What is included in treatment of mallet finger during the maintenance phase?

Updated: Jan 18, 2018
  • Author: Jay E Bowen, DO; Chief Editor: Craig C Young, MD  more...
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Answer

Full activity is allowed during the 8-week interval of continuous splinting for a mallet finger. However, additional finger protection and supervision by an athletic trainer or physician is required during contact sports. The splint may be removed during the day after 8 weeks. Tendon stability is maximized if the splint is used at night and during athletic activity for another 8 weeks.

Patients with an undiagnosed or neglected mallet finger may undergo a trial of prolonged splinting for up to 3 months; however, the prognosis is best when a splint is applied within 2 weeks of the injury. Surgical fusion of the DIP joint can provide stability if splinting fails in these cases.


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