What Is Mallet Finger?

Mallet finger occurs when the tendon that straightens the last joint of a finger is stretched or torn, often from a direct blow to the fingertip, such as being struck by a ball. The result is a fingertip that droops and can’t be actively straightened.

Symptoms

• A drooping fingertip that cannot be fully straightened
• Pain and swelling at the fingertip joint
• Bruising under the nail in some cases
• Inability to actively extend the last joint of the finger, even though passive straightening may be possible

Causes and Risk Factors

Mallet finger commonly occurs during sports, basketball, baseball, and volleyball in particular, when the fingertip is jammed by a ball. It can also result from a cut or laceration that directly damages the tendon.

Treatment Options

Splinting the fingertip in a straight position, typically for 6–8 weeks, for most soft-tissue injuries – Surgical repair when the injury involves a significant bone fragment or joint instability – Hand therapy to restore motion once splinting is complete

Why Choose Hand & Upper Extremity Center of New England

Getting an accurate diagnosis, including X-rays to rule out a bony mallet finger, is essential for choosing the right treatment path. Our team provides prompt evaluation and custom splinting to give your tendon the best chance to heal properly.

Notice a drooping fingertip after an injury?

Call (617) 773-2200 for a timely evaluation.