Stax Mallet Finger Splint? The 13 New Answer

Wearing a splint on your finger to keep it straight is the most common treatment for mallet fingers. You may need to wear a splint for different lengths of time.

If your tendon is just stretched and not torn, it should heal in 4 to 6 weeks if you wear a splint all the time.

If your tendon is torn or torn from the bone, it should heal in 6 to 8 weeks if you wear a splint all the time. After that, you only have to wear your splint at night for another 3 to 4 weeks.

If you wait to start treatment or do not wear the splint as directed, you may need to wear it longer. Surgery is rarely required except for more severe fractures.

Your splint is made of hard plastic or aluminum. A trained professional should fabricate your splint to ensure it fits properly and your finger is in the correct position for healing.

Mallet finger is an injury to the end of your finger that causes it to bend inward toward your palm. You cannot straighten the end of your finger because the tendon that connects the muscle to the finger bone is stretched or torn. Credit: Your finger will also be sore and swollen. In some cases, the tendon does not tear, but rather a small piece of your finger bone breaks off where the tendon is attached. Mallet finger is a common sports injury. It can also happen if you hang your finger on something.

When You Need Medical Assistance Go to the nearest minor injury department as soon as possible if you think you have a mallet finger. You must have your finger splinted. Try raising your hand until a doctor sees you. This helps reduce swelling and pain. If you wear a ring on the affected finger, you should remove it. The swelling can make it difficult to remove the ring later, or the ring can cut off blood flow to your finger. You can take an over-the-counter pain reliever, such as acetaminophen or ibuprofen, to relieve the pain. Once your finger is in a splint, applying an ice pack wrapped in a towel a few times a day for 10 to 20 minutes can also help reduce pain and swelling.

Mallet Finger Treatment Your finger is placed in a plastic splint that keeps it straight with the butt joint bent slightly backwards. You can still bend your finger at the middle joint. The splint is taped in place and must be worn day and night for 6 to 8 weeks to allow the two ends of the torn tendon to stay together and heal. It should only be removed for cleaning. It is very important that the end of your finger does not bend during the time it is being splinted as this can slow healing and reduce the effectiveness of the treatment. The middle joint of the finger is left free, allowing you to move it further to avoid stiffness. Surgery is only needed if you also have a broken finger, the skin is broken, or in rare cases when the mallet finger doesn’t heal.

How to keep your finger clean You must keep your splinted finger clean and dry at all times. If the skin in the splint gets wet, it will become very sore. It’s important to wash both your finger and the splint at least once a day by following these instructions: lay your finger flat on a table, cut the strapping, and slide the splint off your finger. Wash and dry your finger and splint with soap and water. Always keep the end joint straight by keeping your finger flat on the table. It may be easier to have someone help you do this every day, as any fingertip movement delays healing of the tendon and can even cause permanent damage. Slide the splint back over your fingertip and keep your finger straight. Replace the strapping – this should cover the center of the splint but not cover the middle joint of your finger.

Recovery It should take 6 to 8 weeks for your finger to heal, after which you can use it again. You may be advised to wear the splint only at night for up to 4 more weeks. In some cases, you may only need to see a specialist once, as a hand physiotherapist may be able to provide your care. They give you exercises you can do at home to keep your finger from getting stiff. Depending on your job, you may need to take time off from work. You should also avoid exercising with your hands while your injury is healing. It may take several months before your finger is fully functional. Redness, swelling, and tenderness of the skin around the fingertip is common 3 to 4 months after the injury but usually goes away eventually. You may have a small bump on top of the joint and be unable to fully straighten the joint. Your finger may not be exactly the same as it was before the injury, but overall it should be working fine.

In a mallet injury, when an object hits the tip of the finger or thumb, the force of the impact tears the extensor tendon. Occasionally, a minor force, such as tucking in a bed sheet, will cause a mallet finger.

The injury can tear the tendon or pull the tendon away from where it attaches to the finger bone (distal phalanx). In some cases, a small piece of bone is pulled away along with the tendon. This is called an avulsion injury.

(Above) An extensor tendon tear. (Below) A fragment of the distal phalanx has pulled away with the tendon.

The long, ring, and pinky fingers of the dominant hand are most likely to be injured.

What is it?

Jersey finger occurs when the tendon responsible for flexing the fingertip is torn. The ring finger is the most commonly injured finger. The torn tendon can slide back to the palm of the hand.

causes

Jersey finger occurs when the tendon responsible for flexing the fingertip is torn. The ring finger is the most commonly injured finger. The torn tendon can slide back to the palm of the hand.

risk factors

Athletes participating in sports that require frequent grasping.

symptoms

Pain and swelling on the palm side at the end of the affected finger Inability to flex the tip of the finger The finger may be slightly stretched compared to the others

diagnosis

Jersey fingers can be accurately diagnosed by a doctor experienced in sports medicine. The sports medicine doctor will perform a physical exam to locate the source of the pain and to test the strength and movement of the injured finger. Imaging studies such as X-rays, ultrasound, and MRI can help in the assessment, but are not always necessary.

treatment

Initial treatment typically includes ice, pain medication, and a finger splint. Jersey fingers require surgery to reattach the torn ligament to its original location. The timing of the surgery is determined by how far the tendon recedes. A tendon that has slipped back to the palm of your hand will need surgery sooner than one that has slipped back just a short distance. Return to play is determined by an athlete’s ability to perform the activity required to compete in sport.

Back to play

After surgery, use of the hand will likely be restricted for two months. Returning to sports that require powerful hand use can take three months or more.

AMSSM Member Authors

Kyle Goerl, MD, Robert Dimeff, MD

references

Scott A, Docking S, Vicenzino B et al. Sport and exercise-related tendinopathies: an overview of selected current topics from participants of the second International Scientific Tendinopathy Symposium (ISTS) Vancouver 2012. Br J Sports Med. 2013;47(9):53644. doi:10.1136/bjsports-2013-092329.

Yuan T, Zhang C-Q, Wang JH-C. Augmenting tendon and ligament repair using Platelet Rich Plasma (PRP). Muscles Ligaments Tendons J. 2013;3(3):139149. Available at: http://www.pubmedcentral.nih.gov/

articlerender.fcgi?artid=3838322&tool=pmcentrez&rendertype=abstract.

The Original Oval 8 Finger Splints treat a variety of finger conditions including arthritis, trigger fingers and thumbs, mallet fingers, swan neck deformities, hypermobility, and crooked and broken fingers. These lightweight, easy-to-wear finger splints are based on an orthopedic principle that requires three pressure points to stabilize or support a joint. Using this principle in design, Oval-8 is a very effective treatment for common finger disorders simply by applying a simple twist of the splint.

7 Common Finger Conditions the Oval 8 Treats

Below are the most common finger conditions treated with an Oval 8 finger splint:

Trigger finger is a common “overuse” condition. Trigger finger symptoms include a clicking or locking of your fingers when you try to straighten them out of a fist position. Oval 8 finger splints help reduce “triggering” by restricting your finger’s movement – and giving the tendon a chance to rest and heal.

is a common “overstress” condition. Trigger finger symptoms include a clicking or locking of your fingers when you try to straighten them out of a fist position. Oval 8 finger splints help reduce “triggering” by restricting your finger’s movement – and giving the tendon a chance to rest and heal. Mallet or baseball finger is when the end joint of your finger, closest to your fingernail, flexes but doesn’t straighten on its own. It is treated by keeping the finger in a straight position continuously for 4 to 6 weeks. The Oval-8 can be worn at the end of your finger joint to keep it straight while still allowing your finger to bend.

is when the end joint of your finger closest to your fingernail bends but doesn’t straighten on its own. It is treated by keeping the finger in a straight position continuously for 4 to 6 weeks. The Oval-8 can be worn at the end of your finger joint to keep it straight while still allowing your finger to bend. Swan neck deformity is a common deformity caused by rheumatoid arthritis. Oval-8 finger splints help lock hyperextension at the finger’s medial joint, but still allow your finger to flex for full hand motion.

is a common deformity caused by rheumatoid arthritis. Oval-8 finger splints help lock hyperextension at the finger’s medial joint, but still allow your finger to flex for full hand motion. Pinched fingers are a common injury that is generally treated by resting the finger in a straight position. The Oval-8 protects your finger without messy tape or straps and makes your hands easier to use. Wear an Oval 8 finger splint or two to keep your finger straight.

are a common injury that is generally treated by resting the finger in a straight position. The Oval-8 protects your finger without messy tape or straps and makes your hands easier to use. Wear an Oval 8 finger splint or two to keep your finger straight. Often caused by pinching or injuring your finger, boutonniere deformity describes the way your finger bends — the middle joint bends down and won’t straighten, while the fingertip at the end joint bends back. Wearing an Oval-8 splint or two on your mid-joint keeps it straight while still allowing the fingertip to flex.

Often caused by pinching or injuring your finger, describes the way your finger bends — the middle joint bends down and won’t straighten, while the fingertip at the end joint bends back. Wearing an Oval-8 splint or two on your mid-joint keeps it straight while still allowing the fingertip to flex. A fracture is any broken bone. Broken fingers are usually the result of an injury or a fall, and are commonly treated with uncomfortable metal splints and messy tape. Wear an Oval 8 finger splint or two to comfortably immobilize and protect your fingers – day or night.

is every broken bone. Broken fingers are usually the result of an injury or a fall, and are commonly treated with uncomfortable metal splints and messy tape. Wear an Oval 8 finger splint or two to comfortably immobilize and protect your fingers – day or night. Osteoarthritis can cause crooked (or deviated) fingers in the little finger joints. An Oval-8 worn on the side of the finger joint can help straighten them and prevent further deformity.

Looking for more information on treating your finger problem with an Oval-8? Download our e-book

Other conditions treated with an Oval-8

In addition to the finger conditions listed above, Oval-8 can also be used to treat the symptoms of other issues related to arthritis, stroke, cerebral palsy, and more.

For an arthritis flare-up, an Oval-8 splint can help rest the joint(s) and reduce the effects of inflammation.

Wear an oval to add stability to hypermobile joints in individuals with Ehlers-Danlos Syndrome or other collagen disorders.

Wear an Oval 8 finger splint to improve positioning for those with spasticity due to stroke or cerebral palsy.

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Our blogs are educational in nature and are not intended as a substitute for medical advice. Because your condition is unique to you, it is recommended that you consult your doctor before attempting any medical or therapeutic treatments. We are happy to answer questions about products mentioned on our blogs, but cannot provide diagnosis or medical advice.

Overview What is a mallet finger? Mallet finger, known as drop finger or baseball finger, is an injury to the tendon that straightens the tip of your finger (or thumb). Tendons attach your bones to your muscles and provide stability and movement. In the event of an injury, the tendon can tear or detach from the finger bone. In some cases, you can injure your finger bone along with your tendon. If you have a mallet finger, you cannot straighten your finger, it hangs down at the tip, is painful, and looks bruised and/or swollen. Mallet finger is an injury common in sports like baseball, basketball, or soccer when you’re trying to catch a hard ball and it hits your outstretched fingertip. The injury often affects a finger on the hand you use most (your dominant hand). How common is mallet finger? Mallet finger is a common condition, particularly among athletes. But it can also happen when you’re doing household chores if you bump your fingertip on an immovable object like a door or wall. Who is at risk from mallet fingers? This injury is most common in baseball players, but anyone who plays a hard-ball sport (basketball, volleyball, soccer, etc.) can get it. In fact, anyone can get a finger injury from a hammer, even doing something as simple as making the bed.

Symptoms and Causes What Causes Mallet Fingers? A finger injury from mallets occurs when something hard hits your outstretched finger, or when there is trauma to your fingertip, such as a crushed finger. B. if she is caught in a door. What Are the Symptoms of Mallet Fingers? After the pain of the initial injury, you may experience the following symptoms: Swelling.

bruises.

redness.

An inability to straighten your fingertip.

Tenderness.

A torn fingernail.

Redness under the fingernail bed. Is a Mallet Finger a Sign of Arthritis? no Mallet finger is an injury and has nothing to do with arthritis. Can Mallet Finger Arthritis Cause? If your injury only affects the extensor tendon, subsequent arthritis rarely develops. However, you can develop arthritis if the tendon tears a piece of bone from the joint surface and remains dislocated.

Diagnosis and Tests How is Mallet Finger Diagnosed? After determining that you cannot straighten your finger, your doctor may need an X-ray.

In rare cases, additional imaging tests such as ultrasound or MRI can provide additional information.

Management and Treatment Can the mallet finger be fixed? Both immediate and long-term treatment are essential for healing. If you are injured, you should immediately: Wrap an ice pack in a towel and place it on your finger.

Hold your finger over your heart. This can hold back the swelling and reduce the pain.

Take over-the-counter pain relievers if needed. Long-term treatment involves putting the pad of your finger in a splint and leaving it there for at least six weeks while your tendon heals. If a piece of bone has been torn off, your doctor may order another X-ray after a week or two of splinting to check the correct position of the bone fragment and the healing process. You then wear your splint day and night for at least six weeks. During this time, the splint can be carefully removed to clean both the splint and the finger, but you should avoid strenuous activities and sports to avoid recurring injuries. There are several types of splints. Talk to your doctor about the best type for you. You must wash and dry the splint once a day (keep your finger straight). You should also cool your splinted finger for 10-20 minutes three to four times a day. If your mallet finger injury is more complex, your surgeon may need to surgically insert a small needle into your finger to keep the joint straight while it heals. Which Health Care Providers Treat Mallet Fingers? Your GP may be able to treat your mallet finger. If necessary, he will refer you to a hand physiotherapist or an orthopaedist. Do I need an operation? Operations for mallet fingers are rare. However, if your joint is misaligned, your finger is broken, or there are bone fragments resulting in an unstable joint, your injury is considered “complex” and may require surgery. With this type of surgery, your surgeon may make a small cut in your skin or insert a needle or wire to keep your fingertip straight. Is Mallet Finger surgery performed on an inpatient or outpatient basis? Mallet finger repair surgery is an outpatient procedure that is usually performed under local or regional anesthesia (with sedation if necessary). You can go home as soon as you are stable and should not have to stay in the hospital overnight. Who performs the operation? An orthopedist with experience in hand surgery performs the malleus finger repair. Do I have to train my finger? After at least six weeks and sufficient healing, your hand physiotherapist can develop a stretching and exercise routine to strengthen your finger. They show the exercises so you can do them at home. What are the complications of treating mallet fingers? Most complications result from the lack of proper treatment that does not adequately immobilize your finger. In rare cases, the tendon simply will not heal despite proper care. In these cases, solid destabilization (fusion) surgery of the end of two bones can provide healing and stability with essentially normal function. How long does it take to recover from a mallet finger injury? Even after eight to twelve weeks of splints, it can take another three to four months for your mallet finger to fully heal.

Prevention Can mallet fingers be prevented? You can do your best to avoid mallet finger injuries by being careful when playing sports that use a hard ball. But these injuries are common accidents that are not always preventable.

Outlook / Prognosis What are the prospects for people with mallet fingers? Most people recover from a mallet finger injury and regain full—or almost full—use of their finger without surgery. Can mallet finger come back after treatment? Mallet finger is an injury. As with all injuries, you can get mallet fingers again after healing. What happens if the mallet finger is left untreated? If you don’t treat your mallet finger injury, your finger could become stiff and even inflexible. You may develop a problem where your finger is in the shape of a swan neck. If your young child has a mallet finger and isn’t treated, their finger may not be growing properly.

What is mallet finger?

Mallet finger, sometimes called baseball finger, occurs when the tendon that stretches the tip of your finger is injured, often preventing you from straightening your finger. It is typically caused by a hard blow or pinching of the fingertip.

Symptoms of Mallet Fingers

Fingertip pain and swelling are the most common symptoms. You may also not be able to fully straighten your finger. If you wait too long to see a doctor about this injury, you can permanently lose the ability to straighten that finger.

Mallet Finger Diagnosis

A healthcare provider must perform a hands-on exam of your finger to diagnose mallet finger. They may also order an X-ray to see if there is a fracture as well as a tendon injury. It is common for a tendon injury of this type to tear off a piece of bone that would need repair.

Treatment for mallet fingers

Surgery is not often required to treat mallet fingers. Your finger will be straightened and splinted for up to six weeks to allow the tendon and bone to heal and rejoin. It is important to keep the splint in place for as long as prescribed to promote healing. Not wearing the splint can permanently deform your finger.

Swelling is a common problem with this injury, so you’ll likely be told to apply ice packs to the injured finger for 20 to 30 minutes every four hours for the first few days or until the swelling goes down. You should keep the finger elevated as much as possible and rest it on a pillow while lying down or on the back of a chair or couch while sitting. Post-healing rehabilitation is often recommended to restore full finger function.

Rehabilitation for mallet fingers

Mallet finger rehabilitation exercises can often be performed at home as directed by your doctor. Extreme cases of mallet fingers may require additional physical or occupational therapy.

Common rehab exercises for a mallet finger injury include:

Passive Finger Range of Motion: Help the injured joint by slowly flexing and extending with the other hand, holding for 5 seconds at the end of each movement. Repeat 10 times.

Clench a fist: Make a fist with your injured hand and, if necessary, support the injured finger with your other hand to help it bend. Hold for 5-10 seconds. Repeat 10 times.

Picking up objects: Practice picking up small objects like coins, buttons, or marbles with your injured fingers and thumb. Repeat 10 times.

Finger Extension: Place your hand flat on the table with your fingers extended. Lift each finger individually and hold for 5 seconds before releasing. Do this with all your fingers. Repeat 10 times.

Grip Enhancement: Squeeze and hold a rubber ball for 5 seconds. Do three sets of 10 reps.

What happens to my fingertip? It’s no longer straight.

If you can’t straighten your fingertip, you may have what is called a mallet finger. This happens when the end of the tendon lifting your fingertip separates from the fingertip. There are several ways this can be done.

Do I have to do something about it? Will it heal on its own?

If you have a mallet finger, it needs to be treated; it won’t heal on its own. You should consult your doctor and possibly a hand surgeon.

A hand surgeon? That sounds serious!

It may be. Sometimes the tendon comes off the fingertip with part of the bone – sometimes only partially. Having it assessed and guided by a specialist will ensure you get a good result.

So do I need surgery to fix this?

Probably not. Most often, a mallet finger can be fixed with an orthosis (or splint) that keeps it straight for several weeks; However, sometimes it can be more serious, which is why it’s a good idea to have it professionally evaluated.

That sounds like it would be easy. I think I’ll make an appointment with my doctor when I get around to it.

Wait a minute! You’d rather do that sooner than later. A mallet finger that’s more than a few weeks old before starting treatment can be more difficult to repair, so get it checked out quickly!

You said they’ll put it in a rail. Does this mean I won’t be able to use my finger for several weeks?

In fact, depending on your individual needs, the orthosis turns out to be quite small. It only restricts movement at the joint at the end of the finger—not the other joints of the finger—so you can still move your finger a lot. Some orthotics are designed to sit on the fingernail side of the finger, which can allow for a little more fingertip feel during activities like typing. Other designs will wrap around your finger and in some cases a real imprint will be taken. Again, the design depends on your specific needs. You can find a certified hand therapist who can guide you in making the right choice.

You know…this hanging finger thing really doesn’t bother me that much, and it sounds like a lot of effort to take care of. I think I’ll just take my chances and not get treated.

That’s an option you have; However, you should be aware of some possible problems that may recur and cause you grief. This little waste may not bother you, but it changes the way your finger works. The tendons in your fingers are composed of levers and pulleys like a balanced system. If one pulley is not working properly, it can affect the others. In the case of a mallet finger, this can lead to a secondary deformity called a swan neck deformity. Just because you have a mallet finger doesn’t mean you’ll develop a swan neck deformity – there are many factors at play – but it’s best to just take care of the mallet finger.

Adam Holbrook, OTR/L, CHT is a Certified Hand Therapist and a member of the American Society of Hand Therapists (ASHT).

A mallet finger occurs when the tendon responsible for straightening the finger is damaged, resulting in a deformity. Mallet fingers often experience pain while others experience no pain at all. Treatments for a mallet finger can be as minimal as using a splint or as serious as surgery. Learn how to recognize mallet fingers and different mallet finger treatments in this injury guide.

What is mallet finger?

Also known as “baseball finger,” this condition is defined as a deformity of the finger that prevents you from straightening the tip of the finger (known as the distal interphalangeal joint or DIP joint). The tendon responsible for extending the end of the finger or thumb becomes damaged, causing the tip of the finger joint to rest in a bent (flexed) position.

The extensor tendon is responsible for stretching the fingers and thumbs. In a mallet finger injury, the force of a blow hitting the tip of the finger causes the tendon to rupture. The tendon can tear or pull, causing a lot of pain.

The middle three fingers of the dominant hand are most likely to suffer from a mallet injury, often from sports or other physical activities.

Mallet Finger vs. Trigger Finger The two are often confused with each other as both are about not being able to straighten the finger. Let’s look at their differences:

This is caused by inflammation of the sheath of the flexor tendons that flex the fingers, causing a locking or catching sensation. The entire finger can “get stuck” in a flexed position, but can often be opened with a snap.

Mallet fingers

This occurs when the finger is struck by an object, damaging the extensor tendon that lengthens the finger. This means that the fingertip remains mobile, but cannot actively expand at the tip (the so-called end phalanx).

In addition, you may be wondering how it differs from a swan neck deformity. The affected finger is injured connective tissue at the proximal interphalangeal joint (PIP) – also known as the median joint; resulting in a resting extension of this joint.

Mallet finger causes

Mallet finger is caused by damage to the extensor tendon, often caused by a strong impact. The most common causes of mallet fingers are:

Sports Injury Probably the most common cause of mallet finger deformity. Any sport involving a ball carries a risk of injury. Basketball, soccer, volleyball, and baseball players often experience mallet fingers.

Work Injury Physical labor, often in the form of warehouse or construction work, can result in a hammer finger injury. A crushing accident at work can seriously injure the finger, making recovery quite difficult.

Mallet Finger Classification There are four different types of injuries that can occur. Type 1: The tendon is damaged with no or minimal injury to the bone and no open wound. Type 2: A small fracture (known as an avulsion fracture) and a torn tendon caused by the injury with an open wound. Type 3: A deep wound associated with significant tendon damage or even bone fragments (piece of bone). Type 4: A large fracture and torn tendon, known as a bony mallet finger or mallet fracture, resulting in a deformity of the finger

Mallet Finger Symptoms

Common symptoms associated with mallet fingers include the following:

redness

swelling

tenderness

bruises

Pains

Inability to straighten the top of the finger (a finger sag) unless the other hand helps

While the condition is usually easy to manage, there are some bothersome symptoms to watch out for. They include:

Detached nail from the nail bed

blood under the nail

Severe pain or swelling

Suspicion of finger bone fracture

Mallet Finger Complications

Most extensor tendon injuries, such as mallet finger complications, occur in the form of side effects of treatment. The tendon can fully heal itself and with proper treatment, your finger could be back to normal in four to eight weeks. When surgery is necessary, recovery takes longer and often involves more initial swelling and discomfort.

When using a splint, wounds can appear on the skin. This is normal and can be corrected by ensuring proper fitment. Taking painkillers can also cause unwanted digestive problems. Luckily, there’s nothing to worry about in the long term.

When to the doctor

Don’t put off seeing your doctor just because your symptoms seem mild. As soon as you notice the condition, see your doctor. You decide whether you need X-rays and whether or not you will be sent to an orthopedic or sports medicine hand surgeon. A chronic mallet finger—if the condition doesn’t heal within 4 to 6 weeks with the help of a splint—will likely need surgery.

Mallet Finger Recovery

The estimated recovery time for non-surgical mallet fingers is 4 to 6 weeks if you wear your splint full time. If you do not wear it as recommended or seek treatment too late, the recovery time from your tendon injury will increase.

Mallet finger recovery rate is quite high. The majority of patients heal with a splint alone, but those who do not find treatment through surgery.

How to Know When a Mallet Finger Has Healed Your injured finger will most likely heal in four weeks if the injury is minor, or six weeks if the injury is minor. If there is swelling or your finger is still deformed after removing a splint, it is still injured and you may even need to take another X-ray. Once the pain subsides and your finger returns to a normal resting position (not flexed), it is healed and ready to use.

Healing your mallet finger is effortless

Proper mallet finger repair doesn’t have to be difficult. In fact, as long as you seek professional help from a doctor as soon as possible, your injury will heal quickly and without complications.

If an injury occurs, rest it at home on ice until you can see a doctor. They usually prescribe you painkillers and put you in a splint. Splinting is all you need to heal most cases of mallet finger. After your finger heals, it may be a little more fragile than before and will require a short exercise guided by a physical therapist. Be careful when playing sports or engaging in other activities that could cause further injury.

Sources:

https://emedicine.medscape.com/article/1242305-treatment

https://www.webmd.com/fitness-exercise/mallet-finger#1-1

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