Finger fracture or sprain. How can I tell?

Get an xray. Xrays are really the only way to tell for sure. See your local orthopaedics surgeon.
See PCP / Get Xray. Fractures are usually more painful, accompanied by more swelling and bruising, and there is deformity if the fracture is displaced. In a fracture the function of the organ is affected e.g. In a finger fracture-the person doesnot have the normal grip pressure or range of motion. Getting x-rays is the baseline investigation and may need to be repeated as some fractures may not show up in first xray.

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