #42 CE Activity | Mallet Finger Injuries | NPs

  https://www.statpearls.com/nursepractitioner/ce/activity/64515

  Mallet finger is the term usually applied to extensor avulsion fractures. However, this entity may also be caused by distal extensor tendon ruptures. Either one results in an inability to extend the DIP joint. Mallet finger injuries are named for the resulting flexion deformity of the fingertip, which resembles a mallet or hammer. Mallet finger injuries are caused by the disruption of the extensor mechanism of the phalanx at the level of the distal interphalangeal joint, usually due to a forced flexion at the distal interphalangeal joint. This injury results in the inability to extend the distal phalanx. A mallet fracture occurs when the extensor tendon also causes avulsion of the distal phalanx. There are three subtypes of mallet fractures based on the age of the patient and the percent of the articular surface of the distal phalanx involved. This activity describes the pathophysiology, evaluation, and management of mallet finger/extension tendon avulsion, and highlights the role of the interprofessional team in the care of affected patients.

• #43 CE Activity | Mallet Finger Injuries | NPs

  https://www.statpearls.com/nursepractitioner/ce/activity/64515

  At the conclusion of this activity, the learner will be better able to: […] Summarize the treatment options for extensor tendon avulsion injuries, based on particular etiology. […] Discuss how interprofessional team strategies for improving care coordination and communication to advance the recognition and management of proximal humeral extensor tendon avulsion injuries and lead to improved outcomes. […] Outline the pharmacologic therapy as it applies to Mallet Finger Injuries.

• #44 Mallet Finger: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mallet-finger-care-instructions.zp4197

  Mallet finger is a bent fingertip. It is caused by a fractured bone or torn tendon at the base of the finger joint near the fingertip. Treatment includes wearing a splint for several weeks to keep the finger straight. […] It is very important that you wear and take care of the splint exactly as your doctor tells you to so that your finger heals properly and is no longer bent. Wearing a splint may interfere with your normal activities. Ask for help with daily tasks if you need it. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] If your doctor put a splint on your finger, wear the splint exactly as directed. Do not remove it until your doctor says that you can. […] Keep your hand raised above the level of your heart as much as you can. This will help reduce swelling.

• #45 Mallet Finger: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.mallet-finger-care-instructions.zp4197

  Put ice or a cold pack on your finger for 10 to 20 minutes at a time. Try to do this every 1 to 2 hours for the next 3 days (when you are awake) or until the swelling goes down. […] Take pain medicines exactly as directed. […] Call your doctor now or seek immediate medical care if: Your finger is cool or pale or changes color. […] Watch closely for changes in your health, and be sure to contact your doctor if: You have more pain and swelling than your doctor told you to expect.

• #46

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=zp4197

  Mallet finger is a bent fingertip. […] Treatment includes wearing a splint for several weeks to keep the finger straight. […] It is very important that you wear and take care of the splint exactly as your doctor tells you to so that your finger heals properly and is no longer bent. […] Follow-up care is a key part of your treatment and safety. […] If your doctor put a splint on your finger, wear the splint exactly as directed. […] Keep your hand raised above the level of your heart as much as you can. […] Put ice or a cold pack on your finger for 10 to 20 minutes at a time. […] Take pain medicines exactly as directed. […] Call your doctor or nurse advice line now or seek immediate medical care if: Your finger is cool or pale or changes colour. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You have more pain and swelling than your doctor told you to expect.

• #47 The Diagnosis and Management of Mallet Finger Injuries

  https://pmc.ncbi.nlm.nih.gov/articles/PMC5480656/

  Although, nonoperative management has been advocated for almost all mallet finger injuries, complex injuries are usually treated surgically. […] The most commonly reported indications for surgical intervention are open mallet finger injuries, patients who are incompliant or unable to adhere to continuous extension splinting, and cases with a large dorsal fracture fragment or palmar subluxation of the distal phalanx. […] In conclusion, mallet finger injuries are common injuries of the extensor tendon mechanism. In the majority of cases, management is nonoperative with prolonged extension splinting of the dorsal interphalangeal joint.

• #48 CE Activity | Mallet Finger Injuries | Nurses

  https://www.statpearls.com/nurse/ce/activity/71995

  Mallet finger is the term usually applied to extensor avulsion fractures. However, this entity may also be caused by distal extensor tendon ruptures. Either one results in an inability to extend the DIP joint. Mallet finger injuries are named for the resulting flexion deformity of the fingertip, which resembles a mallet or hammer. Mallet finger injuries are caused by the disruption of the extensor mechanism of the phalanx at the level of the distal interphalangeal joint, usually due to a forced flexion at the distal interphalangeal joint. This injury results in the inability to extend the distal phalanx. A mallet fracture occurs when the extensor tendon also causes avulsion of the distal phalanx. There are three subtypes of mallet fractures based on the age of the patient and the percent of the articular surface of the distal phalanx involved. This activity describes the pathophysiology, evaluation, and management of mallet finger/extension tendon avulsion, and highlights the role of the interprofessional team in the care of affected patients.

• #49 CE Activity | Mallet Finger Injuries | Nurses

  https://www.statpearls.com/nurse/ce/activity/71995

  At the conclusion of this activity, the learner will be better able to: […] Summarize the treatment options for extensor tendon avulsion injuries, based on particular etiology. […] Discuss how interprofessional team strategies for improving care coordination and communication to advance the recognition and management of proximal humeral extensor tendon avulsion injuries and lead to improved outcomes.

• #50 Treatment for Mallet Finger

  https://www.3pointproducts.com/blog/health-arthritis-finger-and-toe-conditions/treatment-for-mallet-finger

  The choice of conservative treatment for Type I and Type II injuries is with orthotic/splinting intervention. […] Patients must understand that full time wear of the splint is not optional. […] The initial immobilization period should be 6 weeks (acute) 8 weeks (chronic). […] A recommendation to continue an additional 2 or more weeks of night wear. […] Follow up visits should be scheduled during the 6-8 week treatment time to monitor skin condition and to adjust the fit of the splint.

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