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Conditions Treated Hand & Wrist Mallet Finger

Mallet Finger

Mallet finger, also known as baseball finger or drop finger, is an injury resulting from a forceful impact on the tip of the finger, often during sports or occupational activities. It occurs when the extensor tendon at the tip of the finger is damaged or torn, leading to the inability to straighten the fingertip independently. Symptoms include pain, swelling, and the characteristic drooping of the fingertip.

Treatment for Mallet or drop finger typically involves splinting the affected finger in a straight position for several weeks to allow the tendon to heal. In some cases, surgery may be necessary to repair severe tendon injuries and restore finger function.

FAQs About Mallet Finger

What causes Mallet finger?

Mallet finger typically occurs when a forceful blow impacts the fingertip, causing the extensor tendon to rupture or stretch. This injury is common in sports like basketball or during manual labor where the finger is subject to abrupt bending or direct trauma.

What are the symptoms of Mallet finger?

Symptoms of Mallet finger include pain, swelling, and the inability to fully extend the fingertip. The affected finger often assumes a drooped position at the tip, resembling a mallet, due to the weakened or damaged extensor tendon, which is responsible for straightening the finger.

How is Mallet finger diagnosed?

Diagnosis of Mallet finger involves a comprehensive evaluation by a healthcare professional, including a physical examination to assess finger alignment, range of motion, and stability. X-rays are typically ordered to assess the extent of the injury, identify any associated fractures, and guide treatment decisions.

What are the treatment options for Mallet finger?

Treatment options for Mallet finger vary depending on the severity of the injury. Conservative measures typically involve splinting the affected finger in a straight position for several weeks to allow the tendon to heal. In cases of severe tendon damage or joint instability, surgical intervention may be necessary to repair the tendon or stabilize the joint.

Can Mallet finger heal on its own?

While some cases of Mallet finger may heal spontaneously with appropriate splinting and immobilization, particularly if the injury is minor and there are no associated fractures or joint instability, more severe cases often require medical intervention to achieve optimal outcomes.

Do all cases of Mallet finger require splinting or surgery?

While splinting is the primary treatment for Mallet finger, surgical correction may be warranted for severe cases or instances where conservative measures fail to restore finger function and stability. Surgery may involve tendon repair, joint fusion, or reconstruction to address underlying damage and restore finger function.

How long does it take to recover from Mallet finger?

Recovery from Mallet finger can be prolonged, spanning several weeks to months, depending on the severity of the injury and adherence to treatment protocols. Physical therapy may be recommended to restore finger strength, flexibility, and range of motion.

Are there any complications associated with Mallet finger?

Complications associated with Mallet finger may include chronic stiffness, decreased range of motion, and deformity if the injury is not properly managed. In some cases, persistent pain or instability may occur, necessitating further medical intervention to address residual issues.

What activities should be avoided during Mallet finger recovery?

During the recovery period, it's essential to avoid activities that could exacerbate the injury or hinder healing, such as heavy lifting or participating in sports that involve gripping or impact. Compliance with the prescribed splinting regimen and any recommended physical therapy exercises is critical for optimal recovery.

Can Mallet finger lead to long-term issues with finger function?

Untreated or inadequately managed Mallet finger can lead to long-term functional impairment and deformity, affecting everyday activities and overall hand function. Seeking prompt medical attention and adhering to treatment recommendations are essential for minimizing the risk of complications and achieving the best possible outcomes.

  • Peter G. Fitzgibbons, MDPeter G. Fitzgibbons, MD
    Board-Certified Surgeon & Orthopedic & Sports Medicine Specialist

Drop Finger Treatment in Montgomery County, Maryland

Explore tailored treatment options for Mallet finger at The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division. Rely on our seasoned team to deliver personalized care aligned with your unique needs. Reach out at (301) 515-0900 or schedule your appointment today to embark on your path toward relief and recovery.

A patient's hand with a splint on the patient's middle finger.

Other Hand & Wrist Conditions

  • Hand & Wrist Arthritis
  • Hand & Wrist Tendonitis
  • Hand & Wrist Fractures
  • Forearm Fractures
  • Hand Dislocation
  • Hand & Wrist Tendon Laceration
  • Dupuytren's Contracture
  • Trigger Finger
  • Mucous Cyst
  • Retinacular Cyst
  • Skier’s Thumb
  • Mallet Finger
  • Carpal Tunnel
  • De Quervain’s Tenosynovitis
  • Scaphoid Fracture
  • TFCC Injury 
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Bethesda, MD 20817

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19847 Century Boulevard, Suite 205
Germantown, MD 20874

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Rockville, MD 20854

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The Centers for Advanced Orthopaedics: Maryland Orthopedic Specialists Division is your premier orthopedic clinic located in Germantown, Bethesda, and Rockville, MD, offering comprehensive care for a wide range of orthopedic conditions through PRP Therapy, Orthopedic Surgery, X-Ray, Acute Injury Management, Osteoarthritis Treatment, Dupuytren’s Contracture Management, Custom Durable Medical Equipment, Hand/Occupational Therapy, Ultrasound, Joint Injections, Physical Therapy, and Epidural Steroid Injections.