How to treat damage to the extensor apparatus at the level of the distal interphalangeal joint with a splint

Author: Bobbie Johnson
Date Of Creation: 9 April 2021
Update Date: 1 July 2024
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Extensor Tendon Surgery
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Content

Damage to the extensor apparatus at the level of the distal interphalangeal joint is a condition in which the tendon of the last, most extreme joint of the finger breaks off, and the tip of the finger bends at the same time. This condition is sometimes referred to as "baseball finger" and is usually associated with sports. However, this injury is possible with excessive effort while making the bed sheets (who knew this procedure could be so dangerous?). If your finger is stuck and you want to heal it, here's what you can do.

Steps

  1. 1 Apply ice. At first, the finger may become swollen and sore, and you will also not be able to straighten or bend it without feeling a lot of tension.
  2. 2 Keep your finger straight. You can make a temporary splint using a large paper clip and tape by wrapping it around your finger. Some people have successfully used popsicle sticks and plastic spoons to temporarily hold their finger straight until they could get the splint they needed.
  3. 3 See a doctor immediately. Many people think that this will go away on its own, but this is not so, you risk being left with a bent fingertip, which is not very comfortable and looks bad.The doctor will take an X-ray to make sure there is a ligament rupture and whether she has caught a piece of bone. After the examination, the doctor will prescribe medication and a splint. There are two main types of tires.
  4. 4 Bus stack. These tires are made from plastic. They can be washed easily, but sometimes they don't quite fit.
    • Foam lined aluminum tire. These splints leave the ball of the toe free for easier typing. They are generally more comfortable and effective than a tire stack, but the foam can get wet and start to smell bad.
    • Another type of tire that can be found is the eight tire. The oval splint eight is a plastic splint that leaves the finger and fingertip free, thus maintaining the functionality of the finger. The open design of the tire allows your toe to breathe, which in turn prevents your finger from sweating, making it easier to clean and dry without removing the tire. If this splint is correctly sized by the doctor, it does not require additional fastening with adhesive tape. Wearing it is quite comfortable throughout the entire treatment period.
    • While waiting for an appointment with a doctor, you can pick up and buy a tire eight yourself, and start treatment. Print out a ring sizing gauge (for example, this one http://www.bluenile.com/pdf/ring_sizing_guide_0610-US.pdf) and find someone who wears rings on all fingers. Try all the rings on the outermost phalanx until you find one that fits snugly in place. After that, measure the size of this ring and buy an eight tire of the same size, and another one, one size smaller. Try both tires and one half size smaller. The 8 tire cannot be bought in a store, it is sold through online stores such as medco-athletics.com or other stores listed on the manufacturer's website 3-Point Products.
  5. 5 Wear your splint properly. It should fit snugly enough to keep your finger straight. If the finger is bent (forward or backward), a wound may form on the phalanx due to the applied pressure. Do not tighten the duct tape until your finger turns blue or feels uncomfortable at the tip.
  6. 6 Wear a splint at all times. Due to the fact that your skin is deprived of the ability to "breathe" and your movement is limited, your finger may begin to bother you. It is very important to keep your finger still at all times. Your finger should be straight even when you bathe or wash it. See below for tips and warnings.
  7. 7 See your doctor to determine when to remove your splint. If your condition has not improved, you may need surgery.
  8. 8 Treatment with splints for damage to the extensor apparatus at the level of the distal interphalangeal joint can be started even after 2 or 3 months from the date of injury, but the sooner, the better the treatment result.

Tips

  • Removing and donning the splint will be easier with someone else's help, but make sure that person does not bend your finger further.
  • On the rare occasion that you do need to remove the splint, place your finger on a flat surface or hold the tip of the finger using the adjacent finger.
  • Try to determine what other joint you need to exercise so that it does not grow together. The therapist will be very helpful in this.
  • Using both tires can be very beneficial. Basically, you can use an aluminum splint, and you can put on a stack splint while showering.
  • If you get irritated from constantly wearing the splint, you can wear it from the bottom of your finger, but only for a few days. This is not as effective, so don't keep the splint there all the time.

Warnings

  • If you allow your toe to bend even for a second during splint treatment, you may need to start all over again.
  • Due to the high risk of complications and infection, surgical treatment of this condition is very risky. The operation will also leave a scar, so do your best to treat this splint condition.