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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hurt Finger, Tenderness, Bruise Gone. Is It Fracture Or A Soft Tissue Injury?

HI! I jammed my finger tip over the Easter weekend while I was having a Tenpin Bowling practice session. What actually happened was I dropped the ball on the end of my finger and it was ultimately squished between the top of the ball return and my 13lb bowling ball. Anyway it bruised up really quickly and the bruising had actually disappeared a couple of days later, however it is still tender when I put pressure on it or knock it. The bruising was only on the pad of the finger. Do you think it may be a small crush fracture or a bad soft tissue injury? I haven't been for an X-ray because I was thinking that if it's a fracture of the fingertip there's not much that can be done for it anyway?
Thanks
Shelley
Sat, 20 Apr 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello, as per your description, you might have sustained a fracture (crack) of your distal phalanx which is still hurting you. A plain xray will diagnose this problem. If its a fracture, you need a finger splint for immobilisation till the fracture unites. Consult an orthopedic surgeon and follow his advise. Thats all. Take care
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Hurt Finger, Tenderness, Bruise Gone. Is It Fracture Or A Soft Tissue Injury?

Hello, as per your description, you might have sustained a fracture (crack) of your distal phalanx which is still hurting you. A plain xray will diagnose this problem. If its a fracture, you need a finger splint for immobilisation till the fracture unites. Consult an orthopedic surgeon and follow his advise. Thats all. Take care