Lets discuss finger injuries and the importance of getting prompt medical attention if your fingers are in distress. “There is only a finger difference between a wise man and a fool,” according to Greek philosophy. However, if that finger is injured, “it’s the wise man who has a hand specialist check it out,” says orthopedic surgeon Alejandro Badia MD. “An injured finger could be fractured, dislocated, or both, along with more subtle soft tissue injuries (ligaments/tendons), all of which can severely affect the long-term functioning of the hand if left untreated.”

Importance of Finger Health

Fingers are essential for hand dexterity and the ability to grip and grasp. Dr. Badia, a hand and upper limb specialist, emphasizes that the primary goal of a physician is to stabilize and repair a fractured finger bone or dislocated joint as quickly as possible after an injury. Prompt treatment is necessary to avoid complications, prevent permanent deformity, and maximize chances for a full return of the finger’s mobility. Dr. Badia adds that “jammed finger” is a misnomer and an unacceptable diagnosis, as is simple aluminum splinting, which is often all that is done in the emergency room or at general urgent care.

Understanding Finger Injuries

A fracture occurs when one of the phalanges (finger bones) cracks or breaks due to a blow to the finger during sports, work-related activities, a fall, or an accident like a slammed car door. A dislocation happens when the bones forming a joint are forced out of their natural position, sometimes tearing or rupturing supporting ligaments or tendons. Often, a fracture and dislocation occur together because a severe fracture can also damage a joint.

Common Orthopedic Trauma

Finger injuries are among the most common types of orthopedic trauma. Finger fractures represent about 10 percent of all broken bones treated. The finger’s middle joint (proximal interphalangeal joint) is frequently injured because of its length and exposed position. Trauma to this joint can be overlooked or dismissed as a “jammed” or sprained finger, leading to delayed treatment if the patient self-treats.

The Complexity of Hand Anatomy

The hand is anatomically complex, consisting of 27 bones, including 14 finger bones, and a system of ligaments, tendons, and nerves. Each finger has three joints, while the thumb has two, interconnected by phalanges. Failure to properly identify and treat finger injuries can lead to permanent hand dysfunction and affect a patient’s quality of life.

Treatment Approaches for Finger Injuries

Initial symptoms of a finger fracture are similar to those of a dislocation, including pain, tenderness, swelling, bruising, numbness, tingling, and deformity. Treatment approaches vary widely:

• Simple Joint Dislocation: An orthopedic specialist will manipulate the bones to their normal position and then splint the finger or “buddy” tape it to an adjoining healthy finger.
• Fracture and Dislocation: Splinting may be sufficient, but severe cases may require a thin metal rod (K-wire) to stabilize and heal the bone fragments.
• Severe Damage: Joint dislocations that cannot be realigned or involve significant ligament or soft tissue damage may require surgery.

Expert Advice and Tips for Finger Injuries

Dr. Badia stresses the importance of immediate action for finger injuries and offers these tips:

• Seek Specialized Care: Contact your family physician for a referral to a hand orthopedic specialist or visit a local orthopedic urgent-care clinic immediately after an injury.
• Avoid Emergency Rooms: Unless the bone is protruding through the skin or there is uncontrolled bleeding, avoid the hospital emergency room.
• Do Not Self-Treat: Avoid trying to realign a dislocated finger yourself to prevent further damage.
• Apply Ice: Chill the injured finger with an ice pack or ice wrapped in a towel and keep it immobile until you see a specialist.

Care for Finger Injuries: Conclusion

“And realize that, sometimes, you just have to take the fickle finger of fate seriously,” Dr. Badia says.

Contact Dr. Alejandro Badia for Treatment

Is your finger injury causing you pain and discomfort? Don’t let it disrupt your daily life. As a top NYC hand and shoulder specialist, Dr. Badia offers expert care and specialized treatments for a most finger injuries.

If you need consultation or treatment for a finger injury, call today to discuss your specific needs and learn how Dr. Badia can help you recover quickly and effectively.

Dr. Alejandro Badia, MD, FACS
Gramercy Surgery Center
380 2nd Avenue
New York, NY 10010
(929) 605-4263

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