Finger issues
Hello doctor, my index finger started to hurt after playing basketball, but there is no swelling or bruising on the surface.
However, it hurts when I press on the proximal interphalangeal joint and the distal interphalangeal joint.
It also hurts when I bend it, and I hear a clicking sound when I bend it.
This finger was injured during high school while playing basketball, resulting in a hairline fracture.
After it healed, the finger would make a clicking sound when bent.
I would like to know if this is normal.
Is it possible that I have another hairline fracture now? Do I need to see a doctor, or can it heal on its own? Because when I saw a doctor in high school, they just told me to rest more.
Niming, 20~29 year old female. Ask Date: 2021/04/07
Dr. You Dianqi reply Orthopedics
Hello: I would like to see a doctor, as each situation may vary.
For safety's sake, since I have concerns, I want to consult a physician and hear their opinion.
I would also like to ask about my voice, as the functionality of this website is, at best, that of a keyboard doctor.
In reality, there are very few resources that can provide meaningful and quality medical consultations.
Thank you for your understanding.
Reply Date: 2021/04/07
More Info
When it comes to finger pain after playing basketball, especially when there is a history of previous injuries, it is essential to approach the situation with caution. Your description of pain in the proximal and distal interphalangeal joints, along with the clicking sound when bending your finger, raises some concerns that warrant further evaluation.
Firstly, the absence of visible swelling or bruising does not rule out the possibility of a fracture or other injury. In fact, many injuries, particularly stress fractures or ligamentous injuries, can occur without significant external signs. Given your history of a previous injury that resulted in a bone crack, it is plausible that you may have sustained a similar injury again, especially if the pain is localized and exacerbated by movement or pressure.
The clicking sound you describe, known as crepitus, can be associated with various conditions. In some cases, it may indicate a ligament or tendon issue, such as a trigger finger or a problem with the joint surfaces. It is not uncommon for previous injuries to lead to long-term changes in the joint mechanics, which can manifest as pain and audible sounds during movement.
Considering these factors, it is advisable to seek medical attention. A healthcare professional, particularly one specializing in sports medicine or orthopedics, can perform a thorough examination. This may include physical assessments to evaluate the range of motion, stability, and tenderness of the affected finger. Additionally, imaging studies such as X-rays or MRI may be necessary to rule out fractures, ligament tears, or other underlying issues.
While resting the finger is important, self-management without professional evaluation can lead to complications, especially if there is an undiagnosed fracture or significant ligament damage. Early intervention can help prevent chronic pain or dysfunction in the finger, which could impact your ability to perform daily activities, including playing basketball or other sports.
In summary, while your previous experience with finger injuries may suggest that rest could be sufficient, the current symptoms you are experiencing—particularly the pain during movement and the clicking sound—indicate that a visit to a doctor is warranted. A timely assessment can provide clarity on the nature of your injury and guide you toward appropriate treatment options, ensuring a quicker and more effective recovery.
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