Mallet finger pdf
Figure 5: X- ray of mallet finger treated with a temporary pin Once the mallet finger has healed, your surgeon or hand therapist will teach you exercises to regain motion at the fingertip. Many patients will have a very slight droop and may notice a small bump at the back of the finger after treatment. This normally does not cause any problems. What is included in the initial treatment of mallet finger? Does mallet finger ever straighten? Mallet finger is an injury to the end of the finger that causes it to bend inwards towards the palm. You won' t be able to straighten the end of your finger because the tendon connecting the muscle to the finger bone is stretched or torn. How can you treat a mallet finger? Mallet Finger Rehabilitation Protocol Conservative Management Kelly Holtkamp, M. There are two types of Mallet Finger deformity. The first type is called a bony mallet deformity which involves a fracture of the bone.
The extensor tendon is attached to this bone. A mallet finger is a deformity of the finger caused when the tendon that straightens your finger ( the extensor tendon) is damaged. When a ball or other object strikes the tip of the finger or thumb and forcibly bends it, the force tears the tendon that straightens the finger ( see Figure 1a and 1b). immobilization in the treatment of mallet finger [ 3]. A consensus exists that immobilization for a tendinous mallet finger injury should last longer than for a bony mallet injury because tendon healing takes longer than bone healing. Splinting is considered the first line of standard of care for all acute injuries with no associated. Most mallet finger injuries ( in both adults and children) can be treated without surgery. They can initially be treated with splinting. A cold treatment ( ice) should be applied immediately, and the hand should be elevated ( fingers toward the ceiling. ) A tongue depressor or a clean popsicle stick can be taped to the finger to keep it straight. How to know if mallet finger is healed? A randomized controlled trial of the effect of 2- step orthosis treatment for a mallet finger of tendinous origin. To treat the pain and swelling of a mallet finger immediately: Apply ice.
Elevate your hand so that your fingers are above your heart. Take nonsteroidal anti- inflammatory drugs ( NSAIDs). Instructions for Mallet Finger Treatment Purpose: This document is to help you understand your injury, and reinforce the treatment required to get the best results possible. Diagnosis: A mallet finger refers to an injury whereby the extensor tendon to the tip joint ( distal interphalangeal) of the finger is disrupted or torn. Also, how would you know if mallet finger is healed 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. If your finger has not healed at the end of treatment, your provider may recommend another 4 weeks of wearing the splint.