One of the most common injuries seen in emergency rooms, finger injuries can occur as a result of a fall, sports, workplace injuries and other types of accidents. There are a lot of bones in the hand with eight in the wrist alone. Each individual finger has three bones, including the proximal phalanx, the middle phalanx and the distal phalanx. Any of these can bend, snap or break, and in some fractures, the knuckle can also be damaged.
Symptoms of a broken digit can include pain and stiffness, and it may become swollen and develop a bruise. It may feel numb if any of the nerves were affected. Most people believe that if you can't move it, it may be fractured, but it is possible to suffer a break while retaining some range of motion. Your doctor may recommend an X-ray for confirmation of the diagnosis. This can be performed at an urgent care facility or an emergency room. Other testing is usually not necessary.
Treatment can vary based on the severity of the fracture. You may need to wear a splint for a few weeks or months to immobilize the digit as it heals. If the bone is visible, if there is significant deformity, if it is a compound fracture or if a knuckle is involved, you may also need surgery. Ice can help reduce swelling, and your doctor may prescribe pain medication.
The healing process takes time, and you will need to return for a follow-up appointment to be re-evaluated. Possible complications include infection, rotation and stiffness, but most people recover without incident. Talk to your doctor about any additional steps that he or she recommends to promote healing and maintain the full function of your hand.
Not all injuries or accidents such as these can be prevented, but you can take steps to reduce the risk of injury or fracture. Wear appropriate protective gear when participating in high-risk activities, and wear gloves when performing work or actions that could increase the risk of trauma to the hands.