Finger/Hand Fracture Treatment in Raleigh, NC
A hand fracture is a break in one or more of the bones of the hand—the metacarpals (palm) or phalanges (fingers). These injuries commonly result from falls, sports, workplace accidents, or direct blows. Prompt treatment helps restore alignment, motion, grip strength, and prevents long-term stiffness.
Common symptoms
-
Pain, swelling, and tenderness
-
Bruising and stiffness
-
Finger deformity or “crooked” alignment
-
Difficulty making a fist or gripping objects
-
Numbness or tingling if nerves are irritated
Common Types of Hand Fractures
-
Metacarpal fractures (Boxer’s fracture of the 5th metacarpal is most common)
-
Proximal, middle, or distal phalanx fractures (finger bones)
-
Intra-articular fractures (extend into the joint)
-
Avulsion fractures (small bone fragment pulled by a tendon/ligament)
Diagnosis
Your visit typically includes:
-
Exam: finger alignment, motion, tendon and nerve status
-
X-rays: to identify fracture location, displacement, and joint involvement
-
CT (occasionally): for complex or joint-involving injuries
Treatment Options
Treatment depends on the bone involved, displacement, rotation, and whether the joint is affected.
Non-Surgical Care
-
Buddy taping or splinting to protect alignment
-
Cast/brace immobilization for 3–6 weeks (injury-dependent)
-
Early hand therapy to prevent stiffness once safe
Best for stable, well-aligned fractures without rotational deformity or joint step-off.
Closed Reduction (Realignment)
If bones are out of position, the fracture may be gently realigned in the office or minor procedure setting, then protected in a splint or cast.
Surgical Treatment
Recommended for unstable, displaced, rotated, or intra-articular fractures that risk long-term dysfunction.
Techniques may include:
-
Pins (K-wires) to hold fragments
-
Screws/plates for stability and earlier motion
-
Mini-fragment fixation for joint surface restoration
Surgery aims to restore alignment and allow early, safe motion to minimize stiffness.
Recovery & Outcomes
-
Immobilization: usually 3–6 weeks depending on fracture stability
-
Hand therapy: critical to regain motion, reduce swelling, and restore strength
-
Return to activity: light tasks 2–4 weeks; heavier use 6–10+ weeks (varies)
-
Full recovery: can take several months; stiffness improves with consistent therapy
Prognosis: Most patients regain excellent function when fractures are aligned and motion is started at the right time. Delayed treatment or persistent malalignment can lead to decreased grip strength, stiffness, and arthritis—early evaluation matters.
Frequently Asked Questions
Do all hand fractures need surgery?
No. Many stable, well-aligned fractures heal well with splinting/casting and close follow-up.
How do I know if my finger is “rotated”?
If your fingertip overlaps its neighbor when making a fist (instead of pointing toward the scaphoid), rotation may be present—seek evaluation.
When can I play sports or return to work?
Non-contact or desk work may resume in 1–2 weeks if protected; contact sports/manual labor often require clearance and protection at 6–10+ weeks.
Will I need physical therapy?
Usually yes—early hand therapy is key to preventing stiffness and regaining motion/strength.
Schedule an Appointment
Why Choose Dr. Chambers for Hand and Wrist Care
At Raleigh Orthopaedic Clinic, Dr. Stephen Chambers specializes in hand and upper extremity surgery. With years of expertise in treating hand and wrist injuries, including Finger/ Hand Fractures, Dr. Chambers provides comprehensive care—ranging from at home treatments and injections to advanced hand surgery when needed. Patients trust Dr. Chambers and his team for personalized care, effective treatment options, and excellent outcomes and describe Dr. Chambers as a caring, attentive, and skilled surgeon with excellent bedside manner. His amazing team ensures every patient feels supported and informed throughout the process.
If you are experiencing wrist pain, swelling, or difficulty with wrist movements, don’t wait for symptoms to worsen. Schedule an Appointment with Dr. Chambers today to Finger/ Hand Fractures, and get back to normal use of your hand . Experience the benefit of specialized hand
care close to home at Raleigh Orthopaedics in Raleigh, Cary, Holly Springs, and Wake Forest, North Carolina.
Surgical Treatment of Finger Fractures
Below are examples of surgical treatment options. Each depend on the fracture type.
Click Here for More Information