Broken knuckles, also known as metacarpal fractures, are common. They account for approximately 18 to 44 percent of all hand fractures. Just over three-quarters of all knuckle fractures occur among men, and they are more common among teens and young adults. Read on to find out more about symptoms, diagnosis, and treatment of broken knuckles.
A fracture can leave your knuckle and the surrounding parts of your hand feeling sore or tender. It might hurt to bend your fingers or make other hand movements. You might not be able to move the affected finger at all.
The knuckle might look concave or sunken. Common symptoms of a broken knuckle typically appear close to the site of the fracture. They can include:. A knuckle fracture occurs when one or more of your knuckles makes forceful contact with an object or person.
The hand can be closed in a fist or open when the contact occurs. Punching a wall or a door is the most common cause of a broken knuckle. Accidental falls are another common cause. Among athletes, a fractured knuckle could be the result of direct impact with another player, a playing surface, or a ball, stick, or bat. Your doctor may ask you about the injury and symptoms. They will conduct a physical examination of the affected hand and fingers.
This will likely include checking your tendons and joints. Wounds and cuts around the knuckle can indicate that something is stuck in your hand. They can also indicate an open fracture, in which the bone has broken through the skin. If your doctor has reason to believe that one or more or your knuckles is fractured, they will order X-rays.
Your doctor will use several X-rays taken from different angles to make a thorough check for the fracture. Put a thin cloth between the ice and your skin. Prop up your hand on a pillow when you ice your finger or anytime you sit or lie down during the next 3 days. Try to keep your hand above the level of your heart. This will help reduce swelling. If your doctor put a splint on your finger, wear the splint exactly as directed. Make sure the splint is not so tight that your finger gets numb or tingles.
You can loosen the splint if it's too tight. If you have your fingers taped together, make sure the tape is snug but not so tight that your fingers get numb or tingle.
You can loosen the tape if it's too tight. If you need to retape your fingers, always put padding between the fingers before putting on the new tape. Limit use of your finger to motions or activities that don't cause pain. Take pain medicines exactly as directed. If the doctor gave you a prescription medicine for pain, take it as prescribed.
Bruised knuckles occur from a direct blow to your joint. In many cases, you can treat this injury at home. However, if you begin to experience worsening symptoms after a few days, this could be a sign of a broken bone or fracture. Schedule a visit with your doctor after developing a knuckle or bone bruise to rule out more serious injuries. Learn about the symptoms, causes, and treatment of bone bruises. While both conditions can cause pain, each has unique, but similar….
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Here's how to recognize and treat it. A bruise appearing on the knuckles is not always an injury in and of itself but might be one of the most prominent symptoms of a fracture.
Other symptoms of knuckle injuries include:. Contrary to the common plural form of bruised knuckles, it is quite rare for more than one knuckle to bruise or fracture within the same incident.
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