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A mallet finger is a deformity of the finger. It occurs when the tendon that straightens the finger the extensor tendon is damaged at the fingertip. This can commonly happen when an object like a ball strikes the tip of the finger or thumb.

It can also happen when forceful bending of the fingertip occurs. This force tears the tendon at the back of the finger the tendon that straightens the finger see Figure 1. The force of the blow may even cause mallet hammer illustration journal piece of bone to break off fracture along with the tendon see Figure 2. As a result, the tip of the finger or thumb no mallet hammer illustration journal straightens.

In a mallet finger, the fingertip droops, and it mallet hammer illustration journal straighten on its own. The finger is commonly thought to be jammed. The finger may be painful, swollen or bruised. Occasionally, blood collects beneath the nail.

The nail can even become detached from beneath the skin fold at the base of the nail. Medical attention should be sought within the first few days after injury. It is especially important to seek immediate attention hammeer there is blood beneath the nail or if the nail is detached. This may be a sign of a nail jourhal injury or an open compound fracture.

If a mallet finger is not treated promptly, then the finger may not function properly and may cause pain. In children, your doctor must carefully evaluate and treat this mallet hammer illustration journal promptly so that the finger does not later become deformed. There may be an injury to the growing portion of the bone.

Your hand surgeon will examine your finger and may make a diagnosis by noting the droop of the fingertip. Physicians will often order x-rays to see if a piece of bone has pulled away a fracture and to make sure the joint is aligned. Injuries with even a little swelling may have a fracture.

Your physician will also look for any cuts to the finger, bleeding, or detachment of the nail. 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 mallet hammer illustration journal 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.

The goal is to keep the fingertip straight until the tendon heals. Most of the time, a splint will be worn at all times for about eight weeks see Figure 3.

Over the next three to four weeks, the splint can be worn only during sleep and less frequently during the day. Your surgeon or hand therapist will provide instructions on how to wear the splint and will also show you exercises to maintain motion at the middle joint the proximal interphalangeal joint so your finger does not become stiff.

The finger usually regains acceptable function and appearance with this treatment; however, splinting may not be successful if treatment is delayed. Mallet hammer illustration journal 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 hamme treatment.

Illusrration normally does not cause any problems with performing normal activity. Surgery may mallet hammer illustration journal considered when a mallet finger injury has a large bone fragment or the joint is not properly aligned. In these cases, wires or small screws are used to realign the mallet hammer illustration journal see Figure 4.

Surgery may also be considered if wearing a splint is difficult or was not previously successful. Surgery may involve applying a wire in the finger to keep it straight, stitching the tendon together or making a new tendon, or fusing the joint so it stays straight.

Your mallet hammer illustration journal surgeon will help recommend the mallet treatment mallet hammer illustration journal is specific to you. This mllet is written, edited and updated by hand surgeon members of the American Society for Surgery of the Hand. Find a hand surgeon near you.

Figure 1. Figure 2. Figure 3. This x-ray of a mallet finger shows a broken finger, uournal a piece of the bone has been broken off. Figure 4. Figure 5. Figure 1 Close. Slider Back. Slider Next. Signs and Symptoms In a mallet finger, the fingertip droops, and it cannot straighten on its own. Illstration Diagnosis Medical attention should be sought within the first few days after injury.

Nonsurgical Treatment Most mallet finger injuries in both adults and children can be treated without surgery. Surgical Treatment Surgery may be considered when a mallet finger injury has a large bone fragment or the joint is not properly aligned. Using this search tool means you agree to the user agreement and disclaimer. Related Topics. Related Articles.

For example, when you are using a hammer to drive a nail into a surface, you are hitting one spot on the nail to push it in. However, when you use a mallet to Mallet Hammer Illustration Loss pound two objects or frames together, you are applying general force to the entire area around both objects, so not only one place is targeted by all of the pressure at once. Fingertip injuries are among the most common traumatic problems encountered by hand surgeons. One such injury, which involves disruption of the extensor mechanism at the level of the distal interphalangeal (DIP) joint, is commonly referred to as a mallet, baseball, or drop finger. 1,2 The term mallet finger originated during the late nineteenth century, in reference to a frequently seen sports. Example of mallet finger with drooping of tip. Figure 3. This x-ray of a mallet finger shows a broken finger, where a piece of the bone has been broken off. Figure 4. A splint supporting the finger tip after a mallet finger injury. Figure 5. X-ray of mallet finger treated with a temporary pin. Figure 1 Close.

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