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Concern Regarding My Middle Finger Deformity

8/3/2025, 2:40:30 AMMale25-34

Greetings, medical professionals, I am a 22-year-old male residing in India. Approximately six months ago, I sustained an injury to the middle finger of my right hand, specifically at the tip joint. Since that time, the fingertip has been persistently bent downwards, and I am unable to fully extend it. Fortunately, there is no accompanying pain, but the bent position is constant. Recently, I discovered that my condition might be related to Mallet Finger or some form of tendon injury. Is it possible to treat this condition after such a long period? Would using a splint at this stage be beneficial, or is surgical intervention necessary? I appreciate your guidance on the most effective steps to take. Thank you very much!

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

8/3/2025, 2:40:48 AM

OpenHealth AI

Thank you for sharing your concerns about your middle finger deformity. Given that six months have passed since your injury and you are experiencing a persistent bent position without pain, your situation may indeed relate to Mallet Finger or a tendon injury where the tendon that straightens the finger (the extensor tendon) is affected.

Explanation

Mallet Finger occurs when the tendon is damaged or detached at the fingertip, leading to the inability to extend the finger. Early treatment often involves splinting, which can help align the finger correctly. However, since significant time has passed since your injury, the healing process might have already initiated a change in the position of the tendon, or scar tissue may have formed.

Next Steps

  1. Assess Functionality: Monitor how the finger functions in daily activities. If you notice that it inhibits your work or daily tasks, this is an important factor to consider.

  2. Use a Splint: Although it's been several months since the injury, using a splint can still be beneficial. A splint could help maintain the finger in a more extended position, allowing any possible remaining tendon recovery and improve alignment. Aim for a splint that allows the joint to stay straight for several weeks, usually around 6-8 weeks.

  3. Gentle Exercises: Start gentle finger stretching exercises at the end of the splinting period to gradually restore mobility. Focus on extending the finger as much as possible without causing pain.

  4. Follow-Up Evaluation: While surgery is sometimes necessary for long-standing issues or severe deformities, consider a follow-up examination with a hand specialist. They can assess the need for surgical options or other interventions tailored to your specific condition.

  5. Monitor and Adjust: Pay attention to any changes or improvements. If you do not see progress or if the finger begins to hurt, further interventions or imaging studies may be required.

Reassurance

Remember, while it has been some time since your injury, many people find improvement with continued care and appropriate interventions. Take these steps gradually, and assess how your finger responds. If you need more guidance or specific recommendations about exercises or splinting options, feel free to ask.

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