Central Slip and Mallet Finger Management

Online Course: Central Slip and Mallet Finger Management

Effectively manage extensor tendon injuries of the finger to prevent disfigurement and impaired hand function

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Presented by:

Kate Thorn

Kate is committed to providing and teaching high-quality evidence-based hand therapy

1-1.5 hours

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Extensor tendon injuries of the hand are commonly encountered in clinical practice. Injury mechanisms include hyperflexion, direct blunt trauma, and penetrating trauma. A disruption of the extensor mechanism over zone III and detachment of the central slip may result in a boutonniere deformity, characterised by flexion of the proximal interphalangeal joint and hyperextension of the distal interphalangeal joint. The term mallet finger refers to an injury of the terminal extensor mechanism of the hand and leads to a loss of active extension at the distal interphalangeal joint. Treatment for central slip and mallet finger injuries ranges from non-operative management with splinting to surgical repair. Physiotherapists play an important role in the management of these types of injuries to prevent disfigurement and impaired hand function in patients.


The aim of this course is to increase your confidence in diagnosing and managing extensor tendon injuries in zones I - III of the hand, with a specific focus on central slip tendon and mallet finger injuries.


This course is made up of videos, reading, discussions and a final quiz. The course content is split into the following sections:

  1. Video
  2. Reading activity
  3. Quiz

Target audience

This course is aimed at Physiotherapy and Physical Therapy clinicians, students and assistants. Other interested professionals such as athletic trainers, occupational therapists, nurses or medical doctors interested in this subject are also invited to participate.

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