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Updated: May 2, 2026

Murine Flexor Tendon Injury and Repair Surgery

Murine Flexor Tendon Injury and Repair Surgery

Published on: September 19, 2016

[Mallet finger: surgery versus splinting].

Navin Gurnani¹, Jochem Hoogendoorn, Steven Rhemrev

¹Medisch Centrum Haaglanden, afd. Orthopedie, Den Haag.

Nederlands Tijdschrift Voor Geneeskunde

|March 13, 2014

Summary

Most mallet finger injuries can be treated conservatively with splinting. Surgery is typically reserved for severe fractures, but conservative treatment often yields similar outcomes with fewer risks.

Area of Science:

Orthopedics
Hand Surgery
Traumatology

Background:

Mallet finger is a common digital extensor tendon injury.
Optimal treatment for mallet finger remains debated, with surgical indications including large fractures or subluxation.

Purpose of the Study:

To evaluate the efficacy and safety of conservative (splinting) versus surgical treatment for mallet finger injuries.

Main Methods:

Literature review of PubMed-indexed studies comparing conservative and surgical mallet finger treatments.
Analysis of functional outcomes, deformity, pain, and complication rates.

Main Results:

Conservative splinting is effective for nearly all mallet finger cases.
No significant differences in function, deformity, or pain were observed between splinting and surgery.

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Surgical complications can be more severe than those associated with splinting.

Conclusions:

Most mallet finger injuries can be successfully managed conservatively with splinting.
A more reluctant approach to surgical intervention is warranted, even with current indications.