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Finger Fracture In Children


A finger fracture

is a break in 1 or more of the bones in your child's finger. A finger fracture is most commonly caused by a direct blow to the finger. This can happen during a sports activity or a fall.

Common signs and symptoms include the following:

  • Pain, bruising, or swelling
  • Weakness or numbness
  • Trouble moving his finger
  • Your child's finger looks abnormally shaped

Seek care immediately if:

  • Your child's cast or splint gets wet, damaged, or comes off.
  • Your child says his or her splint or cast feels too tight.
  • Your child has severe pain in his or her finger.
  • Your child's finger is cold, numb, or pale.

Contact your child's healthcare provider or hand specialist if:

  • Your child's pain or swelling gets worse, even after treatment.
  • You have questions or concerns about your child's condition or care.


  • A cast or splint may be needed to prevent movement and protect your child's finger so it can heal.
  • NSAIDs , such as ibuprofen, help decrease swelling, pain, and fever. This medicine is available with or without a doctor's order. NSAIDs can cause stomach bleeding or kidney problems in certain people. If your child takes blood thinner medicine, always ask if NSAIDs are safe for him. Always read the medicine label and follow directions. Do not give these medicines to children under 6 months of age without direction from your child's healthcare provider.
  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much you should give your child and how often to give it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
  • Closed reduction may be done to put your child's bones back into the correct position without surgery.
  • Open reduction surgery may be needed to put your child's bones back into the correct position. This may include the use of special wires, pins, plates or screws. These help keep the broken pieces lined up so your child's finger can heal correctly.

Help manage your child's symptoms:

  • Apply ice on your child's finger for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel before you apply it to your child's skin. Ice helps prevent tissue damage and decreases swelling and pain.
  • Elevate your child's finger above the level of his or her heart as often as you can. This will help decrease swelling and pain. Prop your child's hand on pillows or blankets to keep it elevated comfortably.

Follow up with your child's healthcare provider or hand specialist within 2 days:

Write down your questions so you remember to ask them during your child's visits.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.