In plain language
Disruption of the terminal extensor attachment, sometimes with a bone fragment, causing loss of active distal interphalangeal extension.
Clinical Significance & Management
Most closed, aligned injuries use continuous extension splinting, often 6–8 weeks or longer before supervised weaning. Subluxation, displaced fragments, open injury or failed splinting may require surgery.
Symptoms & Clinical Presentation
Drooping fingertip that cannot actively straighten
Dorsal pain, swelling or bruising
Etiology & Injury Mechanisms
- Forced flexion of an extended fingertip
- Minor sudden loading or a laceration
Diagnostics & Imaging Guide
Assess active/passive extension and skin
Radiographs evaluate fragment, displacement and joint alignment
Treatment Options
Keep the distal joint extended while other joints move
Support the tip during cleaning; avoid pressure injury or excessive extension
Rehabilitation Milestones & Timeline
Rehabilitation depends on the diagnosis, procedure and associated injuries. Progression requires assessment of healing, symptoms and function; elapsed time or a single test cannot determine readiness for sport.
Splint
Maintain prescribed position and inspect skin
Motion
Gentle movement after stability review; night protection if directed
Sport
Plan protection according to healing, function and impact risk
Evidence-Based Clarifications
Consistency and fit matter; accidental bending may disrupt healing. Mild residual lag need not impair function.
Sources & References
Educational clinical definitions synthesized from AAOS, Cleveland Clinic, Mayo Clinic, and HSS. Individual diagnosis and surgery require professional medical evaluation.
Publication date
Content updated