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This article was co-written by Victor Catania, MD. Dr. Catania is a family physician licensed to practice in Pennsylvania. He received his MD from the Medical College of the Americas in 2012.
There are 7 references cited in this article that you can see at the bottom of the page.
This article has been viewed 21,755 times.
An extensor tendon rupture is a tendon rupture in the outermost joint of the finger, causing the tip of the finger to flex. This disease, also known as “baseball finger”, is a common injury when playing sports. However, any movement that causes the joint to be overly flexed has the potential to cause this condition. You might even break a tendon while making your bed. [1] X Research Source
Steps
First aid
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Diagnosis of the wound. You should first determine for sure if the finger is indeed the extensor tendon rupture. If so, the last joint on the finger (the one closest to the nail) will be painful. The joint will be bent inward and unable to move, making the finger unable to straighten.
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Indirect ice. Ice will help reduce swelling and pain in the joints. However, you should not apply ice directly to the skin, but should wrap ice in a cotton towel or use a bag of frozen vegetables to apply to the wound. [2] X Research Source
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Use common pain relievers. If your pain is severe, some pain relievers are available to make it more comfortable. These drugs include: Advil, Motrin, Aleve, Naprosyn, and Tylenp. Use these drugs during treatment if pain persists. [3] X Research Source The above drugs (except Tylenp) also have anti-inflammatory effects, helping to reduce pain and swelling.
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Make a temporary splint. You should see your doctor for proper splinting. But if you can’t do it right away, try making your own finger straightening brace. Take an ice cream stick and place it under your finger. Wrap the bandage around your finger and the ice cream stick so that it holds the finger firmly to the stick, creating a space for the finger. [4] X Research Source The purpose of this is to keep the fingers straight.
- If your finger is bent too much, the healing process will be slowed down. Any solid, straight object can be used as a splint, as long as it is strong enough to immobilize the finger. The tape is also required to be wrapped tightly enough so that the finger cannot move leading to folding, but also not so tight that it blocks blood circulation, or causes the finger to become numb and discolored.
Seeking Medical Assistance
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See a doctor immediately. The sooner you see your doctor for a splint, the faster the wound will heal. You should do this within a few days, if not the day of the injury. The doctor will take x-rays and determine if the tendon is broken and if any bone is broken along the tendon. Your doctor will also give you a treatment – usually a splint. [5] X Research Sources
- In rare cases, where wearing a brace can seriously affect your work – if you are a surgeon, for example – the alternative is to attach a clamp inside the finger to keep it straight.
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Choose a brace. There are many different types of braces. Each type will affect the way you use your fingers in different ways. Talk to your doctor about your routine and job so he or she can choose the brace that’s best for you. Options include the divider brace, aluminum brace, and Oval-8 Finger brace. The third type of brace has the lowest finger coverage and is usually the one that takes up the least space.
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Wear the brace properly. Wear the brace tight enough to keep the finger completely straight. If your finger is bent, you will experience sharp pain right at the knuckles. Don’t put the bandage on so tightly that it makes your fingertips uncomfortable or purple.
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Wear the brace continuously until the doctor tells you to stop. Although wearing a brace is quite uncomfortable, it is imperative that you keep your fingers straight. If the finger is flexed, the part of the tendon that is being healed may break. If this happens, you must repeat the entire course of treatment. [6] X Research Source
- You’ll want to take the splint off when you shower. One of the advantages of the Ovel-8 Finger brace is that it is water resistant. If using other splints, put your fingers in a plastic bag or use gloves. [7] X Research Sources
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Update the situation with your doctor. After about 6 to 8 weeks, your doctor will change your treatment. If there is progress, your doctor will let you gradually remove the brace, for example you only need to wear the brace when you go to bed at night. [8] X Research Sources
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Perform surgery. Surgery is rarely needed with extensor tendon rupture. However, if the x-ray results show that your bone is also broken, you will probably need surgery. Except in this case, surgery is not recommended. Surgery usually doesn’t yield better and sometimes worse results than traditional methods of splinting. [9] X Research Source
- About 10 days after surgery, you will need a follow-up visit to remove the sutures and monitor your healing progress.
Warning
- The healing process will take some time. You will be in a continuous splint for at least six weeks, possibly more, depending on how quickly the wound heals. . [10] X Research Source
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This article was co-written by Victor Catania, MD. Dr. Catania is a family physician licensed to practice in Pennsylvania. He received his MD from the Medical College of the Americas in 2012.
There are 7 references cited in this article that you can view at the bottom of the page.
This article has been viewed 21,755 times.
An extensor tendon rupture is a tendon rupture in the outermost joint of the finger, causing the tip of the finger to flex. This disease, also known as “baseball finger”, is a common injury when playing sports. However, any movement that causes the joint to be overly flexed has the potential to cause this condition. You might even break a tendon while making your bed. [1] X Research Source
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