Mild Finger Fractures: Recovery and Return to Sports - Orthopedics

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Mild finger fracture?


Two weeks ago, I sustained a minor fracture in my left pinky finger while playing volleyball without aiming properly.
The first doctor I consulted said it was serious and referred me to a hospital.
However, the doctor at the hospital assessed it as not serious.
After some consideration, I decided to visit another clinic instead.
Last Friday, I had an X-ray taken, which showed no issues with the bone.
However, I still experience slight pain when pressing on the injured area, and I also feel discomfort when fully bending my finger (I only immobilized it for one week, and after that, I gradually started practicing movement).
I would like to know if this is a normal phenomenon, and how long should I wait before returning to play volleyball?

Yi Yi, 10~19 year old female. Ask Date: 2018/10/16

Dr. Li Yongheng reply Orthopedics


Hello, if a minor bone fracture is confirmed, experiencing slight pain during pressure and movement is a normal phenomenon.
It is recommended to wait 6-8 weeks before returning to play sports for safety.

Reply Date: 2018/10/16

More Info


Mild finger fractures, such as the one you described with your left pinky, can be a common occurrence in sports, particularly in activities that involve quick movements or contact, like volleyball. It’s understandable to have concerns about recovery and when to return to sports, especially after receiving varying opinions from different medical professionals.

Firstly, it’s important to recognize that mild fractures, or hairline fractures, can sometimes be difficult to detect on X-rays, especially in the early stages. The fact that you experienced some pain upon pressing the injured area and during full flexion of your finger is not unusual. This pain can be attributed to several factors, including inflammation, soft tissue damage, or even the healing process itself. After a fracture, the body goes through a healing phase where the bone begins to mend, and this can lead to discomfort as the surrounding tissues adjust.

In terms of recovery, it’s generally expected that mild fractures can take anywhere from 4 to 6 weeks to heal adequately, depending on the severity and the specific bone involved. Since you mentioned that you had your finger immobilized for a week and then began gentle movements, you are on the right track. However, it’s crucial to listen to your body during this process. If you experience significant pain while moving your finger, it may be a sign that you need to slow down your rehabilitation efforts.

As for returning to volleyball, it’s advisable to wait until you have regained full range of motion and strength in your finger without pain. This may take a few more weeks, so a general guideline would be to consider waiting at least 4 to 6 weeks from the time of your injury before returning to sports. Engaging in activities too soon can risk re-injury or prolong the healing process.
In the meantime, you can engage in rehabilitation exercises that focus on improving flexibility and strength in your finger. Simple exercises like finger stretches, flexion, and extension can be beneficial. Additionally, applying ice to the injured area can help reduce any swelling or discomfort you may experience during the healing process.

It’s also important to maintain open communication with your healthcare provider. If your symptoms persist or worsen, or if you have any concerns about your recovery, don’t hesitate to seek further evaluation. They may recommend physical therapy or additional imaging studies to ensure that your finger is healing properly.

Lastly, it’s natural to feel anxious about injuries and their impact on your ability to participate in sports. To manage this anxiety, consider focusing on what you can control—such as your rehabilitation exercises and gradually returning to activity. Engaging in mindfulness practices or relaxation techniques can also help alleviate stress and improve your overall mental well-being during your recovery.

In summary, while mild finger fractures can be concerning, with proper care and attention, you can expect a full recovery. Be patient with your healing process, and prioritize your health to ensure a safe return to volleyball and other activities.

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