Finger Fracture

A Finger Fracture is a break in any of the bones in a finger. Each finger consists of three bones called the phalanges. The thumb has only two phalanges.

Causes

A Finger Fracture is caused by trauma to the finger. Trauma includes:
  • Falls
  • Blows
  • Collisions
  • Severe twists

Risk Factors

A risk factor is something that increases your chance of getting a disease, condition, or injury.
  • Advancing age
  • Postmenopause
  • Osteoporosis
  • Poor nutrition
  • Certain congenital bone conditions
  • Participating in contact sports
  • Violence

Symptoms

Symptoms include:
  • Pain, often severe
  • Swelling and tenderness
  • Inability to move finger well without pain
  • Possible deformity at fracture site

Diagnosis

The doctor will ask about your symptoms, physical activity, and how the injury occurred, and will examine the injured finger. The doctor may order x-rays of the finger to determine which bones are broken and the type of fracture.

Treatment

Treatment will depend on the severity of the injury. Treatment involves:
  • Putting the pieces of the bone back in place, which may require anesthesia and/or surgery
  • Keeping the pieces together while the bone heals itself
The doctor will put the bones back into place. This is usually done without surgery. However, if your fracture is severe, you may need pins, screws, or wire to hold the bones in place. Each of these will require surgery.

Your finger will be put in a splint or cast to hold your finger motionless and protect it. You will need to wear the splint or cast about three weeks. Your doctor will order x-rays as you heal to ensure that the bones have not shifted position. Exercises
When your doctor decides you are ready, start range-of-motion and strengthening exercises. You may be referred to a physical therapist to assist you with these exercises.

Prevention

To help prevent Finger Fractures:
  • Do not put yourself at risk for trauma to the fingers.
  • Eat a diet rich in calcium and vitamin D.
  • Do weight-bearing exercises to build strong bones.