Each finger and thumb consists of a metacarpal bone and the respective number of phalangeal bones. The joints involved are called the ‘metacarpo-phalangeal joint’ and the ‘inter-phalangeal joints’. Fractures and dislocations of the bones and joints of the digits can severely affect function if the problem is not diagnosed and managed correctly. Such injuries are common in falls or in sports such as basketball, cricket, tennis and rugby.
Causes: Such injuries are common in activities and sports that involve forceful or direct trauma to the bones and joints of the hand. The fingers are susceptible to injury due to the lack of soft tissue support and protection around the bones and joints. Fractures or dislocations may occur during a fall on a hard surface, incorrectly catching a cricket ball, a forceful rugby tackle or a direct blow that may occur in boxing.
Symptoms & Diagnosis: Such injuries are normally associated with immediate pain, swelling and tenderness around the affected bones and joints. Bone or joint deformity may also be present. An X-ray will confirm whether a fracture exists and the extent of any dislocation that has taken place.
Management: The correct advice and intervention is recommended at an early stage to avoid the long term effects of pain, swelling, stiffness, deformity and loss of function. A splint, plaster cast or other support may be indicated for a period of time following the injury. In severe cases, surgical intervention may be required. Physiotherapy will assist in the return to full function and the return to all leisure activities and sport.
Please feel free to contact the G4 Clinic to speak to a member of the team for any questions that you may have.