Mallet Finger: Symptoms, Causes & Treatment | OIBortho

Mallet Finger: Causes, Symptoms, and Treatment

Mallet finger is a common hand injury that affects the tip of the finger. It happens when the tendon that straightens the finger is damaged, causing the fingertip to droop and making it hard or impossible to fully straighten.

Mallet finger often occurs during sports but can also happen during everyday activities.

What Is Mallet Finger?

Mallet finger occurs when the extensor tendon at the end of the finger is torn or pulled away from the bone. In some cases, a small piece of bone may also break where the tendon attaches.

This injury usually affects the last joint of the finger and most often involves the index, middle, or ring finger.

What Causes Mallet Finger?

Mallet finger is usually caused by a sudden force to the fingertip.

Common causes include:

  • A ball striking the tip of the finger

  • Sports such as baseball, basketball, or volleyball

  • Jamming the finger

  • Falls or accidents

  • Catching the finger on clothing or objects

Symptoms of Mallet Finger

Symptoms are often noticeable right away.

Common symptoms include:

  • Drooping of the fingertip

  • Inability to straighten the finger

  • Pain or tenderness at the fingertip

  • Swelling or bruising

  • Redness around the joint

Without treatment, the finger may heal in a bent position.

How Is Mallet Finger Diagnosed?

An orthopaedic specialist can usually diagnose mallet finger with a physical exam. X-rays may be used to check for a fracture or confirm the severity of the injury.

Treatment Options for Mallet Finger

Most cases of mallet finger can be treated without surgery when addressed early.

Non-Surgical Treatment

  • Wearing a finger splint to keep the finger straight

  • Continuous splinting for several weeks

  • Avoiding activities that bend the finger

It is very important to keep the finger straight during healing, even briefly bending it can delay recovery.

Surgical Treatment

Surgery may be recommended if:

  • There is a large bone fracture

  • The joint is not aligned

  • Non-surgical treatment does not work

An orthopaedic specialist will determine the best treatment plan.

Recovery After Mallet Finger

Healing usually takes 6 to 8 weeks, though full recovery may take longer. Following splinting instructions closely is key to good results.

Most patients regain good finger function with proper care.

When Should You See an Orthopaedic Specialist?

You should seek orthopaedic care if:

  • You cannot straighten your fingertip

  • Pain or swelling continues

  • The injury affects hand function

  • Symptoms worsen or do not improve

Early treatment leads to better outcomes.

Expert Orthopaedic Hand Care at OIBortho

At OIBortho, our specialists treat hand injuries such as mallet finger with expert orthopaedic care. We focus on accurate diagnosis, personalized treatment plans, and proper healing to restore hand function.

If you suspect a mallet finger injury, contact OIBortho today to schedule an evaluation with our  orthopaedic team by calling 732-800-9000 or scheduling online for your convenience!

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