Munson Health
 
Finger Sprain

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by Scholten A
 

Diagnosis

The doctor will ask about your symptoms and how you injured your finger. The doctor will examine your finger to assess the stability of the joint and the severity of the injury.
Tests may include:
  • X-rays —to make sure that no bones are broken
  • MRI scan —used in some situations to see if a ligament has torn completely (rarely needed)
Finger sprains are graded according to their severity:

Grade 1

  • Stretching and microtearing of ligament tissue
  • Stable joint

Grade 2

  • Partial tearing of ligament tissue
  • Mild instability of the joint

Grade 3

  • Severe or complete tearing of ligament tissue
  • Significant instability of the joint
 

Treatment

In consultation with your doctor, treatment may include:

Rest

Avoid using the injured finger.

Ice

Apply ice or a cold pack to your finger for 15-20 minutes, four times a day, for several days or until the pain and swelling goes away. Ice helps to reduce pain and swelling in the sprained finger. Wrap the ice or cold pack in a towel. Do not apply the ice directly to your skin.

Compression

Wrap an elastic compression bandage around your finger. This will limit swelling and support your finger. Be careful not to wrap too tightly because it can cut off the circulation to your finger.

Elevation

Try to hold the injured hand above the level of your heart as much as possible for the first several days or until the swelling goes down. This will help drain fluid and reduce swelling.

Medication

The doctor may recommend:
  • Over-the-counter pain medicine (such as, ibuprofen , naproxen , acetaminophen , aspirin )
  • Topical pain medicines (such as cream or patches) that are applied to the skin
  • Prescription pain medicine

Splinting and Taping

You may need to wear a splint to immobilize your finger. If you play sports, you may need to tape your finger to the finger next to it when you return to play. Your doctor can show you how to splint or tape your finger.

Surgery

Surgery may be needed to repair a finger sprain if:
  • A small piece of bone has been broken off by the injury to the ligament.
  • A ligament is torn completely.
If you are diagnosed with a finger sprain, follow your doctor's instructions .
If you are diagnosed with a finger sprain, follow your doctor's instructions .
 

RESOURCES

American Academy of Orthopaedic Surgeons
http://www.aaos.org

American Orthopaedic Society for Sports Medicine
http://www.sportsmed.org

 

CANADIAN RESOURCES

Canadian Orthopaedic Association
http://www.coa-aco.org

Canadian Orthopaedic Foundation
http://www.canorth.org

 

References


Association of Professional Team Physicians website. Available at: http://www.orthopaedicweblinks.com/Detailed/1399.html . Accessed July 7, 2009.


Renstrom P. Sports Injuries: Basic Principles of Prevention and Care. Boston, MA: Blackwell Scientific Publications; 1993.


Sprains and strains. National Institute of Arthritis and Musculoskeletal and Skin Diseases website. Available at: http://www.niams.nih.gov/Health%5FInfo/Sprains%5FStrains/default.asp . Published April 2009. Accessed July 7, 2009.


1/4/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us : Massey T, Derry S, Moore R, McQuay H. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev. 2010;(6):CD007402.

 

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