Mallet Finger: Causes, Symptoms, and Treatment Options in Nebraska and Iowa

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Mallet finger is a common injury where the tip of a finger cannot straighten due to damage to the tendon responsible for extension. This condition typically results from sports injuries, workplace accidents, or even minor trauma to the finger. Residents of Nebraska and Iowa should know the symptoms, causes, and treatment options for mallet finger to ensure a timely and effective recovery.

What is Mallet Finger?

Mallet finger occurs when the tendon at the tip of the finger is torn or stretched, preventing the last joint (DIP joint) from straightening. This injury is particularly common in sports that involve catching or hitting a ball and can affect people of any age.

Symptoms of Mallet Finger

The most common signs of mallet finger include:

  • Drooping Fingertip: The fingertip remains in a bent position and cannot be straightened.
  • Swelling and Pain: Localized pain, swelling, and bruising may appear around the last joint of the finger.
  • Tenderness: The injured area may feel tender to the touch.
  • Limited Mobility: Inability to straighten the fingertip actively.

Causes and Risk Factors

Mallet finger can occur due to:

  • Direct Trauma: A common cause is forceful impact to the tip of the finger, often when catching a ball in sports.
  • Workplace Injuries: Manual labor and tasks involving machinery can lead to mallet finger.
  • Household Accidents: Simple tasks, such as stubbing the finger, can also result in this injury.

Diagnosing Mallet Finger

An orthopedic specialist will conduct a physical exam and may order an X-ray to determine if there is a bone fracture or avulsion (when a piece of bone pulls away with the tendon). An X-ray can help guide treatment based on the injury’s severity.

Treatment Options in Nebraska and Iowa

Treatment for mallet finger depends on whether the injury involves just the tendon or also the bone.

  1. Non-Surgical Treatments
    • Splinting: In most cases, a splint is used to keep the fingertip straight, allowing the tendon to heal over 6-8 weeks. It’s crucial to wear the splint continuously to ensure proper healing.
    • Hand Therapy: Physical therapy may be recommended to restore strength and flexibility to the finger once healing is underway.
  2. Surgical Options
    • Surgical Repair: In cases where the tendon is severely damaged or accompanied by a fracture, surgery may be necessary. This can involve pinning or repair to stabilize the joint and ensure proper alignment.

Recovery and Rehabilitation

Recovery from mallet finger can take several weeks to months, depending on the severity. Regular hand therapy exercises can help regain mobility and strength in the finger. In Nebraska and Iowa, local hand therapists are available to support rehabilitation and optimize recovery.

When to Seek Treatment in Nebraska and Iowa

If you experience a drooping fingertip following an impact or injury, it’s essential to seek medical advice. Early treatment can prevent further complications and improve your chances of full recovery.

Ready to Restore Your Quality of Life? Call (402) 390-4111
Ready to Restore Your Quality of Life? Call (402) 390-4111

As a double fellowship-trained orthopedic surgeon, Dr. Del Core is committed to providing personalized care for all types of conditions for the hand, shoulder, and elbow.