M20.012

Clinical Causes: Sudden bending or jamming of the fingertip, often during sports activities like baseball or basketball Direct trauma or impact to the tip of the finger Crushing injuries or accidents involving the fingertip Pinching injuries that forcefully flex the finger

Key Symptoms: Inability to straighten the fingertip voluntarily Drooping or drooping of the fingertip Pain at the tip of the finger, especially with movement Swelling and tenderness around the DIP (distal interphalangeal) joint Bruising or discoloration around the injury site Possible deformity or bump at the joint

Diagnosis Path: Diagnosis is typically made based on physical examination of the affected finger. A healthcare professional will assess the range of motion and check for deformity or drooping of the fingertip. Imaging tests like X-rays may be ordered to determine if there is an associated fracture of the distal phalanx or to confirm the extent of tendon injury. Accurate diagnosis guides the appropriate treatment approach.

Treatment Protocols: Treatment options vary depending on the severity of the injury. Common approaches include: - **Splinting:** Immobilizing the fingertip in extension using a dorsal splint for about 6-8 weeks. This allows the damaged tendon to heal. - **Surgical intervention:** In cases where there is an avulsion fracture with a large fragment or when conservative treatment fails, surgery may be necessary to repair the tendon or secure the fracture. - **Follow-up care:** Regular monitoring to ensure proper healing and range of motion exercises after immobilization are important. - **Pain management:** Over-the-counter pain relievers and elevation to reduce swelling. Early treatment generally results in better outcomes and minimizes the risk of permanent deformity or loss of function.