Finger Fracture
A break in a phalanx can affect alignment, tendon balance and joint motion even when the fracture looks small.
Where fractures occur
Finger fractures can involve the proximal, middle or distal phalanx and may be extra-articular or extend into a joint.
What is checked
Clinical examination assesses wounds, nail injury, circulation, sensation, tendon function and rotational alignment. Rotation can be subtle when the fingers are straight but obvious when making a fist.
Imaging
X-rays in more than one view help define the fracture. Joint involvement, displacement, angulation and instability influence treatment.
Treatment without surgery
Many stable fractures can be treated with buddy taping or a protective splint followed by early guided movement.
When surgery is considered
Open injuries, unstable patterns, significant rotation, displaced articular fractures and fractures that cannot maintain acceptable alignment may require fixation.
Recovery
Finger swelling can remain visible long after the bone has healed. Motion exercises are often as important as fracture union for a good functional result.