Mallet Finger

Mallet Finger is a finger deformity caused by disruption of the terminal extensor tendon distal to DIP joint. Women with this injury tend to be older.


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A splint worn day and night for 6-8 weeks will cure the problem in most cases.

Mallet Finger. Treatment options include. Occasionally the tendon fails to repair itself. Your finger will also be painful and swollen.

2 The most frequently involved digits are the long ring and small fingers of the dominant hand. Just because you have a mallet finger does not mean you will develop a swan neck deformity there are lots of factors at play but its best to simply take care of the mallet finger. It can be treated by a further period of splint age.

Any rapid motion that jams the tip of a finger against an object can cause a mallet finger. A mallet finger is an injury to the extensor mechanism of the finger. 1 The lesion is often seen in young to middle-aged males.

Although it is also known as baseball finger this injury can happen to anyone when an unyielding object like a ball strikes the tip of a finger or thumb and forces it to bend further than it is intended to go. Mallet finger or baseball finger involves an injury of the finger extensor tendons causing the tip of the finger to droop. In some cases the tendon does not tear.

The joint rests in an abnormally flexed position. Treatment is usually extension splinting of DIP joint for 6-8 weeks. Beim Mallet-Finger ist eine aktive Streckung des Fingerendgliedes nicht mehr möglich.

Commonly an athletic injury mallet finger occurs when the outermost joint of the finger is injured. Diagnosis is made clinically with a presence of a distal phalanx that rests at 45 of flexion with lack of active DIP extension. The tendon might pull off a small fragment of bone attached at the dorsal base of the distal phalanx with resultant flexed deformity of the distal interphalangeal DIP joint.

Durch die subkutane Ruptur der Strecksehne über dem distalen Interphalangealgelenk DIP kommt es zum ausgeprägtem Streckdefizit im Fingerendgelenk des betroffenen Fingers. It is characterized by an inability to extend the distal phalanx at the distal interphalangeal DIP joint. You will not be able to straighten the end of your finger because the tendon connecting the muscle to the finger bone is stretched or torn.

Garberman MD Buffalo NY Edward Diao MD San Francisco CA Clayton A. Surgical repair can be attempted but the results are not consistently good. Results of Early Versus Delayed Closed Treatment Scott F.

It is caused by an injury to the tendon that straightens extends the finger. To determine if there is a superior orthosis and wearing regimen for the conservative treatment of mallet finger injuries. Mallet fractures may leave a small bump on the top of the end joint and slight loss of bending of the joint but pain is rare and the finger generally functions well.

Mallet finger is an injury to the end of your finger that causes it to bend inwards towards your palm. In the case of a mallet finger this can result in a secondary deformity called a swan neck deformity. Unfortunately most orthopedic surgeons use medical jargon which may leave you more confused about what to do for your mallet finger.

Mallet Finger Overview. The finger usually regains acceptable function and appearance with this treatment. Mallet finger is an injury to the tip of the finger when something hard like a baseball jams it.

A finger that bends down at the end joint and cannot be straightened is called a mallet finger. The dorsum of the joint may be slightly tender and swollen although there may be little pain. Mallet finger injury also known as baseball finger is a partial or complete tear of the extensor tendon that straightens the end joint ie.

Adam Holbrook OTRL CHT is a certified hand. The secondary purpose is to examine the current evidence to evaluate if a night orthosis is necessary following the initial immobilization phase. Once the mallet finger has healed your surgeon or hand therapist will teach you exercises to regain motion at the fingertip.

Surgical management is indicated for. Peimer MD Buffalo NY The efficacy of continuous splinting was retrospectively compared in two populations of 40 patients with soft tissue and bony mallet finger whose treatment was initiated within 2 weeks after injury early or more than 4. This can damage the tendon and bone causing the finger to droop.

In most cases wearing a splint can help the finger return to a normal resting position within a few short weeks. Sometimes you are sent to physical or occupational therapy for your mallet finger recovery. Mallet finger injuries usually occur in the work environment or during sports participation.

Distal interphalangeal DIP joint of the finger. However splinting may not be successful if treatment is delayed. Mallet finger is a common athletic injury that affects basketball and baseball players routinely jammed fingers but the injury can occur because of a crushing accident on the job or even because of a cut finger while working in the kitchen.

Mallet finger is an injury to the thin tendon that straightens the end joint of a finger or thumb. Statistics show you ONLY get 13-16 minutes or less with your doctor during your office visit.


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