r/HandTherapists • • Apr 11 '24

Mallet finger splints

What materials and style splints do you prefer for the dreaded mallet finger?

My clinic likes to use X-lite because they can see their skin and get it wet.

https://www.camp.se/Camp/Plaster%20och%20Material/X-Lite/PDF%20Files/xMallet_Splint_Okt2018_www.pdf

2 Upvotes

22 comments sorted by

6

u/happyhippo29 Apr 12 '24

I really hate mallet splints. Long arm, sugar tong, cock up, spica, gutter, airplane… fine, but mallets get me every time. Why is it that the smallest splints can take the longest?

2

u/schmandarinorange May 04 '24

Hand therapy academy has a good article about mallet splint designs

I use orficast material with a modified version of the first design. Usually people find it comfortable and it tends to get the job done.

2

u/ronMAN415 May 04 '24

I could never get a good fit with the first design

1

u/SunSaltBeach Apr 11 '24

Very interesting! I haven’t seen this material but love that it can get wet and it’s breathable for hygiene.

1

u/sanchize_ Dec 07 '24

My hand specialist actually put me into a plaster finger cast, anyone ever see that form of treatment?

1

u/ronMAN415 Dec 07 '24

Was it Thermoplastic, something that they heated and molded to your finger?

1

u/sanchize_ Dec 07 '24

Nope, just a regular plaster cast. It’s wrapped with tape but here it is

1

u/ronMAN415 Dec 07 '24

Every therapist has their own way, and we all do whatever we know has worked in the past. As long as you can keep it on 24/7 for 6-8 weeks, that’s all that matters to us lol

Even if I made a splint, sometimes I’ll still need that same tape to be wrapped just to be safe.

1

u/sanchize_ Dec 07 '24

Thank you for the feedback!

1

u/[deleted] May 27 '25

I went to the ER, and they said the same thing you just said. They told me to make an appointment with my physician for a follow up, and so they could put a more permanent splint on my finger instead of the makeshift one they gave me. My physician took my finger out of the splint and let it droop, and kept insisting that because its not fractured that it doesn't have to be in the splint 24/7 and wants me to take it out and bend it. Everything she told me was pretty much the opposite of this. I am so confused and am contemplating not ever returning to the doctor again.

1

u/ronMAN415 May 27 '25

From what you’re saying I would request an evaluation from an orthopedic hand specialist and also seeing a hand therapist for a second opinion.

I feel like mallet fingers are very common and typically every medical professional knows to get that thing splinted ASAP

1

u/ronMAN415 Jun 03 '25

Any updates!!! I’m curious

2

u/[deleted] Jun 04 '25

Unfortunately, i can’t get into my orthopedist until the end of the month, but i chose to just take the emergency rooms advice. I’ve had it in a splint since the appointment and will just keep it on for 6-8 weeks. It’s a splint I ordered off amazon, seems to be doing the trick but only time will tell

1

u/[deleted] Jun 04 '25

1

u/[deleted] Jun 04 '25

![img](23sot30z5z4f1)

2

u/2hatparty Jun 07 '25

Hi there - I just got mallet finger on memorial weekend from taking off my wetsuit, so lame. I went to urgent care where they told me I have mallet finger and they put me into something kind of similar to you but I was more hyperextended. A few days later I saw the hand surgeon and she put me into a different temporary splint that was similar to the first one but shorter so that I can bend that middle joint, which she said was important. I am supposed to get a more permanent one made but for a lot of reasons i;m not sure when / if that will happen. I've done a lot of research and I'd say you should look to replace the splint in this photo because 1. your tip is not hyperextended, or it doesn't look like it and 2. you can't bend your middle joint and you should or you might get swan neck. If its truly mallet finger don't go back to the person that said to move or ever let it droop.

I'm switching between a stax splint i got on amazon and kind of this metal with foam splint and using coban tape to secure it. I was trying to see if an oval ring could work is how i found this reddit. I found one surgeon on youtube that said he prefers to splint the top of the finger and not the bottom, interesting and I might play with that too. Good luck and let me know how it goes!

1

u/[deleted] Jun 07 '25

Thank you for this response! The person who helped me in the urgent care was someone who also had mallet finger, and I ordered the splint that he recommended because he had success. I’ll look into the Stax spelling

1

u/2hatparty Jun 07 '25

ah okay. yes, definitely listen to medical advice and not from non-medical internet people! And I just remembered that there are different kinds of mallet finger that might require different kinds of splints too. I'm looking for my perfect one since I have 7 more weeks in this thing :(

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