Wrist and Finger Sprains

What are Wrist and Finger Sprains?

The bones of the hand and wrist are kept properly aligned by strong bands of connective tissue known as ligaments. A sprain occurs when one or more of these ligaments are injured. Mild sprains involve partial ligament damage, while severe sprains involve a complete tear. Sprains of the fingers and wrist are very common and are typically minor.

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Overview

Symptoms

Pain and tenderness at the injured joint(s)
Prolonged joint stiffness
Finger sprains can be especially stiff for prolonged periods
Prolonged joint swelling
Rings may not fit over sprained knuckles for months
Instability or “giving way” of the joint with use

Model showing the ligaments of the hand and wrist

Ligaments of the Hand and Wrist

Causes

Wrist and finger sprains are generally caused by trauma. Whether it is due to a fall or a sports injury, excessive force bending a joint beyond its normal range of motion can tear or rupture the ligaments holding that joint together. In severe injuries, the joint may actually dislocate (pop out of place). Joint dislocations almost always indicate a significant ligament injury.

Man holding his finger which is swollen and in pain from a finger sprain

Finger Sprain

Diagnosis

Your symptoms and medical history as well as an examination of your hand and wrist can help to diagnose finger and wrist sprains. Without x-rays, it can often be difficult to differentiate a severe sprain from a more serious fracture or dislocation, so don’t hesitate to seek medical attention. X-rays are often taken to rule out fractures. We may need an MRI to adequately evaluate the wrist ligaments for severe wrist sprains.

Why treatment matters

Treatment for sprains is usually nonoperative unless there is a severe ligament injury or associated fracture or dislocation. Nonoperative treatments include temporary splinting, activity modification, NSAIDs and ice packs. Sprained fingers are often buddy taped to allow for early movement of the joints to prevent stiffness. Sometimes hand therapy helps recover motion and strength.

Take the next step

Our board-certified specialists are here to help you heal. They can often diagnose the problem in one visit and get you started with a personalized treatment plan. We offer a wide variety of treatment options.