Finger

Pictures of broken pinky finger. Broken Pinky Finger: Causes, Symptoms, Treatment, and Recovery

What are the common causes of a broken pinky finger. How can you identify the symptoms of a fractured pinky. What treatment options are available for a broken little finger. How long does recovery typically take for a pinky fracture. What complications may arise from an untreated broken pinky finger.

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Understanding Pinky Finger Fractures: Types and Causes

A broken pinky finger, also known as a fractured fifth digit, is a common hand injury that can occur due to various reasons. Understanding the types and causes of pinky fractures is crucial for proper diagnosis and treatment.

Types of Pinky Fractures

  • Transverse fracture: A clean break across the bone
  • Oblique fracture: A diagonal break across the bone
  • Spiral fracture: A break that spirals around the bone
  • Comminuted fracture: Multiple bone fragments
  • Open fracture: The bone breaks through the skin

Common Causes of Pinky Fractures

Pinky finger fractures can occur due to various reasons, including:

  1. Sports injuries (e.g., ball sports, martial arts)
  2. Falls or accidents
  3. Crushing injuries
  4. Direct blows to the finger
  5. Twisting or bending the finger forcefully

Do most pinky fractures occur during sports activities? While sports-related injuries are common, pinky fractures can happen in various situations, including everyday activities and accidents.

Recognizing the Symptoms of a Broken Pinky Finger

Identifying the symptoms of a broken pinky finger is crucial for seeking timely medical attention. Common signs and symptoms include:

  • Severe pain, especially when trying to move the finger
  • Swelling and bruising around the affected area
  • Deformity or visible misalignment of the finger
  • Difficulty moving or bending the pinky
  • Tenderness to touch
  • Numbness or tingling sensation
  • In case of an open fracture, visible bone or bleeding

Can a broken pinky finger be mistaken for a sprain? Yes, it’s possible to confuse a broken pinky with a sprain, especially if there’s no visible deformity. However, persistent pain, swelling, and limited movement warrant medical evaluation to rule out a fracture.

Diagnosing a Fractured Pinky: Medical Imaging and Examination

When you suspect a broken pinky finger, seeking medical attention is crucial for an accurate diagnosis. Healthcare professionals employ various methods to confirm and assess the extent of the fracture:

Physical Examination

A doctor will carefully examine your finger, looking for signs of:

  • Swelling and bruising
  • Deformity or misalignment
  • Tenderness to touch
  • Limited range of motion

X-rays

X-rays are the primary imaging tool used to diagnose broken fingers. They provide clear images of the bone structure, revealing:

  • The location of the fracture
  • The type of fracture (e.g., transverse, oblique, spiral)
  • Any displacement of bone fragments
  • Involvement of joints

Additional Imaging

In some cases, additional imaging techniques may be necessary:

  • CT scans: For more detailed views of complex fractures
  • MRI: To assess soft tissue damage around the fracture

Is an X-ray always necessary to diagnose a broken pinky? While X-rays are the standard diagnostic tool, some hairline fractures may not be immediately visible. If symptoms persist despite a negative X-ray, your doctor may recommend follow-up imaging or treat the injury as a fracture as a precaution.

Treatment Options for a Broken Pinky Finger

The treatment for a broken pinky finger depends on the severity and type of fracture. Here are the common approaches to managing a fractured pinky:

Conservative Treatment

For simple, non-displaced fractures, conservative treatment may be sufficient:

  • Splinting or buddy taping to immobilize the finger
  • Ice application to reduce swelling
  • Pain management with over-the-counter medications
  • Elevation of the hand to minimize swelling

Reduction

If the fracture is displaced, a doctor may perform a closed reduction:

  • Manually realigning the bone fragments
  • Applying local anesthesia if necessary
  • Followed by splinting or casting

Surgical Intervention

In severe cases, surgery may be required:

  • Open reduction and internal fixation (ORIF)
  • Use of pins, screws, or plates to stabilize the bone
  • Necessary for open fractures or severely displaced fragments

How long does a broken pinky need to be immobilized? The immobilization period typically ranges from 3 to 6 weeks, depending on the fracture’s severity and the patient’s healing progress. Your doctor will provide specific guidance based on your individual case.

Recovery and Rehabilitation for a Fractured Pinky

Recovering from a broken pinky finger involves a combination of rest, proper care, and targeted exercises to regain strength and mobility. Here’s what you can expect during the recovery process:

Initial Recovery Phase

  • Follow your doctor’s instructions for immobilization
  • Keep the affected hand elevated to reduce swelling
  • Apply ice packs as directed
  • Take prescribed pain medications as needed

Gradual Mobilization

Once your doctor confirms adequate healing:

  • Begin gentle range-of-motion exercises
  • Perform finger flexion and extension exercises
  • Gradually increase the intensity of movements

Strengthening Exercises

As mobility improves, focus on strengthening:

  • Use therapy putty or stress balls
  • Perform grip-strengthening exercises
  • Engage in activities that promote fine motor skills

How long does it take to fully recover from a broken pinky? Full recovery can take 6 to 12 weeks, depending on the fracture’s severity and individual factors. However, most people regain significant function within the first 4 to 6 weeks of proper treatment and rehabilitation.

Potential Complications of Untreated Pinky Fractures

Leaving a broken pinky finger untreated can lead to various complications that may affect hand function and overall well-being. It’s crucial to understand these potential issues:

Malunion

When a fracture heals in an improper position:

  • Can result in finger deformity
  • May lead to reduced range of motion
  • Can cause chronic pain and stiffness

Arthritis

Untreated fractures near joints can lead to post-traumatic arthritis:

  • Causes pain and inflammation in the affected joint
  • May result in reduced mobility over time
  • Can impact overall hand function

Nerve Damage

Improperly healed fractures can compress or damage nearby nerves:

  • May cause numbness or tingling sensations
  • Can lead to reduced sensation in the finger
  • Potentially affects fine motor skills

Chronic Pain

Untreated fractures often result in ongoing discomfort:

  • May persist long after the initial injury
  • Can interfere with daily activities
  • May require additional treatments to manage

Can complications from an untreated pinky fracture be reversed? While some complications can be addressed through corrective procedures, prevention through timely and appropriate treatment is always the best approach. Seeking medical attention promptly after a suspected fracture is crucial for optimal outcomes.

Prevention Strategies: Protecting Your Pinky from Fractures

While it’s not always possible to prevent accidents, there are several strategies you can employ to reduce the risk of pinky fractures and other hand injuries:

Sports Safety

  • Wear appropriate protective gear, such as gloves or hand guards
  • Use proper techniques when catching or handling balls
  • Avoid overexertion and know your physical limits

Workplace Safety

In occupational settings:

  • Use safety equipment like gloves and guards when working with machinery
  • Follow proper lifting techniques to avoid crushing injuries
  • Be aware of potential hazards in your work environment

Fall Prevention

To minimize the risk of falls:

  • Keep walkways clear of obstacles
  • Use handrails on stairs
  • Ensure adequate lighting in your living and working spaces

Strengthening Exercises

Improve hand strength and flexibility:

  • Perform regular hand and finger exercises
  • Engage in activities that promote grip strength
  • Maintain overall physical fitness to improve coordination

Are certain individuals more prone to pinky fractures? While anyone can experience a pinky fracture, those involved in high-impact sports, manual labor, or individuals with conditions affecting bone density (like osteoporosis) may be at higher risk. Awareness of these factors can help in taking appropriate preventive measures.

When to Seek Medical Attention for a Suspected Pinky Fracture

Recognizing when to seek medical care for a potential pinky fracture is crucial for proper treatment and recovery. Here are some key indicators that warrant a visit to a healthcare professional:

Severe Pain and Swelling

  • Intense, persistent pain that doesn’t subside with rest
  • Significant swelling that extends beyond the injured finger
  • Discoloration or bruising around the affected area

Visible Deformity

Seek immediate attention if you notice:

  • An obvious misalignment of the finger
  • Any protrusion or unusual angles in the finger’s shape
  • Inability to straighten or bend the finger normally

Limited Mobility

Consult a doctor if you experience:

  • Difficulty moving the pinky finger
  • Inability to perform normal hand functions
  • Pain or resistance when attempting to move the finger

Numbness or Tingling

These symptoms may indicate nerve involvement:

  • Persistent numbness in the affected finger
  • Tingling sensations that don’t resolve
  • Loss of sensation in part or all of the pinky

Should you seek medical attention even for minor pinky injuries? While not all finger injuries require immediate medical care, it’s always better to err on the side of caution. A professional evaluation can rule out fractures and ensure proper treatment, even for seemingly minor injuries.

Understanding the complexities of pinky fractures, from causes and symptoms to treatment and prevention, is essential for anyone who may encounter this common hand injury. By recognizing the signs of a broken pinky and seeking timely medical attention, you can significantly improve your chances of a full recovery and prevent potential complications. Remember, each fracture is unique, and personalized care from a healthcare professional is crucial for optimal healing and restoration of hand function.

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Broken finger | Fractures of the nail phalanges, little fingers, displacement of fragments

Finger fracture is a common injury. As a rule, it happens with direct trauma. In rare cases, it is formed due to indirect effects. Most often, people get a fracture in a domestic, industrial or sports injury.

Quite often, patients break their fingers while working with woodworking machines or performing other professional duties. Sometimes multiple fractures occur, which are combined with dislocations, damage to ligaments and tendons. Traumatologists treat finger fractures.

Anatomy of the hand

The human hand is quite complex. It consists of 30-32 bones of different shapes and works with the help of muscle tissue and tendons, which are arranged in layers. The complex organization of the hand makes it possible to make movements around all three axes.

Fingers are topographically related to the hand, therefore they greatly increase its functional load. The human skeleton can only move in one plane. The range of motion will not exceed 180 degrees. Thanks to the articulation with the hand, the fingers can make not only adducting, but also retracting movements.

Causes of injury

Most often, finger fractures are caused by people who are constantly involved in sports. As a rule, injuries occur in gymnasts, boxers, basketball and volleyball players. Fighters can’t always be saved by gloves during a fight. Quite often, a finger fracture occurs in young children and older people who suffer from osteoporosis.

Employees who work in production receive injuries. However, most people injure their fingers at home. A fracture is a fairly severe injury that requires constant care. Do not self-medicate, as this can end badly and have long-term health consequences. A severe injury requires surgical treatment. The recovery period for such fractures is quite long.

Pathoanatomy

In humans, there are about 14 bones of the phalanges of the fingers in the upper limb. Fingers 2 through 5 have three phalanges: proximal, middle, and distal. The first finger has only two phalanges, which are called proximal and distal. The fingers make various subtle and intricately coordinated movements. This can lead to the fact that any injury can adversely affect the work of the hand and lead to a strong decrease in working capacity.

If a person does not seek help when a finger is broken, or if the fracture is treated incorrectly, he will face serious problems. There may be a decrease in hand grip function. Quite often, after improper treatment of a broken finger, pain remains even with minor loads on the hand.

There are also 14 phalanges of fingers in the lower limb of a person – three phalanges at the second to fifth fingers and two phalanges at the first finger. If a person damages the nail and middle phalanx, he can heal the injury without any problems. In the future, there will be no violation of the function of the foot. When a fracture of the main phalanges occurs, serious consequences can be faced. For example, improper fusion will lead to constant pain when walking or running.

Fracture classification

There are many different types of finger fractures. It happens that one phalanx is injured. Sometimes there are multiple fractures of several fingers at once. It is easy enough to determine a fracture, but only a doctor should do this.

Types of fractures:

  1. Open and closed. It is hard enough to understand that a person has a closed fracture of the finger, without the help of a doctor. An open fracture is easy to see, as it is almost always accompanied by bleeding. When an open fracture occurs, there is a violation of the integrity of the bone and skin. Closed fractures are not only complete, but also incomplete with cracks.
  2. With or without offset. It is very difficult to treat displaced fractures, as the bone is highly fragmented and has a large number of different fragments. According to certain signs, it can be understood that a person has a fracture with a displacement. For example, there is a shortening of the deformed area of ​​the finger. A person cannot move his fingers and experiences severe pain.
  3. Marginal fracture. Such damage can be obtained in various ways. With a fracture of the little fingers, a partial or complete destruction of the phalanx occurs. Such an injury can occur due to a strong blow, a heavy object falling on the arm or leg. Quite often, patients receive a marginal fracture due to various pathologies. For example, an injury may occur against the background of a disease that causes brittle bones. Marginal fractures are major, nail, medium and combined.
  4. Broken index finger. If a person has broken his index finger, he should immediately consult a doctor. The doctor will be able to quickly put the dislocated bone in place. If a person has a dislocation, a specialist will be able to put a cast or splint on the damaged area. The doctor will definitely prescribe medications to reduce pain. Most often, a fracture of the index finger is not dangerous if you immediately seek help from a doctor.
  5. Fracture of the thumb on the hand. Such an injury often occurs due to a strong blow. During treatment, some difficulties may occur due to the special arrangement of the bones. A broken finger should be corrected by a doctor. For this, various devices that have a tensile effect will be used. When the injured finger stretches, the doctor will apply a cast. The plaster bandage will allow the finger to take a certain position. The bones will be immobilized until the treatment is complete.

Do not self-medicate as this can lead to serious problems. It is best to consult a doctor immediately so that he can make the correct diagnosis. The traumatologist will refer the patient for an x-ray. This will allow the specialist to understand whether there is a fracture of the finger or not.

Symptoms of a finger fracture

The very first and main symptom of a finger fracture is a sharp, unbearable pain. The intensity of the pain syndrome will depend on the severity of the injury. After the pain, there is severe swelling or bruising. This reaction is natural when a person is injured.

Other symptoms of a broken finger:

  • sharp and severe pain that begins to increase with movement;
  • the finger turns blue and gradually swells due to the fact that there is an internal hemorrhage;
  • the damaged area is deformed;
  • finger can be shortened;
  • strange mobility of the phalanx, which was not there before the injury;
  • fails to fully clench the hand into a fist or fully unclench the hand;
  • a hematoma forms under the nails, which leads to severe pain;
  • when you move your finger, an uncharacteristic crunch appears.

If a person has an open fracture of a finger, he will experience pain shock and bleeding. Do not try to set the bone yourself, as this can lead to serious consequences. This should only be done by an experienced traumatologist or surgeon in a hospital.

First aid for a broken finger

First aid must be provided to the victim if a finger fracture is suspected. All activities must be properly done to alleviate the patient’s condition. It will be necessary to remove the pain syndrome, immobilize the limb and overcome complications.

When do you need to call an ambulance?

Most people think that it is not necessary to call an ambulance for a broken finger and see a doctor. Unfortunately, people are wrong. It is imperative to call an ambulance for many reasons. For example, the pain of a broken finger can be so intense that it doesn’t even compare to a toothache.

Pain causes a state of shock, which is manifested by a sharp drop in blood pressure. In some cases, blood pressure may drop to zero. In order to remove the pain, the ambulance team has various drugs.

Quite often, a fracture can be accompanied by a severe deformity of the finger. There may be scratches or abrasions on the skin. The ambulance doctor will be able not only to clean and wash the wound, but also to apply a product to immobilize the fracture.

Fragments of a broken bone may puncture a digital artery or vein. Then there is heavy bleeding, which is not so easy to stop. Experienced paramedics will be able to apply a tourniquet to stop the bleeding. Without experience, it is quite difficult to stop heavy bleeding, so it is better to call the doctors right away.

How to hold a hand in case of a fracture?

It is impossible to say in what position the hand should be held when a finger is broken. The most important thing is to ensure the immobility of the limb and the broken joint. The hand should be relaxed. If a person does not change the position of the finger, the pain syndrome will remain at an average level.

You can use a kerchief bandage or an impromptu splint. This is done in order to reduce the mobility of the upper limb. It is advisable to ensure that your fingers do not touch different surfaces. You can pull the shoulder and forearm to the body with a special bandage. This will help to immobilize the upper limb and secure the injured finger.

Do I need to take pain medication?

Pain syndrome can lead to the development of inflammation in damaged tissues. The inflammatory process can increase pain. It is recommended to take painkillers or anti-inflammatory medicines immediately after injury. You will need to take one tablet at a time and wait for the medicine to take effect. Do not use too many drugs, otherwise an overdose may occur, which is life-threatening.

Should immobilization be carried out?

Immobilization is recommended to temporarily immobilize the limb. This will help prevent increased pain and complications. Transport immobilization is done, since during transportation there is a high risk of secondary damage to a broken finger.

You will need to fix the arm in the position where the person will feel the least pain. It should relax the muscles of the hand, then the pain syndrome should become less intense. In order to reduce the risk of re-injury, it is recommended to immobilize the entire upper limb and press it against the trunk.

Should ice be applied to an injured finger?

People always use cold to reduce tissue temperature. You can safely combine ice with medicines. You need to break pieces of ice and put in a waterproof bag or heating pad. Cold can quickly anesthetize the fracture site. It will become much easier for a person, as the pain will begin to go away. It should be remembered that very low temperatures can lead to frostbite. In order to avoid this, it is necessary to remove the bag from the injured finger every 5–8 minutes for several minutes.

Diagnosis

Diagnosis must be carried out by a traumatologist. When a person injures a hand, an X-ray of the fingers is taken. The picture is taken in two projections, and adjacent joints are necessarily captured. In order to understand the nature of the damage to the leg, x-rays of the toes can be taken.

Treatment of a broken finger

Doctors treat broken fingers in a variety of ways. It all depends on the complexity of the damage and associated complications. Doctors always use the following traditional methods of treating a broken finger: one-stage closed reduction, skeletal traction techniques, open reduction.

Immediate closed reduction

This procedure is done on patients who have a simple closed fracture of a displaced toe. First, the doctor will test the patient’s tolerance to a local anesthetic medication. If the person is not allergic to the anesthetic, the doctor will begin injecting the drug into the tissue surrounding the fracture. Then the traction of the finger along its axis is done. After that, a slow bending of all joints of the finger is carried out in order to reach an angle of 120 degrees. Next, the doctor will apply pressure to the angle of the injury until the bone is in the correct position. Then the doctor will fix it.

Skeletal Traction Methods

The procedure is performed only if the person has a multi-comminuted closed fracture of the finger. The doctor may prescribe a technique if, after a one-stage reposition, it was not possible to fix the bone in the desired position. The doctor will apply a splint to the hand and forearm, but with one modification. A reliable wire will be fixed on the palmar surface opposite the injured finger. It will extend 2-3 cm beyond the top of the finger.

Open reduction

Doctors use this procedure as a last resort for a broken finger. It turns out that open reposition is a surgical intervention. Sometimes this procedure is the only possible treatment for a fracture. Open reposition is done with an open simple or multi-comminuted fracture with displacement. The procedure is often prescribed if the fracture has not healed properly. In this case, the bone will have to be destroyed and repositioned.

Complications of self-treatment of finger fractures

Finger fractures should only be treated by a doctor. If you self-treat, this can lead to various complications. Some consequences can cause a person much more problems than the fracture itself.

There are the most common complications:

  • large callus;
  • occurrence of a false joint;
  • appearance of contracture;
  • ankylosis formation;
  • osteomyelitis;
  • malunion of bones.

It is not recommended to self-treat fractures if you do not want to face the above problems. If your finger is injured, you should visit the emergency room or call an ambulance.

Rehabilitation, prognosis and prevention

The duration of rehabilitation will depend only on the complexity and type of finger fracture. In a child and adolescent, the injury will heal much faster than in an elderly person. If bone fragments of an open fracture with displacement were fixed, recovery will take from three to four weeks. With multi-comminuted fractures, the rehabilitation period will increase by another 14 days.

Prevention should be to avoid injury. Ordinary fractures are fixed with a plaster cast for 2-3 weeks. Ability to work can be restored within 30 days. If unstable damage occurs, immobilization is carried out for 21 days. Recovery in this case will take 4-7 weeks.

When a ligament or tendon rupture occurs, the recovery period will be quite long. You will have to develop the tendons of the hand within 14 days. Full recovery time after surgery is 6-8 weeks. Some people have to have ligaments or tendons sutured.

What does recovery and rehabilitation include:

  1. Diet. You will have to eat foods that contain a lot of protein and calcium.
  2. Physiotherapeutic procedures.
  3. Massage.
  4. Gymnastics. It is recommended to do it in the last week of wearing a cast.
  5. Squeezing a piece of plasticine with your fingers.

The healing process of a fracture depends on many factors. Treatment must be carried out by an experienced doctor. The patient is obliged to follow all his recommendations, otherwise it will not be possible to quickly recover from the fracture.

Q&A

Do I need a cast?

Doctors always apply a cast when a person has a broken finger. Reliable immobilization of the injury localization site is mandatory.

How long should a cast be worn?

For simple fractures, the cast should be worn for 3-4 weeks. For complex open multi-comminuted fractures, a plaster cast is applied for 6 weeks.

What physiotherapy is indicated after a finger fracture?

Warm baths with baking soda and salt must be taken from the day the cast is removed. You will have to attend exercise therapy, application of ozocerite, mechanotherapy.

How to tell if a finger is broken

Likbez

Health

June 20, 2022

Focus on the symptoms, but don’t delay your visit to the doctor.

Iya Zorina

Author of Lifehacker, athlete, CCM

You can listen to a short version of the article. If it’s more convenient for you, turn on the podcast.

What can lead to a broken finger

The thumbs and toes have two phalanges, and all the others have three. Any of these bones can break. For example, from falling a heavy object, being pinched by a door, or hitting the edge of a nightstand. It is not necessary to drop a weight on your foot or hit your finger with a hammer – even an unsuccessful landing when jumping from a height can lead to a fracture.

The likelihood of breaking bones increases with certain diseases and bad habits. Among the increased risk factors:

  • cancer;
  • type 1 diabetes;
  • celiac disease;
  • Crohn’s disease;
  • ulcerative colitis;
  • rheumatoid arthritis;
  • osteoporosis;
  • calcium deficiency;
  • excessive consumption of alcohol;
  • smoking;
  • taking corticosteroids – anti-inflammatory drugs.

How to tell if a finger is broken

The most obvious sign that can indicate a fracture is severe and throbbing pain that increases with movement of the injured finger and does not subside with time.

Other common symptoms include:

  • change in the shape of the finger or its position relative to others;
  • hematoma, which may involve a broken toe, spread to others, and extend into the foot or hand;
  • numbness;
  • flexion problems;
  • edema;
  • if we are talking about the leg – the inability to transfer the weight of the body to the injured limb.

In this case, the person will not necessarily lose the ability to move the finger, and the resulting pain may seem tolerable. If the injured limb has not changed its position and shape, without radiography it will not be possible to distinguish a fracture from a severe bruise.

Therefore, if pain and swelling persist for 1-2 days, be sure to visit a traumatologist. The sooner treatment begins, the greater the chance that the bones will grow together correctly and there will be no problems with the mobility of the finger.

Do’s and don’ts before seeing a doctor

Before you see a traumatologist, immobilize your injured finger if possible. If the fracture is on the leg, take off your shoes, lie down and place the limb above the level of the head. This will ensure the outflow of blood and reduce pain and swelling.

An ice pack can also be applied for local anesthesia for 15-20 minutes. But keep in mind that this procedure only helps to relieve symptoms and does not promote healing. While waiting for a trip to the emergency room, you can also take an anesthetic pill.

If your toe is injured, do not go to the hospital on foot, as this may dislodge the broken bones. In addition, do not try to immobilize your finger yourself, for example, by wrapping it with a band-aid or sports tape to the next one. This can cause tension and displacement of bone fragments, which will only exacerbate the problem.