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Splinting > Finger,
Hand, Wrist, Forearm & Elbow Conditions > Finger Dislocation Hand
Finger Dislocation Hand Therapy
A finger dislocation refers to an injury to the joint of the the finger bones where the joint separates and bones moved apart, malaligned. Most of the time, dislocation in finger joints happen when the finger is over-bent backwards or sidewards beyond the normal maximum range of motion.
- finger bones are known as phalanx for singular, and phalanges for plural
- hand bones just before the finger bones are the metacarpals
Our hands and fingers are very nimble and flexible because of multiple small bones and joints for every single finger...and unfortunately also, every joint can be injured and dislocated with force.
- Distal inter-phalangeal
(DIPJ) are the joints in the fingers that is closest to the fingernails. Most
dislocations in these distal finger joints are caused by direct trauma, and sometimes accompanied with an open
wound in the location of the dislocation.
- Proximal inter-phalangeal
(PIPJ) are the middle joints of the finger joints. These dislocations are often called jammed finger or coach's finger. It is the most common hand injury in athletes, especially among those
who play ball-handling sports, such as football, netball, basketball and water
polo. Usually, these types of dislocation happens because the fingers are bent
backward/sidewards when an athlete tries to catch a ball or block a shot. These interphalangeal joint dislocations also can happen when an athlete's
fingers are hooked awkwardly such as caught in opponent's shirt, in game such as rugby, twisted or bent by an
opponent, especially when two athletes wrestle or grab for control of a
- Metacarpo-phalangeal joints (MCPJ) are the knuckle joints,
located where the palm joins to the fingers. These joints are fairly strong and stable, hence metacarpophalangeal joint
dislocations are less common than the other two types. When
metacarpophalangeal dislocations do occur, they are usually dislocations
of either the index finger or little finger.
Symptoms of Finger Dislocation
When a patient dislocates his or her finger, it's often:
- there may be open wounds such as scrapes, lacerations, cuts
If the dislocation happened during a game on-field and "fixed" on the spot, the patient may feel that their finger is:
- loose/unstable (early part of recovery)
- weak/no power
- stiffness/tightness (later part of recovery)
If left untreated or to heal "naturally" without intervention, patients usually end up with a very stiff finger with difficulty using as usual (difficulty bending and straigthening) - this is due to the scar tissues inside that needs to be managed by a hand therapist.
finger dislocation Diagnosis
doctor will suspect that your finger is dislocated if it appears swollen and deformed.
some cases, your doctor may order an X-ray of your finger if he or she suspects that there is also fractures together with the dislocation. What happens when there is a combination of BOTH fracture and dislocation, the finger bone can end up being pulled away from connected
This is a is common occurrence for a fragment of bone to separate from the main bone and
stay with the tendon, a condition known as an avulsion fracture.
you can return to work, life, responsibilities and sport once your dislocated finger has been realigned and stable, and
following a confirmation from your doctor that the injured joint is stable with
no presence of bone fracture, and your finger tenderness and
swelling have improved.
For a few weeks, you will need to wear a customized finger splint or buddy tape, which is used to
protect, support and strap the injured finger.
If your finger dislocation is severe and you end up requiring to repair your dislocated finger, it'd conservatively take a good 6-12 weeks for soft tissue (such as ligaments) to heal and strengthen before you can return to normal movement and a little longer for sports. Post injury/operatively, you'd need to start hand therapy to manage and prevent finger stiffness, which will be your #1 challenge to get back full range of motion and function in your finger.
Once we have resolved and treated your finger dislocation, there are some preventative things you can do to prevent your finger from future dislocation. You can:
- continue using the finger splint
- use a buddy splint or buddy tape
- continue strengthening your hands and fingers
Speak to our senior hand therapists to see which preventative options are best suited for you.
simple dislocated finger can be corrected with or without injecting local anesthesia
(sometimes adrenaline is enough that you may not feel pain or realize it).
To correct the dislocation,
the doctor will press against the displaced bone to loosen and dislodge the bone if it is
an awkward position eg side of the joint. Once the end of the bone is freed, the
doctor will pull outward and release the bone to restore the bone to its correct position (termed as
Once your finger joint is back in its normal position, you
will wear a splint or tape the finger to another finger for three to six weeks,
depending on the specific type of your dislocation, then commence on hand therapy after weeks 4-6, once the doctor has determined that your injury is stabilized.
However, what happens if the
doctor cannot straighten your finger using closed reduction or if you and the doctor realize that your injured
joint is not stable after closed reduction, then your dislocated finger may need to
be repaired surgically.
Should You Call a Professional?
should call your doctor immediately if you had injured your finger and you find that your finger
- painful or
You can also contact us if you have the symptoms above, but feel that you don't have a fracture - our senior hand therapist can assess and treat you first, or if we find that you need a hand surgeon or orthopedic surgeon, we can refer you direct as well.
If you are an athlete when you experienced the finger dislocation, and you had someone straighten/relocate your injured finger on the field, please check with your doctor or
your on-site physiotherapist to make sure that the injured joint is stable and
with no fractures.
A dislocated joint that has an open wound should not be moved at all.
It should be carefully splinted and evaluated immediately by a physician.
Therapy for Finger Dislocation
Your biggest challenge following a finger dislocation is decreased range of motion
and ongoing battle with stiffness. If left unmanaged and to "heal naturally", you may end up with a very stiff finger with decreased movement, decreased function and decreased strength.
Regular and early hand therapy, which will include
- heat therapy to soften stiff structures
- exercise therapy to strengthen weakened muscles
- scar management to decrease scarring
- customized splinting to keep the injured joint
and ultimately restore your joint to full movement and function. The earlier you come for hand therapy, the better the outcome, movement and function-wise.
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Phoenix Rehab physio Services
Phoenix Rehab Group works with specialist
physiotherapists and rehab therapists who are highly
trained, qualified, experienced and passionate to provide high level of
expert care to our patients.
PHYSIOTHERAPY & PHYSICAL THERAPY
HAND THERAPY & SPLINTING
Patients who sustained injuries to their elbows, forearms, hands, wrists
(sprains and fractures) and fingers, and requires Hand Therapy to increase the function of their hand
following injuries or post-operations as well as custom made hand splints.
Commonly treated hand pain injuries includes
CLINICAL PILATES & WELLNESS PILATES
Clinical Pilates is a form of physical exercise that focuses on posture, core stability, balance, control, strength, flexibility and breathing.
It is a system of safe and effective exercises, which
meet specific individual needs, to treat a wide range of injuries
You may do Pilates as matwork or with the reformer or both, and every session will be customized 100% to your fitness, injury and tolerance.
TRADITIONAL CHINESE MEDICINE (TCM)
DEEP TISSUE RELEASE & SPORTS MASSAGE THERAPY
Sports and deep tissue release massage helps to increase nutrient-rich blood
flow to tired, tight and tense muscles to
- accelerate recovery and
- shorten downtime / recovery period required
It also prevents
muscles from scar tissue micro-tears (and potential ruptures), and increases muscle
Done regularly, it will keeps your muscles healthy and fit with body/movement-confidence. Read the benefits of regular deep tissue release therapy here.
All our allied health therapists and TCM physicians are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCMB).
See our entire team here with introductions and their specializations.
At the first session, our specialist physiotherapists will carry out a thorough
assessment, helping them to select the most appropriate treatment to
help you recover as well as provide treatment in the same session.
Follow up sessions are inline to provide
expert treatment for your pain as well as prescribing specific
exercises to reduce your risk of re-injury and giving you a long term
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