Broken Finger (cont.)

After reduction, immobilization, and four to six weeks of healing, the prognosis for healing is excellent for a broken finger.

• Joint stiffness is the most common problem encountered after treatment of fractures in the fingers due to scar tissue formation and the long immobilization period. Physical therapy may be prescribed (preferably by a hand therapist) to regain range of motion.
  
  
• Rotation can occur when one of the bones in the finger rotates abnormally during the healing process. This can cause deformity and decreased ability to use the injured finger when grasping.
  
  
• Nonunion is a complication of some fractures when the two ends of the bone do not heal together properly, leaving the fractured area unstable.
  
  
• If the skin is injured or if surgery is necessary to fix the fractured bone, infection may result.

The best medicine for prevention of finger fractures is safety. Most fingers are broken from machines or sporting injuries. Always use safety equipment when doing activities that may injure the hands. Despite all efforts and precautions, injuries do occur and should be evaluated as soon possible.

• Finger fractures may account for up to 10% of all fractures.
  
  
• The finger bones are named according to their relationship to the palm of the hand. The first bone, closest to the palm, is the proximal phalange. The second bone is the middle phalange. The smallest and farthest from the hand is the distal phalange. The thumb does not have a middle phalange.
  
  
• Traumatic injury is the main cause of broken fingers, and it occurs from playing sports, workplace, falls, or in other accidents.
  
  
• The main symptoms of a broken finger are pain immediately after the trauma, and sometimes a deformed finger. If the trauma is severe, broken bones may be exposed (called a compound fracture).
  
  
• If pain or swelling limits the motion or use of the fingers, if the finger becomes numb, or if the injury includes a laceration, crushed tissue, or exposure of bone, seek medical care.
  
  
• The mainstay of diagnosing finger fractures is an X-ray.
  
  
• Treatment of broken fingers depends on the type of fracture and the particular bone in the finger that is injured.
  
  
• Complications of a broken finger can include join stiffness, rotation, nonunion, and infection.
  
  
• After reduction, immobilization, and four to six weeks of healing, the prognosis for healing is excellent for a broken finger.
  
  
• The best medicine for prevention of finger fractures is safety. Always use safety equipment when doing activities that may injure the hands.

References:

De Jonge JJ, Kingma J, van der Lei B, Klasen HJ. Phalangeal fractures of the hand. An analysis of gender and age-related incidence and aetiology. J Hand Surg [Br]. Apr 1994;19(2):168-70.

American Academy of Orthopedic Surgeons; "Hand Fractures."

eMedicine.com; "Phalangeal Fractures."

Last Editorial Review: 9/14/2009 1:40:51 PM

Source: MedicineNet.com
http://www.medicinenet.com/broken_finger/article.htm