Finger fracture

Medium urgency
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It is the breakage of one or more of the bones that make up the finger. The main cause is direct trauma with a blunt object. Certain jobs and certain sports favor this type of injury (e.g., basketball). It manifests with pain, deformity, and inability to carry out tasks with the finger (functional impairment of the finger). When the finger is compared to the same finger on the other hand, swelling and deformity of the fractured finger can be seen. It is diagnosed by means of clinical history and a clinical examination of the finger. In most cases, an x-ray will be taken to study the type of fracture and to determine whether the fracture affects the joint. If a fracture is suspected, an orthopedic surgeon should be seen to confirm the diagnosis and to immobilize a finger in the correct position. This will improve the pain considerably but if this is not sufficient, regular painkillers can be given. It is not considered a life-threatening emergency, but pain management and correct repair of the fracture require visiting a doctor with experience in trauma, or an orthopedic surgeon.
Bibliographic references
  1. Sandeep Sebastin, Kevin C Chung, Shimpei Ono. Overview of finger, hand, and wrist fractures. UpToDate Nov 23, 2015.
  2. Margi? K. External fixation of closed metacarpal and phalangeal fractures of digits. A prospective study of one hundred consecutive patients. J Hand Surg Br 2006; 31:30.
  3. Bernstein ML, Chung KC. Hand fractures and their management: an international view. Injury 2006; 37:1043.
  4. R Laredo Ribero, F Polo Simón, V Delgado Alcalá, D Caldevilla Bernardo. Fracturas, luxaciones y esguinces. Manual de Protocolos y Actuación en Urgencias. 3ª edición (2010). 1047:1057
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Finger pain


    Finger pain increases when manipulated


    Deformed finger due to a fracture


    Fracture noise at the time of the blow


    Finger/toe discomfort

Pre-hospital care recommendations

Take over-the-counter pain relievers or anti-inflammatories.
Relative rest, rest until symptoms subside.
Splint the finger to keep it in a fixed position.