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Mallet Finger

WHAT YOU SHOULD KNOW

A mallet finger (also called a jammed finger) occurs when the tendon in the finger is stretched or torn, or the bone attached to the tendon is broken off. (Tendons are the tissues that connect muscle to bone.) It may take from 4 to 8 weeks for the injury to heal.

Causes

Jamming the end of the finger against an object or hitting it on something is the usual cause. The injury often results when a ball hits the end of a straight finger.

Signs/Symptoms

Swelling, pain, and redness of the injured area are typical signs. You will also have difficulty moving the finger. The fingertip often will droop.

Care

You may need to have your finger x-rayed; and you will probably need to wear a splint to prevent the finger from moving while it heals. Surgery is sometimes necessary.

WHAT YOU SHOULD DO

  • Apply ice to the injury for 15 to 20 minutes each hour for the first 1 to 2 days. Put the ice in a plastic bag and place a towel between the bag of ice and your skin.
  • After the first 1 to 2 days, you may put heat on the injury to help ease the pain. Use a heating pad (set on low), a whirlpool bath, or warm, moist towels for 15 to 20 minutes every hour for 48 hours.
  • For the first 48 hours, keep your arm lifted above the level of your heart whenever possible to reduce pain and swelling.
  • If you are given a finger splint, continue to wear it until your doctor says you no longer need it.
    • You may remove the splint each day to wash your finger.
    • When your splint is off, do not try to bend the tip of your finger.
    • Put the splint back on as soon as possible. If your finger is numb or tingling, the splint is probably too tight. You can loosen it for comfort.
  • Several times a day, move the part of the finger not covered by the splint.
  • Over-the-counter medications may be used for pain.
  • If you have been given a tetanus shot, your arm may get swollen, red, and warm to the touch at the site of the shot. This is a normal reaction to the medicine.

Call Your Doctor If...

  • The pain or swelling is getting worse.
  • The finger becomes more swollen and turns very red.
  • The finger feels numb, tingly, or cold, or turns white or blue.
  • You lose your splint.

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