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Hand Fracture


A hand fracture is a break in one of the bones in your hand. This includes the bones in the wrist and fingers, and those that connect the wrist to the fingers. A hand fracture may be caused by twisting or bending the hand in the wrong way. It may also be caused by a fall, a crush injury, or a sports injury.


Seek care immediately if:

  • Your have severe pain that does not get better, even with pain medicine.
  • Your injured hand or forearm is cold, numb, or pale.
  • Your cast or splint gets wet, damaged, or comes off.
  • Your arm feels warm, tender, and painful. It may look swollen and red.

Contact your healthcare provider if:

  • You have new sores around your brace, cast, or splint.
  • You notice a bad smell coming from under your cast.
  • You have questions or concerns about your condition or care.


  • 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 you take blood thinner medicine, always ask your healthcare provider if NSAIDs are safe for you. Always read the medicine label and follow directions.
  • Acetaminophen decreases pain and fever. It is available without a doctor's order. Ask how much to take and how often to take it. Follow directions. Acetaminophen can cause liver damage if not taken correctly.
  • Prescription pain medicine may be given. Ask how to take this medicine safely.
  • Take your medicine as directed. Call your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Follow up with your healthcare provider or hand specialist as directed:

You may need to return to have your cast, splint, or stitches removed. Write down your questions so you remember to ask them during your visits.

Manage your symptoms:

  • Wear your splint as directed. Do not remove the splint until you follow up with your healthcare provider or hand specialist.
  • Apply ice on your hand 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 skin. Ice helps prevent tissue damage and decreases swelling and pain.
  • Elevate your hand above the level of his or her heart as often as you can. This will help decrease swelling and pain. Prop your hand on pillows or blankets to keep it elevated comfortably.
  • Go to physical therapy as directed. A physical therapist teaches you exercises to help improve movement and strength and to decrease pain.

Bathing with a cast or splint:

Do not let your cast or splint get wet. Before bathing, cover the cast or splint with a plastic bag. Tape the bag to your skin above the cast or splint to seal out the water. Keep your hand out of the water in case the bag leaks. Follow instructions about when it is okay to take a bath or shower.

Cast or splint care:

  • Check the skin around the cast or splint for redness or sores every day.
  • Do not push down or lean on any part of the cast or splint because it may break.
  • Do not use a sharp or pointed object to scratch your skin under the cast or splint.


You may not be able to drive for up to 2 weeks. Ask when it is safe for you to drive and return to other activities such as sports.

© 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.