So You Jammed Your Finger?

by John Indalecio
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How many times have you hurt your finger during a volleyball or basketball game, family wrestling match, or even tucking in your sheets while making the bed? Sometimes it goes away after a few days or a week. Other times you may need medical attention. If your finger can’t move like normal – if you can’t bend or straighten it with normal effort, or if you feel sharp shooting pain – you may have an injury that you can’t fix yourself.

The three cylindrical bones of the finger (the phalanges) are in line with each other and require ligaments to help them remain aligned while the tendons flex and extend the fingers. Ligaments attach bone to other bone. When a finger is jammed, the stress along the joints can cause any of these structures to fail: ligaments can tear, tendons can rupture and bones can fracture.

If the sides of your finger are red and swollen, it could be a ligament sprain of one of the collateral (side) ligaments. If it’s tender on the bottom, you may have bent your finger backwards (another ligament injury). A sprain can be mild (overstretched) to severe (a large portion is torn or completely detached). Sharp pain could signal a break.

In one common injury the tip of the finger can’t straighten out. It droops into a flexed position, and can’t straighten without help. This is called a “mallet finger” and always needs intervention from a skilled medical professional. Contact a hand surgeon (an orthopedic specialist in conditions of the upper extremity) for proper management.

It’s also good to make a mental note of the injury: date of injury, what you were doing, how it happened, what force and what angle was the force directed, and what position your finger was in during the accident. This information can help guide your treatment and recovery and avoid a similar injury in the future. Ice your finger immediately after the injury to decrease swelling and reduce pain.

If you’re having continued pain and difficulty with motion, a visit to a hand doctor is a good idea to prevent long-lasting deficits and get you back to full mobility.

John Indalecio is an occupational therapist and certified hand therapist at the Hand Therapy Center at Hospital for Special Surgery.

Topics: Basketball, Featured, Orthopedics, Rehabilitation and Fitness
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The information provided in this blog by HSS and our affiliated physicians is for general informational and educational purposes, and should not be considered medical advice for any individual problem you may have. This information is not a substitute for the professional judgment of a qualified health care provider who is familiar with the unique facts about your condition and medical history. You should always consult your health care provider prior to starting any new treatment, or terminating or changing any ongoing treatment. Every post on this blog is the opinion of the author and may not reflect the official position of HSS. Please contact us if we can be helpful in answering any questions or to arrange for a visit or consult.

Comments

blayne says:

Hey, durimg a wrestling match an incredible series of cracks occured and my adrenaline caused me to ignore it. However it has been three days and if anything its gotten worse. I can bend it, but not fully down, or side to side with extreme pain and im not a wuss trust me. Im 15 and dont have insurance so pleasee help meee.

HSS on the Move says:

Hi Blayne, thank you for reaching out. Unfortunately, we are not able to answer your question because you are under the age of 18. It is best for you to consult with your treating physician with a parent.

brittany says:

do u know how to fix a jammed figer

HSS on the Move says:

Hi Brittany, thank you for reaching out. It is best for you to consult with your treating physician to get a better diagnosis. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

Ronelza roos says:

A cricket ball hit my finger on the inside of my hand. It”s been 2 months now still swollen and cannot bend it into fist shape. Sharp shooting pain in knuckle. X-ray shows no break and have been seeing hand specialist. They are forcing me to bend it and the pain is chronic.

HSS on the Move says:

Hi Ronelza, thank you for reaching out. It is best for you to consult with your treating physician for a better diagnosis. If you wish to receive care at HSS, please contact our Physician Referral Service at 877-606-1555 for further assistance.

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Hospital for Special Surgery
April 19, 2014 at 12:00 pm

The NHL playoffs are underway, and having a strong abdominal and core muscle strength is important for keeping players in top form. Gregory Reinhardt, HSS Physical Therapist, says: "While skating, the activation of a hockey player's oblique muscles is crucial for their ability to constantly push off from their skates." To read more about core strength for hockey players, visit http://hss.edu/onthemove/core-strength-for-hockey-players/.

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