Description
Although a fractured finger is usually considered a minor incident, without the right treatment it can cause serious problems. In the normal hand, the bones all line up precisely. This allows for manual dexterity and precise movement with the thumb and fingers. When a finger bone is fractured it can result in improper alignment of the entire hand. In addition, if left untreated, a fractured finger can remain painful and stiff for a long time.
Symptoms
- Pain
- Swelling
- Discoloration/bruising
- Visible deformity
- Limited range of motion of finger joints
Causes
- Closing finger in a door
- “Jamming” finger
- Direct trauma
- Bracing a fall
Risk Factors
- Contact sports
- Hands-on work
Prevention
- Use caution with hands-on work (ex. using tools, machinery, heavy lifting)
Diagnosis
- X-ray: An x-ray must be performed to accurately diagnosis a fracture. An x-ray will also determine the degree of misalignment in comparison with the other bones of the hand. X-rays may be performed multiple times throughout the healing process to ensure the bone is healing correctly.
Treatment
- The majority of finger fractures are treated non-operatively. In more severe cases where the bone has pushed through the skin (open fracture), the bones are displaced, or the angle of the fracture is too steep, surgery may be required.
- In order for a finger fracture to begin to heal, the bones must be properly aligned. This is most commonly achieved by placing the finger in a splint or buddy strap.
- 3 weeks
- NSAIDs
- If left untreated, a finger fracture can remain stiff and painful for an extended period of time.
Outcomes
The majority of patients are able to return to all previous activities.
