Finger Sprain or Dislocation

One of the most common finger injuries is sprain or dislocation of the middle joint

The middle joint (proximal interphalangeal joint) is swollen after a sprain.

The middle joint (proximal interphalangeal joint) is swollen after a sprain.

For a sprain, an x-ray is usually normal. Sometimes there is a small fleck fracture (volar plate avulsion)

For a sprain, an x-ray is usually normal. Sometimes there is a small fleck fracture (volar plate avulsion)

A dislocation is a severe sprain. The joint is out of place and the finger crooked

A dislocation is a severe sprain. The joint is out of place and the finger crooked

  • A dislocation needs to be put back in place and checked for other injuries
  • The prognosis of these injuries is excellent
  • The swelling, stiffness, and soreness improve for one year
  • The key is stretching exercises to work out the stiffness
  • The hand returns to full function