Finger or Thumb Dislocation

What is Finger or Thumb Dislocation

Finger or thumb dislocation happens when two bones in your finger or thumb separate at a joint.

Your doctor will move your bones back into place (reduction). This may be done by hand (manually) or with surgery. You may be given a splint to help you heal.

Follow these instructions at home:

If you have a splint:

  • Do notput pressure on any part of the splint until it is fully hardened. This may take several hours.
  • Wear it as told by your doctor. Remove it only as told by your doctor.
  • Loosen the splint if your fingers tingle, become numb, or turn cold and blue.
  • Do notlet your splint get wet if it is not waterproof.
    • Do nottake baths, swim, or use a hot tub until your doctor approves. Ask your doctor if you can take showers.
    • If you have a splint that is not waterproof, cover it with a watertight plastic bag when you take a bath or a shower.
  • Keep the splint clean.

Managing pain, stiffness, and swelling

  • If directed, put ice on the injured area.
    • Put ice in a plastic bag.
    • Place a towel between your skin and the bag.
    • Leave the ice on for 20 minutes, 2–3 times a day.
  • Move your fingers often to avoid stiffness and to lessen swelling.
  • Raise (elevate) the injured area above the level of your heart while you are sitting or lying down.

Driving

  • Do notdrive or use heavy machinery while taking prescription pain medicine.
  • Ask your doctor when it is safe to drive if you have a splint on your hand.

Activity

  • Return to your normal activities as told by your doctor. Ask your doctor what activities are safe for you.
  • Rest and limit your hand movement as told by your doctor.
  • If you were told to do physical therapy, do exercises as told by your doctor.

General instructions

  • Take over-the-counter and prescription medicines only as told by your doctor.
  • Do notuse any tobacco products, such as cigarettes, chewing tobacco, and e-cigarettes. Tobacco can delay bone healing. If you need help quitting, ask your doctor
  • Keep all follow-up visits as told by your doctor. This is important.

Contact a health care provider if:

  • You have problems with your splint.
  • You have pain that gets worse or does not get better with medicine.
  • You have bruising, swelling, or redness that gets worse.
  • You have trouble moving your finger or thumb after it heals.

Get help right away if:

  • You lose feeling in your finger or thumb.
  • You cannot move your finger or thumb.
  • Your finger or thumb is pale or cold.
  • You have very bad (severe) pain.
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