Finger or phalanx fracture
Treatment of finger and phalanx fractures to restore alignment, movement and joint stability.

Finger or phalanx fractures are common after falls, impacts and sport. Even a small fracture can affect grip when there is rotation or displaced joint involvement.
When to seek assessment
Local pain, swelling, deformity, inability to move the finger or crossing when making a fist should be examined. A nearby wound, altered sensation or colour change requires urgent attention.
Diagnosis
Assessment covers alignment, rotation, stability, tendons, sensation and circulation. X-rays show the affected phalanx and joint involvement; dislocation or tendon damage may coexist.
Treatment and movement
Stable fractures can be protected by buddy strapping to the neighbouring finger or a specific splint. Unstable, rotated, open or displaced joint fractures may require reduction and fixation. Fingers stiffen quickly, so follow-up and appropriately timed exercises are essential.
Preparing for your appointment
English-speaking consultations are available in Barcelona and Vic. If possible, bring previous X-rays or scans, medical reports, a medication list and details of your insurer. New imaging can be arranged when clinically needed.
Do you need an assessment?
Frequently asked questions
- Does a broken finger always need immobilisation?
- It needs protection, but the type and duration depend on stability. Some fractures allow early controlled movement to limit stiffness.
- Why does finger rotation matter?
- Rotation can make fingers cross when making a fist and impair grip, so it needs careful assessment and correction.
- When is surgery considered?
- It may be needed for unstable, open, rotated or displaced joint fractures, or when functional alignment cannot be maintained.
Medical references
General information; it does not replace an individual medical assessment.
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