Doctor insights on:
Mallet Finger Surgery
Can mallet finger surgery affect other fingers? I had the surgery on middle finger and now my index finger is weak and hurts. Middle finger was determined to be 7% ppd. Thanks
Finger pain: You should go visit your hand surgeon in clinic so they can examine you. Mallet finger, or baseball finger, is a rupture of the extensor tendons that extend your distal interphalangeal joint. Age? Do you have osteoarthritis?The index finger and pinky have additional extensor muscles (extensor indicis and digiti minimi) that allow them to be moved independently of your other fingers. Go to clinic. ...Read more
Mallet finger is caused by a tear of the extensor tendon at the joint closer to the fingertip. It happens most commonly from a trauma which causes sudden flexion of the joint. The patient will notice that a 'droop' is present with the fingertip and is unable to extend at the joint. The good news is that most can be handled nonoperatively with splinting anywhere from 6-8 weeks. ...Read more
Pins, pins and wire: Surgical repair may be considered when mallet finger injuries also show signs of large fracture fragments or joint malalignment. In these cases, surgery is done to repair the fracture using pins, pins and wire, or even small screws. Surgery may also be considered if nonsurgical treatment fails. ...Read more
My Doctor told me I have Mallet Finger, it has been in a split for over 2 months now. it's still sensitive, how likely is it that I will need surgery?
Mallet finger: Is your doctor a hand surgeon? If not than I suggest you seek in person visit. The need for surgical intervention in "mallet fingers" depends upon the degree of injury. If after 6 to 8 weeks in splint there is still some degree of deviation than only surgery can correct.. ...Read more
I have a mallet finger that never got treated. Aesthetically, it doesn't look great, but there is no pain. Should I have it looked at?
Splint: Splint the distal interphalengeal joint in extension at 0 degrees. The splint needs to remain in place without any removal or flexion of the joint for 6 weeks. This treatment is successful in approximately 90% of cases. If not successful than next step is another trial of splinting, surgery is an option but usually less successful. ...Read moreSee 1 more doctor answer
Yes, but worthwhile?: Usually a patient has accommodated to a mallet finger after several years, and i would exercise great caution before any "fix." often after several years, the collateral ligaments and capsule are contracted, and a simple tendon repair will no longer be efficacious. The majority of these injuries are addressed by splinting acutely and surgery is a rare option. If it is not painful, "do not fix.". ...Read moreSee 1 more doctor answer
Usually a splint: There are only a few indications to operate on a mallet finger. Most mallet injuries are of the closed type and there is no bone injury(fracture). These injuries are treated with a splint. The treatment usually requires at least six to eight weeks of continuous splinting and the results are equal to operative "repair". Surgery maybe indicated for fractures or open injuries. ...Read moreSee 1 more doctor answer
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