Finger Dislocation

What is a finger dislocation?

A finger dislocation is a displacement of the bones of the finger from their normal position.

How does it occur?

A dislocation usually occurs when there is an accident such as a ball striking the tip of the finger or a person falling forcefully onto a finger or getting a finger hooked into a piece of equipment like a football mask or a basketball net.

What are the symptoms?

In a dislocation there is immediate pain and swelling. The finger looks swollen and crooked. You will usually be unable to bend or straighten the dislocated joint.

How is it diagnosed?

Your health care provider will examine your finger. An x-ray will be taken to confirm the dislocation and to determine if there is also a break in your finger.

How is it treated?

Your health care provider will realign the dislocated bones. Your finger will be placed in a protective splint for several weeks.

Your finger will most likely be swollen after the dislocation. You should apply ice packs to your finger for 20 to 30 minutes every 3 to 4 hours for 2 or 3 days or until the pain goes away. Your hand should be elevated on a pillow while you are lying down or on the back of a chair or couch while you are sitting. Your health care provider may prescribe an anti-inflammatory medication. You will be given exercises to strengthen your finger during the healing process.

When can I return to my sport or activity?

The goal of rehabilitation is to return you to your sport or activity as soon as is safely possible. If you return too soon you may worsen your injury, which could lead to permanent damage. Everyone recovers from injury at a different rate. Return to your activity will be determined by how soon the your finger recovers, not by how many days or weeks it has been since your injury occurred.

Your health care provider will recommend that your dislocated finger be splinted or "buddy taped" (taped to the finger next to it) for 3 to 6 weeks after your injury. In many cases, you will be able to return to your sport or activity as long as you are wearing your splint or have your finger taped.

Your finger may remain swollen with decreased range of motion and strength for many weeks. It is important to continue your rehabilitation exercises during this time and even after you return to your sport or activity.

How can I prevent finger dislocation?

Finger dislocations are usually the result of accidents that are not preventable. However, whenever possible you should try to avoid getting your finger stuck in objects such as helmets, nets, or athletic jerseys.