Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/23/2025

Management of Mallet Finger with 15-Degree Lag After Four Months of Splinting

Splinting Duration and Rehabilitation Considerations

  • Prolonged splinting beyond the necessary healing period may lead to potential stiffness and decreased range of motion, as noted by research published in Stroke 1
  • Muscle deconditioning from immobilization and possible development of learned non-use patterns may occur with prolonged splinting, according to the Journal of Neurology, Neurosurgery and Psychiatry 2
  • Gradually increasing active range of motion exercises to improve both extension and flexion is recommended after discontinuing the splint, as suggested by The American Academy of Orthopaedic Surgeons 3
  • Implementing strategies that promote normal movement patterns rather than compensatory movements is crucial after splint discontinuation, as advised by the Journal of Neurology, Neurosurgery and Psychiatry 2
  • Monitoring for any increase in extension lag, which might indicate inadequate healing, is essential after splint removal, according to The American Academy of Orthopaedic Surgeons 3
  • Avoiding activities that place excessive stress on the distal interphalangeal (DIP) joint during the initial weeks after splint removal is recommended, as noted by The American Academy of Orthopaedic Surgeons 3