Mallet Finger Treatment
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- čas přidán 25. 08. 2024
- Mallet Finger is a condition often seen after sports related trauma that causes the finger tip to droop, sometimes confused as a dislocation. This tendon injury can be difficult to treat and if treated poorly can lead to complications such as a swan neck deformity.
Action Rehab provide assessment and rehabilitation for patients who sustain this injury or are living with an untreated Mallet Finger condition.
We are a team of Occupational Therapists and Physiotherapists who are experts in the rehabilitation of the upper limb (hand, wrist, elbow and shoulder).
actionrehab.com...
FINALLY. No one ever talks about the Tendon-related mallet finger but this video explains it very well - with the correct procedure in handling it.
Thanks so much Sam, really appreciate your comments.
What are the cases in which a splint will not work? When I read about splinting it's commonly said that splinting may not work, and surgery may be required, but no explanations as to why.
Hi Sam, there is no case where a trial of a splint is not worthwhile. In some cases the splint may not work, it depends how long you have have had the problem and is it swan necking? There is no timeline where a splint won't work but sometimes it just doesn't. Often surgery is NOT the answer as surgery often doesn't work and you really need to go back to the splint.
@@actionrehabhandtherapy8459 so are you saying you can splint a mallet finger after it has healed for more than 14 weeks? My is healed but I have a 10 degree lag and I'm very unhappy . I don't have a splint that is for anti swan neck though If I can go back to a splint. The more I use my finger the more lag (swan neck) I have without my finger be able to snap back. I wore a stack splint for 10 weeks religiously.
you probably dont give a damn but does any of you know of a way to get back into an instagram account..?
I somehow lost the password. I would appreciate any tricks you can offer me
I just had surgery, and it was the most painful thing I've gone through. It was a just a tendon mallet. Instead of a nerve block they tied me down and kept sticking me with freezing needles with no pause until the surgeon goes "ok, now this is the worst part" and stuck me in the tip of my finger. Then he paused to make sure I was froze before he started cutting me. OMG!!! He also had my finger in an over extended position in the splint that I wore for almost 3 months before he decided to operate.
He said my finger was trying to heal when I complained about the pain that the splint was causing. He barely looked at it before dismissing me.
I went to my family doctor, but it took a bit to get in (my 40+ year family doctor retired but had another doctor take over her practice, and it took a while for the transfer). She said I had a pressure sore starting, and the knuckle itself was inflamed. She said stop wearing that splint because you obviously have a defect that he's going to surgically repair. She put me on an antibiotic for the pressure sore and Voltaren for the inflammation because I can't take NSAIDS. It hadn't broken my skin but was red, swollen, painful, and had some small blisters on it.
I ended up with a QUACK!!! I have a month of healing to do niw and then the pin gets removed. I'm just hoping it heals, and it doesn't hurt when he takes the pin out.....
After watching this ,I have hope!
This is the best video on CZcams rn.
Thank you.
@@actionrehabhandtherapy8459 thank you. Helped me heal my two fingers.
I am a surgeon in Dallas, Texas. I injured my DIP in a minor traumatic injury. I have a non- fractured tendon disruption. My hand surgeon put me in a modified Stax splint for 10 weeks. I still have a 30 degree flexion deformity and now my PIP is stiff an swollen. I am going to try the anti-swan splint for six weeks. I am hoping to avoid surgery. This is so disappointing. I really appreciate your insight and expertise.
Marlon Padilla, M.D.
Thanks Marlon, good luck
Hi Marlon! Did your finger heal properly? Where did you get your anti swan neck splint?
So I’ve got the tendon mallet finger. Happened on 19/3/23. It’s now 5/6/23. The doctor misdiagnosed it. She thought it was ‘trigger finger’. I wasn’t happy with this diagnosis because the doctor didn’t even see me! Waste of space! I went to see my physio on 21/3/23 and she told me it was mallet finger. I was put into a splint on 22/3/23 for 8 weeks by the hand unit/physio. Been seen by the hand unit at the hospital. Not been much help to be honest. No exercises offered. 10 weeks have gone by and the finger is still the same as it was 10 weeks ago-still drooping! What now? It’s been a complete and utter waste of time! Do they really know what they are doing any more?
Your video has been very helpful. I hope you continue to put out content.
This is a very helpful video! I will show it to my doctor and hand therapists. Thanks a lot for sharing and caring!
Very well explained. I wish you are in UK.
Many thanks!
What cast tape is he using?
What can someone do for an old improper healed mallet tip. Had a partial rupture on the right ring finger extender tendon(?) At the tip. It's been 2 years plus since the injury. Had a stack splint ... only for about three weeks and was told to get back to work at A very well known internet shopping company that's named after a rain forest.
Where can I buy those tools and equipment ? And what are their names?
Ty very much!
Wish I was near you bro, to get this good treatment
Very helpful thank you
Where could I get a brace for the swan neck deformity or how was the one in the video done I can’t find the materials?
and THANK YOU for posting this!!
Hello... Where are you from which city?..
Thanks for making the video. Got a mallet finger tendon 10 days ago. Was looking for more information
Great video, well done.
What was the flexible tape you used to make both splints? It was grey with breath holes.
THANK YOU!
You're welcome!
How to buy
I have a slight concern though. I have had this injury for at least a year now and havent saw a doctor. Is it possible to fix it after such a long time?
how much time splint is helpful after injury.
I cut my finger and the doctor stitch it up.. on the day itself i did asked why i can't lift up my finger? But she said due to swollen and wound. Had the sutures open 2 days ago, but my finger still look the same.. i'm so devastated, on my 8 days today 25/8/24.. can i still use the split method u suggest? What is the name of the tape, i want to buy in a pharmacy here
what is that splint tape called, and where do we get it? Thanks
What kind of tape was that and where can I get it
Please answer
*Thanks a lot guys , the info is much appreciated, a tutorial video of how to splint using the Roylan material and method would be fantastic, I saw online years ago that you can also use that method using Zinc oxide tape and it works well as I just did it =).*
Can you tell me what that Material is what you use for the splint please
I have a mallet finger since 1 month a go but I cant have surgery cause Im moving out the country would a plastic splint make it heal even if it was 1 month ago since its bent?
What is the cast thing he used
I got this after a finger fracture
Hi, thanks for the video, I have a finger that is hurting me at the moment and was wondering if there is anyway I could contact you with pictures or maybe a call to explain what is up with my finger? I live in the uk and I would go to see the doctor but in these times I would rather not put stress on the NHS. Please reply, thank you :)
for the tendon type injury how for how long do you recommend to keep both joints fixed? a lot of people say it s important to move the pip joint while keeping just the dip fixed. does it make sense to keep both fixed for a couple of weeks then change to only keeping the dip fixed? thanks!
@Trefor Gordon so this happened a while ago. I only had the top (dip) joint fixed with my splint. Turned out ok. Good as new
My finger is not getting straight2 months ago. Mallet finger spilit is wearing in how many weeks to heal. Any suggestions.
This just scared the hibbie jibbies out of me...I pulled a friend off of a nother friend during a fight yesterday and ended up jamming my finger and tearing the tendon...the er put me in one of those blue and silver metal splints and wrapped it loosely...I can't get to the doc atm because I can't drive a half an hour away like this so is there anything I can do at home for it?
My little finger is also broken in about 2years back can I use this
You seem very knowledgeable and i would really like your medical opinion Thank You!:)
Thanks
Welcome
I got a boney mallet fracture, with an open wound, on my left middle finger, 11 weeks ago, and my bone placement slipped, during the second week of healing. My surgeon is talking about bone fusion. They had me in a full splint for 8 weeks, and it was wrong, so my tendon is locked up. It was extra extended too long, and I have a ton of nerve damage. I’m in the hand therapy/healing process right now, so I am here trying to learn. It’s pretty brutal.
how’d this happen 😮
All's I can do is to pray for you. Freezes me out as I'm getting older that things accure and I have no clue on what to do.😮
I went to the hospital in Sydney's west and they thought I was a physiotherapist when I explained how you treated tendon related mallet finger. What is the thermoplastic stuff used to create the splint as the hospital didn't have it and so couldn't make one. I'd like to make one myself as all the hospital wanted to do was put it in a stax splint.
Then why are there tons of videos for wearing the WRONG splints!!!!!!????
What if i splint it 2 weeks later? I dont have the swan neck. Just the tip of the pinky
i was wonder why i have the standard mallet sprint for 6 months and still not work, I will try the swan next. Thanks
I had the bony mallet finger fracture I just want to start off and say thank the gods that you have this video on CZcams. I am wearing a stack splint and go back on Friday for a 4 week diagnosis. Thanks again to all the good information. Will I have to have surgery since it’s a fracture? It’s exactly as the video depicts it.
Thank you
What is wrapped around the finger please tell me I need it
Is it possible for it to heal even after several years of having swan neck? The tip of my ring finger is very crooked, probably close to 60 degrees.
What if you have already had “the swan neck” stuck like that for 2 years already???
Its been 2 months using the splint and my pinky finger looks and hurts exactly the same as day 1...Now I understand why. Thank you very much!!!
What are you doing now ??
what are you doing now ??
@@tarekbenchama9114 wish I could help you, but I tried to immobilized it like the guy said on the vd and it didn't work. So I basically gave up and accepted my deformed pinky finger...
Thanks for the video. Unfortunately, looks like I'm one of many who fell victim to improper treatment of a tendinous mallet finger injury. can't bend my middle joint after 7 weeks of being in the wrong splint. FML.
Freaked out when I felt pain and looked at my my finger and saw the last joint bent. Checked online and taped it for the evening. Wanting ways to make a splint.
What is the product you use to make your splint in this video?
Hi,
A few weeks ago I injured my left ring finger playing Softball and went to the ER and it ended up being a closed fracture mallet finger(bony mallet ) They gave me a small splint just for the finger tip to keep it strait but They ignored the Swan neck appearance I noticed. I am not able to go back to the hospital because I am in between Medical insurance. Where can I get some of that material you were cutting to make an identical splint you were making in your video? I like how it forms it's shape. I have smaller hand for a guy and over the counter splints only come in large.
Thank you,
Hi Bryan, looks like you are in the US, I'm sorry I don't know where you would find it but it's Aquaplast and it's 1.6mm thick.
Hi
How is ur finger now
I have been splinted by an orthopedic surgeon for 8 weeks now. I voiced my concern about the swan neck from the beginning and even showed him your picture of how it should have been splinted. Now my PIP joint is still hyperextended and he said that's just how it would be. I'm so upset. I live in Dallas, TX and have no idea how to turn to now. Any suggestions?
How have you ended up? Any improvement?
Did you ever fix your finger?
@@Coolangel214
Yes. I created a proper splint myself and my finger has finally healed nicely. It was a long journey but all good now.
@@kdalton7730 that's good to hear. How long did it take for you to heal? Kinda weird I'm in your area as well lol. I was ganna ask you what type of splinter did you use or have. Thanks again for your help. I'm using right now the equate Walmart one for my pinky.
@@kdalton7730 It's so damn terrible when we can't even trust lifelong doctors to be competent and pay attention to us, and instead ar forced to take care of things ourselves.
I should need add some picture of my fingers ...i coudn't flex ny finger what can i do for that
Thank you very much for your video. For bony mallets: What do you mean by over extension?
Don't push them back into extension too far because you can dislocate the joint.
It's 3 months and I've seen no improvement, it looks worse and hurts more than initially. I have had the classic splint... is it too late?
What do you call that splint?
Hi - I have a tendonous injury but no swan necking, you’ve not really covered how to treat that?
Any problems with PIP joint contractures after 6 weeks of splint wear?
Generally no.
Hi my middle finger shakes severely when I bend it any solution pls
Seeing this video I have expected a lot of hope....thanks brother. How can I contact u?
Hello Action Rehab, the extensor tendon of my ring finger got completely ruptured based on ultrasound picture. Can this also be fixed by splint? Does the splint only work for those mallet finger with streched tendon or bony injury? How much should it be over extended?
is this surgery alfo for people with a deformity? i have a middle finger that does not straight out at all
I have a tendinous mallet finger but no swan necking, I was given a stax splint. What should I do?
Hi where we get the thermal plastic splint from ? Happy to buy from you , can’t find it anywhere and we in the uk !!! Please help thank you
This is the best video I've seen about explaining the different between bony and tendonous mallet.
I got the injury on my right ring finger. It is a tendonous mallet. My therapist put me in an anti swan neck position, which is good. Just a question tho. Am I allowed to move my pip joint passively to avoid it getting stiff while the dip still being splinted?
Hi I also got the mallet bony finger on my ring finger last week… I would like to get updated on your situation
Had a tendinous mallet finger accident. I'm a classical pianist, drummer , audio engineer by profession and I'm praying this anti swan neck works. ER and GP Dr.s don't know about it so I made one. Going to see a hand therapist soon.
How did it go with the hand therapist?
How did your treatment go? Have you totally recovered with this splint ?
Please if u can talk about jersey finger treatment. This would be a big help for me!
Hi Dan, do you have a recommended hand therapist who can splint me in Sydney?
May i send pic of my dislocated middle finger???? How to treat?
Sandrine boujours matin
Hi, just came across this video, very helpful, thank you. Do you think splinting in the suggested position over the 2 joints in "boutonniere" position would still work 4 months post-injury? Patient has swan neck deformity passively correctable (PIP PROM flexion still full with little pulling sensation and DIP passively extendable to neutral). Thank you so much in advance for your reply.
Is it bad that i can bend my distal phalanges the top one but it doesn't hurt
The most annoying injury I’ve ever had in my life. Had a splint on for 4 weeks, took it off to see if it had healed; tendon broke again. Had to put the splint back on for like 9 weeks just to be safe, finally healed.
😭😭
@@ichigokurosaki3743 I had to shower with a rubber glove on for over 3 months 🤣
@@AA-fn9xzbro I got my splint on 18 jan does it heal in 4 weeks completely?
@@ichigokurosaki3743 I’m not sure about your specific case, but I took mine off after 4 weeks and it just broke again. I’d play it safe with 5 or 6 weeks or maybe go for an X-ray if you live in a country with free healthcare. If you’re in USA it might not be worth the $$$ hahahaha
@@AA-fn9xz so minimum 4 weeks maximum 6 weeks
1:59 what's this grey material called?
yeah dude this sucks, I did the Middle finger on my dominant hand with a fricking knife, cut the "band" (or what it is called in English) right off so they had to cut me up and sew it back togheter, week nine now, its hella stiff but i am starting to regain mobility.
When I saw my skin colored splint on there and then the words…these suck… I sighed out loud. It’s been five weeks and nothing. I’m going to swan neck this sucker myself. Where do I get that molded splint? I’m starting the search now! Thanks.
Sir 10 or 11 months ago I felt the cricket ball toched in my index fingers and my finger turned into a mallet finger, so how can i fix it . sir please answer me.
These are nothing compared to mine
Hi. As Bryan Camp asked. Where can we find that material please?
Got a mallet finger. Tendonus mallet and my doctor has no ides what he is doing?
Please help!
Thank you
Contact Patterson Medical Australia, it's called Aquaplast and it is 1.6mm thick.
hi, I have had a mallet finger for about 6,7 years and I never seen doctor for it. In this case aquaplast or splint is working? I would be grateful if you answer my question, thanks.
I think its too late
What can o do now i had 2 Monts mi finger in a bad position can i do someting 2 Monts later in my hospital no one say me that
Good
Thanks
Mine is 10 years ago, my little finger still bends a bit
Thank you so much for the illustrations. Even my ortho specialist didnt explain this.And 4 weeks into a mallet and stack splint,I think I have swan neck deformity.
can i bend the PIP ??? i had mallet finger while playing basketball (small finger,only tendon)
I have very old childhood mallet finger and now m 24 can it be treated?
sorry no
@@actionrehabhandtherapy8459 surgery or with dip joint replacment somehow? I just want it to be straighten
How do I know if I need surgery or just a splint
@myth05 generally you never need surgery, a good treatment program will fix most mallet without surgery.
I have had my little finger in a splint for 8 weeks for Mallett Finger on removing the splint the joint nearest to my hand will not bend and is swollen and has some discoloration. Its not painfull byt feels a bit sore. is the discoloration bruising ? I have been for x-ray fro a second time and waitin for the results . its more annoying and wary of catching it. I was told to put the splint back n a t night to avoid catching it the bed sheets. I found that if I place a loose but secure dressing and hold it against the good finger seems better. Ive heard this type of injury can take months.
I have a inborn mallet fingers all of my fingers. Can it still be cured?
My finger turn left or right how I strait this
What's the name of that stuff you use to form the splint?
I need some, as my mallet finger is 6 weeks into using a stack splint and it's still swollen, red, it burns, and I don't think I;m in the right splint.
There were no broken bones with my injury.
Its called Aquaplast 1.6mm
May i know what splinting material did you use?
1.6mm aquaplast from Performance Health
One day I just noticed my middle finger was bent. It don’t hurt. I’m a housewife so no telling what caused it.
I have this in my pinky, I found it about 3 months before,but today I consulted the doctor he said nothing can be done? Im a software engineer it is difficult to type with my finger,is there any cure or any aid or material that can help me to just keep it straight while im typing? Please help me
Do you feel pain in it when you lift something ?
@@azfootball921 No ,I have no pain while lifting.
@@eliotanderson5201 ah good
Yes there is but you need a hand therapist.
Ok so 14th Dec 2018 I caught a cricket ball wrong. The tendon in my right thumb snapped off I believe it's the extensor pollicis longus, the bone was still fine though. It's been in a mallet splint since which is almost 4 months now. I went to the orthopaedic today and he said I should just place left index finger against the joint between the proximal and distal phalanx and start flexing my thumb everyday like that. The movement is very restrictive, I'd say I only have about 15% flexion. I wonder is this the best and only rehabilitation exercise for my thumb?
I have a mallet splint
For clarification, can a finger with swan-neck be corrected? More splinting? Exercises? I just finished 8 weeks in the wrong splint! Now it is Swan-Necking. Great info though. Thanks.
Yes it can still possibly be corrected if it has only been 8 weeks, just needs the right splint.
Action Rehab I can't find a doctor in Dallas, TX who will splint my finger for swan neck from mallet finger. Just removed the splint after 8 weeks and swan neck and lag. Do you happen to know anyone here who might help me. I am so unhappy with my result.
I injured myself on the job, and 2 months the doc told me NOT to remove the splint at all. It took 2 an a half months to get therapy, original injury was caused by over exertion of grip trying to close a vice grip on something. I felt a pop in my little finger, upom checking it became painful with an immediate droop in the tip.
5 months pass, and what happened was joint stiffness(due to docs orders of not removing splint), I can't make a full closed fist with my hand, and I can't make a claw position. Its been 6 months, i work in a new job, I can use for the most part, my hand, but I still cant do those positions. I cant play the guitar like I used to either.
When I try to move my finger in such position with my free hand, theres tightness felt on the joint closest to the tip of small finger, with tightness traveling down to the 2nd joint. Will this ever get better? If I went back to work, did I pretty much throw away any claim of compensation I had? I did get workers comp while off, but eventually discharged with the doc saying "functionality is all there, so you're clear to go. Eventually with time you'll regain mobility."
It bothers the shit out of me. I fear if I try to hard at something, even if I do a pull up...it will rupture that tendon again (which is what they said happened.)
So can you move it now?
Action Rehab Hand Therapy I can move it but cant make a full grip. The range of motion is crap. If I try to grab loose change with that hand it slips right through it. Really frustrating...and this is over 8 months later.
Hi dear