Mallet Finger Splinting

Mallet Finger Splint

A mallet finger occurs from the rupture of the extensor mechanism to the end joint (DIP) of the finger. You will not be able to extend the tip of you finger. The splint can be placed on the dorsal (top) or the volar/palmar (bottom) aspect of the finger it is usually your preference.

 

 

General Instructions

•  The end joint (DIP) must be maintained in extension 24 hrs a day for 8 weeks 
•  The splint must be worn at all times. The splint should be worn while washing hands, showering or bathing and the tape
    changed and the skin dried afterward. 
•  The end joint must never bend (flex). 
•  Even if the splint is removed the end joint must be held in maximum correction as shown. 
•  Keep extra tape and splints with you at all times in case it gets wet or dirty. 
•  Use only enough tape to keep the end joint in maximum comfortable extension and to prevent the splint from sling. 
•  If your hands sweat excessively; it will be necessary to change the tape more frequently. The skin should be dried thoroughly
    at the time of each change.
 

 

 

 

Dorsal Splint

Applying Splint

1.  Have the tape ready, at least 2 pieces that will go around the finger and one longer piece.

2.  Aluminum splint covered with moleskin can be used.

3.  Tape the splint as shown while keeping the end joint completely straight

4.  Apply another piece of tape around the end of the finger

5.  The tape should not block motion at the PIP (middle) joint. Full PIP flexion should be possible 

 

 

 

 

 

 

 

 

 

 

 

Volar Splint

Splint position
The bend in the splint must be at the end joint (arrow) (A).
Allow only enough distance (B) so that the middle joint can flex (bend) fully.
If the splint slides distally (towards the tip) (C) it must be repositioned and retaped.
 

 

 

 

 

 

 

* Splint in wrong position

This splint has slipped distally and is allowing the end joint to flex (bend) and is of no value.