Most jammed fingers in basketball or volleyball or baseball aren't significantly serious. But will require additional care. In this video we will talk about a couple other conditions that will require possibly some splinting and some longer time away from the court to prevent any further type of injury to the fingers in the future.
First we have a typical jammed finger. The first thing you look for is to make sure there's no obvious deformity, which there is not, there's some swelling and some discoloration, which is pretty normal. Treatment for this can be slight distraction, actually pulling just a little bit on the finger, try to get some range of motion, and then you want to try to get some ice on it, buddy tape it to the next finger for two to three days, and then slowly regain your lost motion.
Now we get into the mallet finger, which is a little bit more serious because you do have an obvious deformity, you cannot straighten out the tip of your finger. This is a result of a tear of the extensor tendon off the bone.
Probably not surgical, if you can jump on the treatment right away, and the treatment is wearing a brace full time, 24 hours a day for about two months, six to eight weeks, you cannot let that tip bend. After it's been eight weeks, you could pull it off and start to see if you can get some range of motion and see if that extensor tendon has repaired itself. If not, see a surgeon, as you may need surgery.
Next, we have a boutonniere deformity, which is French for buttonhole. Usually a result also of blunt trauma to the end of your finger. This involves a tearing of the extensor tendon, the middle part of the joint. Now what happens is you're unable to completely straighten out your finger because the extensor tendon is torn. Conservative treatment, once again is wearing a brace six weeks continually, do not take it off. Allow that extensor tendon to heal, and you may not need surgery. After the splint comes off, regain motion in that knuckle.
Let's summarize. Luckily, most jammed fingers are pretty easy to care for. A couple of things you want to look for we already talked about, is any obvious deformities and the ability to move the finger at each joint. Assuming that you can, then you're just going to be icing it, you're going to rest it, and then buddy tape it and then slowly regain any lost motion. If you have any questions, let me know. And hopefully this helped. Thank you.

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Watch the video to learn more, Thanks,
Ed Deboo, PT
Integrative Physical Therapy,
Bellingham, Washington

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