Patients may not present to the orthopedist with mallet finger for weeks or even months, perhaps having received no treatment or ineffective treatment. Bony injuries heal within weeks; thus, an old bony injury without functional deficit is best left untreated.
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A tendinous injury generally can be improved by extension splinting up to 6 months from the time of injury. The period of Finger Mallet Splint for such an old injury is extended because the area becomes less inflamed as time passes. Therefore, fibroplasia and wound contraction occur more slowly and less completely.
Mallet finger Specially design to correct the mallet finger deformity. Designed to support the dip joint in hyper- extension, while permitting unrestricted movement of the PIP joint.
- Sleek and convenient.
- Customizable dorsiflexion.
- Comfortable cushioning.
- One universal size.
Attempted open reduction and internal fixation (ORIF) of a mallet injury, either tendinous or bony, often results in a stiff, infected, or painful finger. In most instances, therefore, the surgeon should resist the urge to treat mallet finger surgically.[6] However, some indications for surgical reduction, such as volar subluxation of the distal phalanx, do exist.
Mallet injuries, whether bony or tendinous, should be addressed with closed treatment. This injured area is constrained tightly by adjacent unpadded skin dorsally, a tightly constrained hinge joint volarly, and the germinal matrix of the nail distally. Splinting of the distal interphalangeal (DIP) joint in full extension allows healing of the injured structure and restoration of excellent function and appearance.
A skin-tight plaster cast can effectively hold the distal interphalangeal joint extended and the proximal interphalangeal joint (PIP) flexed when a mallet deformity is accompanied by a hyperextensible PIP. Not immobilizing the PIP in partial flexion risks the development of a swan-neck deformity.
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Patient education and compliance are keys to good results. Once extension Frog Splints has been initiated, it should be maintained without even a momentary lapse for the prescribed treatment period. Tendinous injuries require 6-8 weeks of splinting, and bony injuries require 4-5 weeks.
Frog-Splint Provides perfect alignment of the inter-phalangeal joints by maintaining them in optimal functional position. Malleable arms fold to hold the finger in the finger in the desired position. No tapes required.
- Light weight
- Softened arms for good grip
- Comfortable cushioning
- Hypo allergenic
The time that is spent educating the patient regarding the necessity for nonstop protection in extension, as well as in techniques for maintaining joint extension (even when cleaning the finger and changing the splint), will be rewarded with favorable results.
The DIP joint should be immobilized in full extension so that the finger is straight. Sustained hyperextension of the joint, however, may cause ischemia in the skin over the dorsum of the joint and contribute to the development of pressure sores, which are occasionally observed as a result of tight splinting.
