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Hmm, interesting question. The most likely scenario is that at the time of the initial tendon injury, there was also an injury to one or both of the collateral ligaments at the end joint. If so, this is very likely to improve steadily as the ligaments continue to heal, as long as you can avoid re-injury. A similar feeling of instability could occur just from having some swelling present inside the joint - again, something which should subside and improve gradually. Permanent instability seems very unlikely. I would certainly advise a little extra caution with that finger over the next 2-4 weeks. Maybe keep using the splint part time, or at least be extra cautious in risky environments. All the best with your recovery!

@@iandowley8059 thank you so much! I wouldn’t be surprised if the cal lateral ligaments were injured- my joint got dislocated during the accident. It popped right back when I extended my fingers but it was very painful and swelled excessively the following couple days. Well I sure appreciate your prompt reply! The information is very helpful.

You are welcome!

So glad you found it helpful 😊. I hope you make a wonderful recovery from your injury

In many cases, definitely possible. Every case is different, so I can't say for sure about your particular situation, but in my experience 80-90% of TFCC injuries make an excellent recovery without needing surgery. I hope your wrist goes very well!

​@@iandowley8059 @karstendees8076 I am 23 year old bodybuilder ,before 7 months i got this injury ,my doctor suggested me to wear brace,but i don't properly weared it,i used that hand for so many works,but after 2 months,i visited the doctor he told me it's cured,and the pain continued for another 4 months and now I visited the doctor he told me to take a MRI ,and after that he scolded me for not wearing the brace properly for 45 days,and I have a click sound while twisting the wrist in left side its my left wrist ,and there was an inflammation and the forearm bone won't attached with my wrist,there is an inflammation there,and doc suggested me for surgery,but I asked for alternative so he told me to wear the brace and immobilize the hand for several days,now I am wearing the brace properly with proper rest,is it possible to cure this with the Braces itself?please tell me if I give a proper rest will this work ?

​@@iandowley8059r u there?

Sorry to hear about your long term struggles with wrist pain ☹. I really can't comment on how to proceed in the UK health system, sorry. Here in Australia there are basically 2 options - 1. get your GP to refer you to a public hand clinic, sit on a waiting list for 6-12 months, and then see an orthopaedic surgeon who might send you for an MRI, or refer you for hand therapy, or maybe offer surgery; or 2. if you have private health insurance, you can go and see a private hand therapist (like me) who can assess your wrist, try some splinting or exercise treatments if they seem appropriate, send you for an MRI if needed, or arrange for you to see a surgeon if needed. How it works in the UK ... ??? not sure! All the best trying to find your way through the maze 😊👍

They can be SERIOUSLY annoying problems! Sorry to hear you are having so much trouble, Joseph. Here's to an excellent (eventual) recovery for you.

Hi David, I mostly use 2.0mm microperforated Orfit Colors - it is marginally too thick for a small finger, so if you have access to a range of plastics you might want to use something which comes in a 1.6mm thickness for smaller hands. Having said that, the extra thickness is rarely a problem, and I like the versatility of the 2mm plastic - I can use it for all my finger and wrist splints, and with a bit of reinforcing can even make it work for an elbow splint. Cuts down on the number of different plastics I need to keep in stock ☺ Cheers - happy splinting!

Freaked me out a bit at the time, too! 😂🙃😳

70-80 degrees C. ~170 Fahrenheit according to one of their other videos

Hello - thanks for getting in touch. Sounds like you are doing all the right things for the early stage of a TFCC sprain, using RICE and immobilisation. With a little care, it is likely to settle down very well in the coming weeks, just like any other sprain or soft tissue injury. Each week that goes by, you should need less immobilisation and you can return to doing upper limb exercises in the gym gradually. Taping/strapping your wrist can really help reduce the risk of flare-ups at the gym. Either use this technique for simple circumferential compression: ruclips.net/video/ufkemzfp53Y/видео.htmlsi=om3ZQyOaEF_t5Zpf or try this one if you are getting pain mostly with the palm-up rolling of the forearm: ruclips.net/video/HHOP-kzdipM/видео.htmlsi=HPfrqBwPtWOInD6S All the best for your recovery!

@@iandowley8059 Many thanks for your active help. Currently, my symptoms are better, the dull pain has almost disappeared, but I still cannot perform exercises that put heavy pressure on my wrists like push-ups. Maybe I should still take a few weeks off like you said. Hopefully my condition is not serious enough to require surgery.

​@@h_ngm4032That sounds really encouraging! Here's hoping for ongoing steady improvement, and eventually a full return to your usual gym workouts. Best wishes

So sorry to hear about your injury. Unfortunately, after 7 years there is very little chance of improvement without surgery. And surgery would certainly be considered risky, as it may make your finger worse rather than better. A persistent mallet finger can be very annoying, but I hope it is something you can learn to live with and work around, so that you can do whatever you want with your life! All the best

Hi Ben, Absolutely worth treating it in a splint. The odds of a successful outcome are a bit less after 2 months without treatment, but I have sometimes had success even 6 months after the injury. Here's to a brilliant result for you! All the best

Hello! Thanks for watching the video - I hope it was helpful for you. These injuries can vary greatly, from very mild to very severe. It is hard to know what risk you have without seeing your thumb 🙃. If possible, I would definitely recommend you see a good doctor or physiotherapist who can examine your thumb, maybe refer for an X-ray, and then provide you with some appropriate treatment. That might be some protection in a splint or brace; it may mean seeing a surgeon if the injury is more severe. Here's hoping you have a very minor injury which recovers rapidly!

@@iandowley8059 and i can do my dalily activities with that finger when moving finger into front side( ✊but the thump is inside all finger) i fell pain at that time only

I can do my daliy activities with that finger when moving finger into front side (✊but the thumpnis inside all finger )i fell pain at that time only please replay 🥲

​@@iandowley8059And can i use rhe cotton cloth as a bandage heare👀

I graduated years back and injured it they told me it was nothing and taped it up, till this day it hurts and swell it hard or if I try to catch a football thrown hard

Hi Raymond; here in Australia the thermoplastic sheets can be purchased from medical supply companies - but this might be quite different if you are in some other part of the world. The plastic I use most often is made by Orfit, so another option would be to see if Orfit have a distributor anywhere near you? I buy it in 60cm x 45cm sheets, which is a bit of overkill for a single mallet finger splint! Maybe someone could send you a sample piece? 10cm x 6cm would be enough for almost any finger. I use Orfit Colors 2.0mm microperforated. All the best getting a splint made for your finger!

👍😊

Hi there - glad you enjoyed the video! There are lots of thermoplastic options on the market, usually available through medical supply companies. The one I use in the video is an Orfit product, called Orfit Colors 2.0mm microperforated. Making a splint on your own hand is certainly possible - I have done it myself - but I would not recommend it for a novice. It takes a while to get used to working with the plastic, and having 2 hands free is a great help! Hopefully you can find someone to help you out. All the best 😊

Hi Renato, In theory it might be possible for a mallet finger injury to heal years after the initial injury, but the odds of a good outcome become smaller and smaller over time. I have had good results using splints 6-9 months after the injury, but would be hesitant to recommend it if years have passed. Most people with long-term mallet deformities get quite used to it, and it is probably not worth losing 8 weeks of finger function for a very tiny chance of success. I am not going to comment on your toe injury, sorry - not my area of expertise! Thanks for getting in touch 😊

Hello! Glad you found the vid helpful 🙂. Your finger has had a rather unusual pathway of on/off splinting, but even though it has been a bit disrupted, 12 weeks of total splinting should be enough for the tendon to be really well healed. A 10 degree lag at this stage is just an indication that the tendon has healed in a slightly longer position than it was in before the injury. Further splinting allow this healed/scarred tendon to tighten up a little shorter, but I would look at the risk/benefit analysis and suggest that you are taking more risk (of stiffness and disuse) for a slight chance of gaining a few degrees, which will have zero functional benefit. As long as the lag stays at 10-15 deg, it is usually a non-issue in the longer term. I would encourage you to stop splinting, get the finger back into functional activities again, and only splint/protect it during high risk sporting activities. Hope this helps! Here's to a fantastic result for you and your finger...

Thanks Doc those are really helpful points! In your experience, does the hyperextended splint have a better prognosis for eventual lag than the standard splints? I'm a guitar player and although my right ring is fortunately one of my least important fingers, I still really hope to regain the ability to play with it. Glad there are people out there who put in the work to help people with nagging injuries like these, thanks!@@iandowley8059

Very likely, as long as you are very diligent at keeping the splint on full time so the end joint never has a chance to bend. There is some increase in risk from delayed splinting, but this should be minimal after 18 days. I have successfully treated patients several months after the initial injury. I hope your finger makes a complete recovery!

Hi there - sorry to hear of your injury. While it is preferable to see a doctor or physio and get an X-ray, you can most often get these to heal just by protecting them adequately. This means keeping the end knuckle of the finger in a fully extended (straight) position FULL TIME for 8 weeks. Never allow it to bend for this whole time. This is easiest to achieve with a splint that has been fitted to your finger, but I have had patients who have made their own splints just with a piece of plastic or wood plus some tape. All the best getting it sorted out

@@iandowley8059 I did a little research online and i think i have the tendon mallet because mine isn't painful

You are very welcome!

Hi there, Rem - while you could make a thumb spica from any thickness of plastic, I quite like a 2mm thickness (eg Orfit Colors 2mm microperforated, or equivalent) as it is thick enough to give decent support while not being completely rigid, which helps with comfort. 1.6mm would be fine for many hands, but may not be supportive enough on a large or muscular hand. In terms of dimensions, I can make a thumb spica for an average sized hand from a square of thermoplastic 18x18cm, meaning I would expect to get 6 thumb spicas from a 45x60cm sheet with a few bits left over to make finger splints out of. Happy splinting! - Ian

Hi Rudy, thanks for sharing your story. It is definitely a bit unusual for it to develop in the thumbs, but then it is also unusual to have it start in your 20s, so I guess you are just a bit special! Glad to hear it has been so slow to progress - hopefully it stays that way. Constant thumb pain would be really weird as a symptom of Dupuytren's disease, so if you can track down a decent hand therapist near you it might be worth seeing if there is something else causing it. All the best, Rudy 😊

Sounds like you've done a really good job of settling your TFCC sprain down. The process of building it back up again can be really hard to find your way through, because the wrist moves in so many different planes of motion and subtle twists or angle changes can completely change the irritability of the tissues. Please persevere! I'm sure you will get there

So I should start building up its strength now. Thank you so much. I appreciate your help. Either way I will pay a visit to the doctor just in case. You helped me very much though calming my mind.

Hi there, thanks for getting in touch. Your son sounds quite remarkable, and anyone with that level of commitment and determination should never be written off! He has clearly taken a lot of impact through his wrists during some very formative years, but this is not all bad - yes, it sounds like there is some tearing of the TFCCs, but there will also be lots of adaptive changes making his wrists much tougher than the average. I haven't seen his scans, so I can't say for sure that he won't need surgery, but in most cases when TFCC tears become painful, the tear isn't the problem - the pain is the problem. With correct load management, the pain can often be brought under control - hopefully eliminated - and the tear remains as a 'scar'. I have had heaps of patients over the years who have made full recoveries to high levels of sporting activity after very painful TFCC injuries. This process may involve a significant de-loading of the wrists for a period, sometimes splinting is needed and sometimes cortisone really helps too (but not just as a temporary fix so he can keep training!). Once the wrist pain has settled, he can re-load in a careful and graduated manner. I hope you can find a good physio to help guide you! Here's to a brilliant recovery, and a full return to boxing for your son 😊

Thank you so much for replying, it's greatly appreciated and offers some hope for my son and I can't wait to show him your message as I know it will lift his spirits. I've subscribed to your channel and hope it grows. You have a fantastic channel and so informative and again I greatly appreciate your reply. I hope you and your family have a fantastic Christmas my friend and wish you nothing but the best for 2024.

Hi Sinthu, glad you found it helpful! When I made the video I was hoping it would be useful for people all round the world. May I ask where you are?

Glad to hear it! Hope you recover really well

Hello - thanks for reaching out. Definitely worth trying. Treat it as though it was a brand new injury - full time splinting for 6 weeks (if fractured) or 8 weeks (if no fracture). The % chance of a good outcome will certainly be a little lower 2 months after the injury, but I have occasionally had good results even 6 or 12 months post injury. And you can be certain the the chance of a good outcome without splinting is 0% 🙃. Absolutely worth giving it a chance. Here's to a great outcome for you!

@@iandowley8059 Thank you SO much, I am deeply appreciative as I was in the fracture clinic yesterday and was so upset when the consultant told me "there's nothing we can do, it's too late"--and I am only at 7 weeks post accident! You're an angel !

​@@merrymeditation any update

Any update

No guarantee, Jamzuri, but you can certainly still be hopeful that it can make excellent progress. The human body is a truly remarkable thing, and it has a wonderful capacity to strengthen and improve if we keep working on it 😊. Keep trying to make your wrist a little bit stronger every week. All the best!

​@@iandowley8059I'm so sad, I can't do workout

Sounds like a tricky situation for you, sorry to hear it. Full immobilisation in supination might be necessary for a very high grade TFCC injury, or after a surgical repair, but as discussed in the video we usually try to keep the wrist moving as much as possible while preventing ongoing re-injury or aggravation episodes. You can be pretty confident now that your TFCC has had a good opportunity to heal, which means your wrist just needs some good rehab to recover from the stiffness, weakness and pain which are common after prolonged immobilisation. I hope you can find a good physiotherapist (or your local equivalent) to help you with this process. All the best!

Sounds really awkward and painful, Jasper - sorry to hear it. Several possible causes (eg. malunion of the original fracture, DRUJ instability, high grade TFCC rupture), none of which have an easy fix. An MRI would shed some light on what is going on internally, if you can get one of those? If not, even an X-ray would show the position of the bones and joints. Your options for treatment are likely to include surgery, but any operation is not going to give you back the wrist you lost 30 years ago, sorry. Hopefully some pain relief, at least. All the best, Jasper.

Thanks for your input, you have explained more in that one paragraph than has been relayed to me in past 25 plus years. You are a top man and, obviously , very knowledgeable in your profession, much appreciated.

Hi Debra. You are right, these injuries can sometimes be extremely painful - but surprisingly many of them don't hurt at all, even ones with fractures like yours. Well done making your own splints! What sort of materials were you using? Which option did you find was the best? I have seen patients successfully splint a mallet injury just with a simple wooden pop-stick or tongue depressor, held on with tape. It is less convenient than a custom-fitted splint like we use, but it can still do the job. If you can track down a hand therapist in your area that would certainly be the best option, but I know this can be difficult or impossible depending on where you live. I hope you find a good way to help your injury recover very well. All the best

I feel you bro i broke mine on september 3rd, now it looks and feels like shit

😞So sorry to hear it@@TerrorOnRUclips. I hope it improves heaps in the coming weeks.

@@iandowley8059Today is Dec 2, 2023: it’s still sore in top. Sore on the side because I use my fork. Dr said NO SPLINT anymore, use it! I do I do, I do too much I think. I go into my splint for only hours at a time thinking it needs the comfort zone. It’s not stiff now. But I need to say, my homemade splints were from Temu. They had to be carved out on the top because it’s too painful to have plastic there. I used the aluminum splint mostly. Yes, I have a 10% lag and Dr said it’s not going to get 100% normal. Yes, the tape was very painful especially over my knuckle folds … omg just awful. My finger turned purple from it. That’s better now! So one Ortho Therapist made a 4mm thick black ugly heavy splint I had to go back the next day and complain about it. She said it’s worked for other patients …. So now I’m in 10 weeks in and it’s troubling. Is doing crafts and scrubbing and housework therapy??

Hi Trevor, thanks for getting in touch. All of the studies and research about mallet fingers that I have read relate to acute injuries to previously healthy tendons. In your situation, where the structures have never been functioning normally, I would expect that you would need to see a surgeon. They will need to do some imaging to see what is going on in there, then they can advise whether surgery is a good option for you. Sounds unlikely to respond to splinting. All the best!