Finger Fractures (Phalangeal Fractures)

Finger fractures involve a break in one or more of the small bones (phalanges) of the fingers. These injuries are common and may result from direct trauma, crushing injuries, or falls.

Depending on the location and severity, fractures may affect joint alignment, tendon function, and overall hand movement.

Prompt treatment is important to ensure proper healing, maintain finger alignment, and prevent long-term stiffness or deformity.

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Diagnosis is based on:

• Clinical examination
• X-rays to confirm fracture location and alignment

Further imaging is rarely required.

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Treatment depends on fracture type and alignment.

Non-surgical treatment may include:

• Splinting or buddy strapping
• Rest and activity modification
• Pain relief

Surgical treatment may be required if:

• The fracture is displaced or unstable
• Joint surfaces are involved
• There is tendon disruption

Fixation may involve pins, screws, or small plates.

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Surgical treatment may involve:

• Realignment of the fracture
• Stabilisation with pins or screws

This is typically performed as a day-case procedure.

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Recovery includes:

• Splinting or immobilisation
• Early guided movement where appropriate
• Hand therapy to restore mobility

Full recovery may take several weeks depending on severity.

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Possible complications include:

• Infection (rare)
• Finger stiffness
• Tendon adhesions
• Malunion or deformity
• Joint stiffness or arthritis (in intra-articular fractures)

Rehabilitation is important to reduce these risks.

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You should seek medical attention if:

• You have pain or swelling after a finger injury
• The finger appears crooked or deformed
• Movement is limited or painful

Early treatment improves outcomes and function.

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