Hand Fractures
Fractures of the hand can occur in either the small bones of the fingers (phalanges) or the long bones (metacarpals). They can result from a twisting injury, a fall, a crush injury, or direct contact in sports.
Symptoms
This X-ray shows a fracture in the middle of one of the bones of the finger.
Signs and symptoms of a broken bone in the hand include:
Swelling
Tenderness
Deformity
Inability to move the finger
Shortened finger
Finger crosses over its neighbor when making a partial fist
Depressed knuckle
A depressed knuckle is often seen in a "boxer's fracture." This is a fracture of the fifth metacarpal, the long bone below the little finger.
Diagnosis
A physical examination is done to check the position of the fingers and the condition of the skin. The examination may include some range of motion tests and an assessment of feeling in the fingers. This will ensure that there is no damage to the nerves. X-rays identify the location and extent of the fracture.
Joint stiffness may be experienced because of the long immobilization period. Exercises can help restore strength and range of motion. A physiotherapist may be able to help with this.
