A mallet finger is caused by rupture of the tendon to the tip of the finger. Sometimes, the tendon may pull off its bony attachment. As a result, you are unable to straighten your finger tip on its own, although it can be pushed straight. Unsupported, the finger tip will have a characteristic ‘droop’. In most cases, it is not painful, but more of a nuisance.
Sometimes if the mallet finger has been caused by a sports injury, the end of your finger may well be painful, red and swollen.
Your finger is placed in a special plastic splint holding the tip straight for 6 - 8 weeks. During this time, the finger tip must be kept straight at all times, so healing can take place. It is essential that you carefully follow the instructions given to allow healing.
It is essential to follow the instructions below and it is helpful if you have someone else around when you do it.
You will soon get used to this routine and it should be followed for the full 8 weeks.
You will re-attend and be given further guidance and instructions. The splint will be removed leaving a stiff, but straighter fingertip. In some cases, the healed finger will have a residual ‘droop’ to the tip.
It may take several months for your finger to fully recover its function. Any redness, swelling and tenderness of your skin over the end of your finger may persist for the first few months after the injury. These symptoms will usually improve.
© North Bristol NHS Trust. This edition published April 2024. Review due April 2027. NBT002261.
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