Hand Injury : Finger Sprains
Almost everyone has experienced a "jammed finger" at one time or another. In this injury, a blunt force has been sustained by the long axis of the extended finger. This injury can result in a sprain, a dislocation, or a fracture of one or more of the finger bones (phalanges). Point tenderness and swelling occurs most commonly at the point where the finger flexes in the middle joint (proximal interphalangeal joint). With regard to a thumb injury, tenderness and swelling are usually present at the joint where the thumb enters the hand. Examination may reveal malalignment, inability to flex or extend the finger, or ligament instability. Bone x-rays will be taken to exclude finger fracture.Treatment will involve ice packs and elevation to reduce swelling and discomfort. Acetaminophen, aspirin, or anti-inflammatory agents (ibuprofen) will help alleviate pain. Finger sprains heal best with a short course of splinting. In some cases, more complex treatment may be required due to extensive ligament damage has occurred. Failure to obtain appropriate treatment may result in long term instability of the finger joint along with associated pain, stiffness, and arthritis. The Orthopaedic Surgeon is the expert in the
treatment of these problems.
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