Smashed fingers is an injury involving trauma to one or more fingers.
If an injury to a finger occurs at the tip and does not involve the joint or nail bed, you may not need the help of a doctor. If the tip of your finger bone is broken, your doctor may not recommend a splint.
If the injury is more toward the palm or involves the joint, seek medical help right away.
Finger(s) can be smashed by a hammer blow, a car door, a desk drawer, a baseball, or some other force.
Apply an ice pack to decrease swelling. Over-the-counter pain medicines may help relieve discomfort.
If pain becomes severe, with blood under the fingernail, talk to your health care provider. Your health care provider may guide you in taking the following steps to relieve the pressure and prevent the fingernail from falling off.
This procedure can be repeated if the hole closes over and the pressure rebuilds.
Wash the finger carefully before and after the procedure. Seek medical help if the crush area is very dirty, if the procedure does not work, or if the finger looks like it might be infected. You may need antibiotics.
Seek medical attention right away if the finger is bent or if the injury involves more than the tip of the finger.
Teach safety to young children. Use caution when shutting doors to make sure fingers are not in danger.
Finger(s) - smashed; Crushed digits
Lyn ET, Mailhot T. Hand. In: Marx JA, Hockberger RS, Walls RM, et al, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. 7th ed. Philadelphia, Pa: Elsevier Mosby; 2009:chap 47.
Butler KH. Incision and drainage. In: Roberts JR, Hedges JR, eds. Clinical Procedures in Emergency Medicine. 5th ed. Philadelphia, Pa: Elsevier Saunders; 2009:chap 37.
Updated by: C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.
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