Question 1

What is a finger dislocation?

Accepted Answer

A finger dislocation happens when the bones of a finger joint are knocked out of their normal alignment. The bone pops out of the socket. This most commonly affects the middle joint of the finger (PIP joint), which accounts for about 90% of finger dislocations. The joint may dislocate backward (dorsal - most common) or forward (volar - less common but more serious). Ligaments connecting the bones are torn. The term 'jammed finger' often refers to a dislocation or severe ligament sprain.

Question 2

Can I just pop it back in myself?

Accepted Answer

NO - never try to relocate a dislocated finger yourself. While it might seem straightforward, there are several dangers: 1) You might have a fracture-dislocation, and pulling on it could cause the broken bone to damage nerves or arteries, 2) Ligament or tendon tissue can become trapped in the joint, preventing proper reduction and requiring surgery, 3) Improper technique can damage the joint cartilage, and 4) You need X-rays before and after reduction to confirm no fractures and proper alignment. Always seek medical care. The only exception might be if you're hours from medical care in a remote location - in that case, apply ice, splint as is, and get to medical care as soon as possible.

Question 3

How long will recovery take?

Accepted Answer

Timeline varies: Simple dislocation (no fracture): near-normal function by 6-8 weeks, though may have mild stiffness. Athletes can return to sport with protective taping by 4-6 weeks. Dislocation with fracture or severe ligament damage: 8-12 weeks to good function. Surgical repair: 3-6 months for full recovery. Most improvement happens in first 3 months, with gradual continued improvement to 6 months. Some mild permanent stiffness (5-10 degrees loss of full bending or straightening) is common but rarely causes problems. The middle finger joint (PIP) is particularly prone to stiffness.

Question 4

Which finger joint is most commonly dislocated?

Accepted Answer

The PIP joint (proximal interphalangeal joint - the middle knuckle of the finger) accounts for about 90% of finger dislocations. This is the joint in the middle of the finger. It's most vulnerable because of its anatomy and the forces applied during ball sports and falls. The DIP joint (fingertip joint) can also dislocate but less commonly. The MCP joint (large knuckle at base of finger) rarely dislocates, except for the thumb MCP, which is a specific injury called 'gamekeeper's thumb' or 'skier's thumb.'

Question 5

What is buddy taping and how long do I need to do it?

Accepted Answer

Buddy taping involves taping the injured finger to the adjacent normal finger. The normal finger acts as a splint, protecting the injured joint from extreme positions while allowing movement. Use cloth tape or coban wrap, place padding (gauze or cotton) between the fingers to prevent skin irritation, and tape above and below the injured joint. Typically continue for 3-6 weeks, even after pain improves, to protect the healing ligaments. For athletes, continue buddy taping during sports for 8-12 weeks or until confident in the joint. Change tape every 2-3 days or when dirty/wet.

Medical Disclaimer

Dislocated Finger (Jammed Finger)

📖What is Dislocated Finger (Jammed Finger)?

🔬What Causes It?

⚠️Risk Factors

You may be at higher risk if:

🛡️Prevention