Splinting Best Treatment for Mallet Finger

There are several treatment options for mallet finger.Splinting is the most common initial treatment method for soft tissue or bony mallet finger. Regardless of the treatment option, common sequelae include a slight extensor lag and a prominent bump on the dorsum of the finger.Many splint configurations and surgical techniques have been described over the past several decades. However, the optimal treatment of each type of mallet finger injury remains controversial. 

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An excellent outcome is no pain with full range of motion at the DIP joint, less than 10-degree extension deficit is a good outcome, 10–25 degrees of extension deficit with no pain is a fair outcome, and more than 25 degrees of extension deficit or persistent pain is considered a poor outcome. A Mallet Finger treatment outcome assessment classification was proposed by Crawford. It is the most commonly used classification for outcome assessment after mallet finger.

Makhlouf and Deek have considered surgery when splinting cannot correct acute deformities; however, we will review the present literature for acute open and chronic deformities. Most surgeons believe closed/non-operative treatment using splints produces satisfactory results for tendon avulsions without fracture and minimally displaced or small fractures.

Mallet Finger

The authors feel non-operative management of mallet finger is indicated in cases of all soft tissue mallets and bony mallets which are well reduced in a splint without DIP joint subluxation. Immobilization of both the PIP and DIP joints was previously thought to be necessary to relax the extensor hood and intrinsic musculature during terminal extensor tendon healing. 

Whether PIP joint motion would cause a tendon gap at the immobilized DIP joint. They demonstrated that gapping of a disrupted terminal extensor tendon occurred as a result of excursion of the distal tendon stump during DIP joint flexion, not because of retraction of the proximal portion of the tendon with simulated PIP joint extension. They concluded that only the DIP joint need be immobilized in extension to allow healing of the mallet injury. Most authors currently advocate immobilization of the DIP joint alone 

Splinting

There are many variations in the design of splints, but the principle is the same. All Frog Splint Mallet Finger are designed to maintain full extension or slight hyper extension at the DIP joint. Commonly used splints are plastic stack splints, thermoplastic, and aluminum form splints. The authors recommend full time splinting for 6 weeks, followed by 2–6 weeks of splinting at night. The splint should be used continuously and the DIP joint should be maintained in full extension even during skin hygiene care.

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Patients should be instructed on how to change the splint for periodic cleaning and examination of the skin without allowing the DIP joint to flex. Neglecting a mallet injury or incorrect treatment can lead to DIP joint dysfunction. 1 mm lengthening of the terminal extensor tendon results in 25 degrees of extension lag, and a shortening of 1 mm will seriously restrict DIP joint flexion.

There are several studies comparing mallet finger splints. Perforated splints are better tolerated than solid stack splints. Aluminum-alloy malleable splints are associated with more skin complications as compared with the stack splint, but final outcomes are similar. Warren compared the use of the Abouna splint (rubber coated wire splint) versus the stack splint in a randomized study involving 116 patients.

The Abouna splint had skin complications and poorer patient satisfaction but similar final outcomes as compared with the stack splint. Pike et al. compared the clinical and radiographic extensor lag measurements for mallet fingers treated with volar, dorsal, and custom thermoplastic splinting. There was no extensor lag difference between splints at 12-week follow-up and increased extensor lag was noted with all three splints after discontinuation at 6 weeks of time.

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Tynor Mallet Finger Splint Best for Mallet Finger Fractures

Mallet finger is a common injury that usually occurs as a result of an athletic injury. The condition occurs when the outermost joint of the finger is injured. Mallet finger is the most common closed tendon injury. Mallet finger is also known as baseball finger, drop finger, or hammer finger.

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With mallet finger, the tendon on the back of the finger is separated from the muscles it connects. There are three types of injuries that usually occu

r: the tendon is damaged, but no fractures (bone cracks or breaks) are present; the tendon ruptures with a small fracture caused by the force of the injury; or the tendon ruptures with a large fracture.

malletfinger.

Mallet finger can be quite painful. However, people who suffer from the condition are usually still able to use their hand. The symptoms of mallet finger usually include pain, tenderness, and swelling at the outermost joint immediately after the injury, swelling and redness soon after the injury, and an inability to completely extend the finger while still being able to move it with help.

Treatment for mallet finger may include ice packs, elevation, pain medication, Best Mallet Finger Splint to hold the finger straight until it heals (about 6 weeks full time, then part time for up to 6 weeks more), finger exercises after the splint is removed, surgical repair of fractured bone using pins, pins and wire, or screws, surgery to tighten stretched tendon tissue or fuse the joint straight, or treatment for cuts or damage to skin or nail.

A sprain is an injury to a ligament. Ligaments are the connective tissues that connect bones to bones across a joint. These types of injuries are common in sports and falls. The Thumb Spica is jammed into another player, the ground, or the ball. The thumb may be bent in an extreme position, causing a sprain. The thumb will usually swell and may show bruising. It is usually very painful to move.

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Mallet Finger Splint Supports the Dip Joint in Hyper Extension

A splint is a device that supports and protects body parts that have been injured, such as a broken bone or muscle sprain. A splint may also be worn after surgery. A splint is used to decrease pain and stop or limit movement so you can heal. Unlike casts, caregivers can easily adjust a splint if you have swelling or pain after an injury. A splint is sometimes called a half-cast because it does not wrap around an entire body area like a cast does. 

A Mallet splint is designed in such a way that it supports the dip joint in hyper extension, while the movement of the PIP joint does not get restricted. Finger Splint is required when the tendon in outermost joint of a finger is ripped. We can also say when the tip of the finger gets injured due to sports injury, or jammed your finger in the door. 

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Mallet Finger Splint Features:

Coated aluminum body

• Malleable can be bent and customized.
• Strong, provides rigid immobilization.
• Light weight.

Ergonomic design

• Highly practical design to maintain the requisite hyper extension of DIP joint.
• Well ventilated and comfortable.
• Sleek and simple –Better compliance.
• Easy application and removal.

Ethafoam lining

• High cushioning.
• Enhanced comfort.
• Easy to clean and maintain.

Inbuilt Hook loop fasteners

• Close fitting and excellent grip
• Easy application and removal.  

Frog Splint is specifically designed to support a sprained finger and immobilizes it. It aligns the inter phalangeal joints by maintaining them in functional position. Frog Splint is quite resilient and can be shaped easily in the desired position for extra firm support. Its arms can be moulded conveniently to grip the finger tightly.It is very difficult and irritating to keep your finger straight and unaffected by any physical contact when the injury is on a single finger.

Frog Splint Features:

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Coated aluminum body

• Extra malleable arms, can be shaped for good grip.
• Strong, provides rigid immobilization.
• Aesthetically pleasing.
• Light weight.

Anatomic design

• Immobilizes both interphalangeal joints in neutral functional position.
• Ensures easy wearing during injury.
• Well ventilated and comfortable.
• Does not restrict the movement of other fingers.
• Sleek, simple and light in weight.

Ethafoam lining

• High cushioning.
• Enhanced comfort.
• Easy to clean and maintain.
• Hypoallergenic, odorless. 

The splint that we make at Medical ensures that the patient suffers no discomfort of any kind while wearing it. It is coated with an aluminum body which can be bent and is customized. It is designed in the most practical way to immobilize only the hyper extension of DIP joint. The inbuilt hook loop fasteners help to easily wear and remove it while giving it an excellent grip. 

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