Finger Splint
Other Names
- Dorsal Distal Phalanx Splint
- Dorsal Extension Block Splint
- Aluminum U-shaped Finger Splint
- Mallet Finger Splint
- Padded Dorsal Splint
- Unpadded Volar Splint
- Prefabricated Mallet Finger Splint
Background
- This page covers finger splints
- They are generally prefabricated and can be molded to treat specific pathology
Indications
General
- Phalanx Fractures of the Hand
- Immobilization of metacarpophalangeal or interphalangeal joints
- Some Metacarpal Fractures
- Thumb strain
- Mallet Finger
- Jersey Finger
- Extensor Tendon Injuries Hand
Dorsal Extension Block Splint
- Middle Phlanx Avulsion Fractures
- Stable PIP Joint Dislocations
- Metacarpophalangeal Joint Dislocation
Aluminum U-shaped Splint
Mallet Finger Splint
Contraindications
- Displaced or unstable fractures
- Some tendon injuries
- Open fractures
Dorsal Extension Block Splint
Indications
Technique
- Middle Phalanx Avulsion fracture: Splint is applied with PIP joint at 45° of flexion
- Secure at the proximal digit, allowing flexion of the PIP joint
- Obtain weekly radiographs for 4 weeks, decreasing flexion by 15° per week
- Follow with buddy taping
- For reduced PIP joint dislocations, can start at 20 degrees of flexion
Aluminum U-shaped Splint
Indications
Technique
- Wrap aluminum splint around volar fingertip
- Immobilizes only the DIP joint in extension
Mallet Finger Splint
Indications
Technique
- Place the DIP joint in slight hyperextension
- Maintain in extension for 6-8 weeks, even when changing splint
- Reassess for compliance every 2 weeks
- Consider night splinting for an additional 2-4 weeks after
Aftercare
- Make sure follow up is arranged
- Advise patient to keep dry, change tape if dressing becomes wet
Complications
- Pain or discomfort
- Restricted circulation
See Also
References
Created by:
Jesse Fodero on 14 July 2019 20:33:58
Authors:
Last edited:
9 August 2025 13:38:03
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