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Dr. Albert Pardo Pol

Finger or phalanx fracture

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

Clinical assessment of a finger or phalanx fracture

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.

Related conditions

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