Mallet finger is a droop of the finger tip caused by a disruption of the extensor tendon mechanism, either by a pure tendon rupture, or an avulsion fracture. This is most commonly caused by stubbing the finger, a direct blow, or a laceration.
Treatment consists of splinting the finger tip for 6-8 weeks, 24 hours per day, never allowing the finger to bend.
After splinting for 6-8 weeks, the therapist will test the finger to see if it is holding well enough to start moving it.
We then start a graduated process of weaning from the splint and increasing the amount of bend allowed over the next 4 weeks.
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