A 35 year old patient was seen in the walk in clinic for the complaint of possible fracture of the finger 2 weeks ago after playing foot ball. The patient has deformity of the tip of the middle finger and was unable to extend the finger. Dr. Jain examined the patient and ordered the x-ray of the finger which showed the avulsion fracture of the dorsal phalanx.
Dr. Jain explained the patient that the deformity is from the avulsion fractiure of the base of the distal phalanx and tendon gets pulled. The extensor tendon does not work and the patient is unable to straighten his finger. The proximal tendon gets unopposed action and that causes the hyperextension of the proximal joint and can cause swan neck deformity.
This fracture causes the malet finger where the finger is unable to extend the distal phalanx of the finger.
The patient’s finger was splinted in extension at the distal joint and was referred to an orthopedic doctor for further care.