A Pragmatic and Evidence-Based Approach to Mallet Finger.

Journal and index pages often block iframe embedding. This reader keeps the evidence details in Orthonotes and leaves the source page one click away.

Abstract

[Indexed for MEDLINE] 9. Ned Tijdschr Geneeskd. 2025 Oct 14;169:D8434. [A mallet finger, and then?]. [Article in Dutch] Krastman P(1)(2), de Vries M(3), Runhaar J(1), Kraan G(4). Author information: (1)Erasmus MC, afd. Huisartsgeneeskunde, Rotterdam. (2)Contact: wetenschap@dezorghoek.nl. (3)IJsselland Ziekenhuis, afd. Chirurgie, Capelle a/d IJssel. (4)Reinier de Graaf Ziekenhuis, afd. Orthopedie, Delft. Mallet finger (hammer finger) predominantly results from trauma causing injury to the terminal extensor tendon at the level of the distal phalanx. It remains unclear whether radiography provides additional value in all patients with a mallet finger, which warrants further investigation. We recommend obtaining radiographs in primary care only for mallet fingers resulting from high-energy trauma. The purpose of radiography should not be to distinguish between tendinous and bony mallet fingers, but rather to assess whether surgical intervention may be indicated.