Mallet Finger Injury Treatment
A mallet finger injury is a deformity of the finger that occurs when the extensor tendon - responsible for straightening your finger - becomes damaged. This damage can occur if your finger is forcibly bent or if the extensor tendon is torn. Symptoms of a mallet finger injury include pain, swelling, bruising, or collected blood beneath the nail of the affected finger.
At Barrington Orthopedic Specialists, our experienced, high-quality specialists offer various treatment options for mallet finger injuries to help you find relief for your condition. Mallet finger injuries can be treated by dorsal aluminum splints or commercial splints. However, surgical repair may be considered if there are large fracture fragments or joint misalignment in the finger. Our team will work alongside you at every step of your surgery and help you to develop a personalized rehabilitation plan to ensure a healthy, quick recovery process.
If you’re struggling with a mallet finger injury, do not allow your condition to worsen. Schedule your first consultation with the team at Barrington Orthopedic Specialists today. If you’re in an emergency situation, visit the Immediate Care Clinic at our Schaumburg, IL location.
Mallet Finger Injury FAQ
What Causes a Mallet Finger Injury?
A mallet finger is a deformity caused by damage to the extensor tendon, which straightens the finger. This injury commonly occurs when an object, such as a ball, strikes the fingertip with force, damaging the tendon or even pulling away a small piece of bone along with it. This condition, also known as "baseball finger," results in the inability to straighten the fingertip.
What Are the Symptoms of a Mallet Finger Injury?
Common symptoms of a mallet finger injury include:
- Pain, swelling, and bruising in the affected finger.
- Noticeable drooping of the fingertip.
- Blood collecting beneath the nail (in some cases).
- Detachment of the nail from the skin fold at the base of the nail.
What Are the Treatment Options for a Mallet Finger Injury?
Nonsurgical Treatment
Most mallet finger injuries can be managed without surgery. Immediate steps include applying ice and elevating the hand above the level of the heart. Medical attention should be sought within a week, and urgently if there is blood under the nail or if the nail is detached, as this may indicate a nail bed laceration or open fracture.
A splint is often applied to keep the fingertip straight (in extension) during the healing process. Typically, the splint is worn full-time for eight weeks, followed by gradual reduction over the next three to four weeks. While acceptable function and appearance are often restored, full fingertip extension may not always be regained.
In children, mallet finger injuries can involve cartilage that affects bone growth, requiring careful evaluation and treatment to prevent stunted growth or deformities.
Surgical Treatment
Surgery may be recommended if the injury includes large fracture fragments or joint misalignment. Repair methods may involve pins, wires, or small screws to stabilize the fracture. Surgery is also considered if nonsurgical treatment fails.
In rare cases without fractures, surgery may be used for severe deformities or if the patient cannot use the finger properly. Procedures may include tightening the tendon, using tendon grafts, or fusing the joint straight. An orthopedic surgeon will determine if surgical intervention is necessary.