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Finger Injury? Don't Sweat

Unfortunately, over the past several years, I’ve become quite familiar with finger injuries. I’ve suffered it all—from classic crimping injuries to bizarre accidents like falling with a finger stuck in a crack, or having a block shift and hyperextending a finger. Nonetheless, the results have been the same: time away from climbing and lots of rehab. I’ve had MRIs, seen physiotherapists and consulted with finger specialists. And while I’m no MD, through my own misfortune, I’ve amassed some knowledge and practical experience for dealing with these annoying injuries. Here are a few tips to help prevent these pesky injuries, and deal with them if they arise.

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Featured

 Finger injuries: basics and bones

Injuries to the hand are frequent in the paediatric population and are a common reason for presentation to the PED. Despite the frequency of these presentations, their assessment and management can be challenging. But never fear! DFTB has come to the rescue with a comprehensive two-part series related to the assessment and management of paediatric hand and finger injuries, including some handy tips. This post will cover the basic anatomy of the hand, some professional lingo, and a look at history taking and clinical examination.

Articles of Interest

Acute Finger Injuries: Part I. Tendons and Ligaments

The severity of acute finger injuries is often underestimated, which can lead to improper treatment. Basic knowledge of the anatomy of the finger and a thorough evaluation of the patient can ensure proper diagnosis and treatment.

BOLD Bones: The crushed finger

It is the same story but different person and day. The story changes ever so slightly consisting of a 29 yo M at a fish packaging plant or a 56 yo M working on his lawnmower but don’t forget the 47 yo F who works at a warehouse on the conveyor belt. Car, van, disposal, engine are also indicted. Different people with different lives but the mechanism, pathology and can’t miss exam findings are all the same.

Common Finger Injuries: Treatment Guidelines for Emergency and Primary Care Providers

Fingertip injuries, fractures within the hand, and finger dislocations can often be managed without the need for a subspecialist.

Emergency Procedures: Finger Splint

This video has been provided by Emergency Procedures App developers (Dr John Mackenzie and Dr James Miers) in order to help medical students, interns in training.

Finger Injuries

Ligament and tendon injuries can be subtle and require high clinical suspicion and thorough exam.

Finger Injuries in Climbing

I can't help it. I'm a climber. It's in my genes. I have to hang on it. I have to do pull-ups on it. I have to climb. But the reality is that hanging on a hangboard is not climbing. Hangboards are supposed to be for training. In truth hangboards are one of the best ways climbers have devised to obtain sports injuries. I know only too well. One day I succumbed to the devious taunts of the board and began to train on it. I succumbed and pulled something in my ring finger.

Finger Injuries, Symptoms and Management for Climbers

Injuries to the fingers and hands consist of: Overuse syndromes: Tendovaginitis, Trigger finger, Dupuytrens. Injuries: Pulley injuries, Lumbrical Tears, Collateral ligament and Capsular injuries, Wearing of rings when climbing.

Finger Tip Injuries, Jersey Finger, PIP Dislocations, Metacarpal Fractures, Thumb Injuries, Tendon Lacerations

Some injuries are easy to diagnose but we often fall short when managing them in the ED, while others are hard to recognize and frequently go undiagnosed.

Finger Tips - Tendons and Ligaments

Little fingers get everywhere, and injuries are common. The mechanism of injury tends to be age-dependent with the under-fives magnetically drawn to door hinges and the over-fives more likely to do some damage during higher impact sport.

Fingertip Injury

A non adherent dressing is generally recommend (paraffin-impregnated gauze is my personal preference), and can be secured with either an adhesive tape or a splint.

High-Pressure Injection Injury to the Hand – A Case Report

High-pressure injection injuries to the hand can be surgical emergencies. The injected material and subsequent edema increase the risk for infection, ischemia, compartment syndrome, and limb loss.

How to Treat Open Injuries to Flexor Compartment of Fingers and Hands

Open injuries to the flexor compartment of the fingers and hand pose specific challenges to the EP both in terms of diagnosis and management. Unlike the extensor tendons, which are relatively close to the skin surface, the flexor tendons are buried deep in the palmar hand and surrounded by layers of muscle, fascia, nerves and arteries.

Lil finger injuries

Today, we will review some traumatic finger injuries, how to manage them in the ED, and when to call ortho!

Little Fingers – Big Trouble: 3 Common Hand Injuries

So, let’s jump into the three most common hand injuries I see in urgent care: how to prevent, recognize, and treat them.

SplintER Series: Stop! Hammer Time

Mallet fingers can be either isolated extensor tendon injuries or bony injuries with an avulsion of the proximal dorsal portion of the distal phalanx.

The Jammed Finger

Finger dislocations are common in contact sports, with PIP dislocations being one of the most common dislocations associated with sports injuries.2 Dislocations of the DIP and PIP joints can be in the dorsal, volar, and lateral directions, with dorsal dislocations being the most common.

Resources

5 Best Types of Finger Splints

This article explores the effectiveness of finger splints, the types a person can buy online, and the features people may consider before making a purchase