Doctor insights on:
Is my finger dislocated? Lately I have been having pain in my thumb and it will pop when I bend it I can not remember hitting it on anything. At times my finger will not pop when I bend it but the pain is still there help!
Popping, clicking and locking is usually from a trigger finger or in this case a trigger thumb.
The tendon that moves the thumb is held inlace by pulleys or slings of thick tissue that hold the thumb down against the bone so that when you bend your thumb the tendon does not "bowstring" out away for the thumb surface. Think of belt lops on pants or the eyelets on a fishing pole that guide the fishing line and keep it in place.
The tendon can get inflamed form wear and tear, injury, or just because it can.
The pulley can get a little less flexible and take on stiffer characteristics
when these factors get to a certain point the tendon may then not glide as well as it ionce did and you get triggering
the range of symptoms can be pain, pain with a little click, no pain with a lot of click, even a t times locked down and not moving at all
early morning or may be worse. A lot of times once you get going int he am the symptoms go away
a hand surgeon will generally try to inject a trigger finger with corticosteroid to reduce the swelling.
Splinting may not work in that the finger may get stiffer but for thumbs in those who do a lot of hand intensive daytime activity, a soft neoprene guard or splint that is flexible may help get through the day
if conservative treatment does not work a surgical release may be offered.
The assh has a good brochure on this problem (see below). ...Read more
Get an xray: Impossible to say w/ out an examination and x-rays. Best of luck! ...Read more
My pinky finger was dislocated when I was a child. It is still dislocated. Do I need a surgery. If so, then will it be as good as nothing ever happened?
Depends on the: Damage, if able to reconstruct what was damaged possible. Sometimes ligaments shred and scar tissue develops etc and may not be able to fix like it was. ...Read more
XRAY is BEST: A simple xray of the index finger (at least 2-3 xray views) can tell if you have a dislocation (very painful & obvious) or a fracture. Sprains are not seen on xrays but are deduced by mechanism of injury and/or site of tenderness/swelling. Splinting is the best treatment until the diagnosis is secure. ...Read more
Med Eval: Self- diagnosis is not a good approach. Medical history, X-ray and physical exam normally can rule in or rule out a fracture & provide an accurate diagnosis. ...Read more
See hand specialist: Dislocation of a finger joint is a common injury. Treatment often involves range of motion exercises and controlling the swelling of the joint. When treated promptly, patients can restore excellent function of the involved finger. However, a "dislocated" finger can often be associated with a fracture or other complex injury. It is best to see a hand specialist to determine the proper treatment. ...Read more
Reduction: If it is acute (new, fresh), reduction (putting it back in place) and protection in a splint will usually take care of the problem unless there is severe damage to the cartilage or other soft parts. Sometimes surgery is needed. If it is chronic, the joint may be too damaged and the unstable; surgery may be needed. ...Read more
C a hand surgeon: 1'st b sure no fracture, a dislocation means ligament damage & u may need surgery. If it just happened & is deformed a quick pull on it won't hurt anything but u. U may straighten out the fx or relocate the joint. One try & get 2 ur hand surgeon. Some dislocations are trapped & irreducible without surgery. So repetitive tugs will b of no use. ...Read more
Anything you want: Dislocated fingers sometimes are not painful. Especially if they are chronic (been around for a while). If the finger repeatedly locates then dislocates surgery may help that annoying symptom. If it is always dislocated there may be a risk of developing arthritis, which is not without pain. Have it checked out. ...Read more
No, probably not: It depends upon the nature of your injury. A simple dislocation that is put back in place within a few hours will usually heal well, but it may take 8-10 weeks to regain full motion. If your finger is dislocated (i.e., the joint is not aligned properly) for four weeks, that is a much more complicated problem. You should see a hand surgeon to find out your options and prognosis. ...Read more
Go to an ER:
The best thing to do is to be check at a local er. You could have a fracture or soft tissue interposition, what will prevent an appropriate reduction.
Best recommendation is go see a doctor. ...Read more
Sometimes: Athletic trainers will often due on the field but they know what they are doing so I recommend you have a professional do it. You will need to monitor the rehab to make sure you get motion back and the soft tissues heal properly. ...Read more
No time: A dislocated finger will appear crooked immediately. If not treated soon it will continue to be crooked and most likely stiff. ...Read more
Varies: It varies somewhat based upon the specific nature of the injury; but in general, we typically splint a dislocated for approximately 3 weeks, assess the stability, and usually begin gentle range of motion at that point. You don't want to start range of motion too soon for concern or recurrent dislocation. ...Read more
Many times as soon as u injure it and look at it, if there is deformity at the joint, = dislocation with/with out fx and ligament damage. If deformity is between the joint, = fracture.
If it is just grossly swollen, u need to c an orth surg and b eval + xrays 2 b sure, and 2 get proper treatment no matter what u think it is! ...Read more
Protect then move it: Xray is a good idea to confirm that the dislocation is reduced fully and that there is not a fracture. If that looks ok, 7-10 days of immobilization in a splint with occasional removal for cleaning and gentle range of motion. Then more aggressive stretching and strengthening exercises with the finger taped to the one next to it above and below the affected joint ("buddy taping"). ...Read more
I: I don't think anyone can tell by the fact that you have less or more pain. A bad sprain can hurt as much as a fracture. A bruised or "jammed" joint can hurt a lot if there is a lot of swelling. An x-ray will help. Swelling deformity are exam findings but many sprains can look like a fracture and the reverse so a proper exam and the right x-rags based upon the exam will be the best way. ...Read more
Yes: It is normal to have swelling after a finger dislocation. As long as the finger is stable, meaning that there is no fracture and the finger is not able to easily be dislocated again, you may begin range of motion exercises, with warm soaks and an antiinflammatory such as advil (ibuprofen). However you should first consult your physician for further post dislocation care as your case may be atypical. ...Read more
Reduction, ice, spli: Acutely, it must be reduced to normal, then splinted and iced and elevated. One may need to have x-rays to rule out fracture or further problems and then may need some physical therapy. One may need to follow up with an orthopedist, hand surgeon or other. Expect some long term swelling of the joint, pain and loss of some function for a while. ...Read more
Xray and exam: Jammed fingers can result in simple sprains, dislocations, fracture-dislocations, and tendon ruptures. Unfortunately, even the most innocuous appearing finger could be a serious injury. The only way to know how serious is by getting an examination and x-ray. ...Read more
Go to an ER:
The best thing to do is to be check at a local er or with your hand doctor. Your fracture may need to be splinted or you may need surgery. Sometimes is just a soft tissue problems.
Best recommendation is go see a doctor. Overall a fracture usually needs 4-6 weeks to heal. A ligamnet injury may need more time. ...Read more