I Punched a Wall and My Knuckle is Still Swelling: Diagnosis and Treatment of Mallet Finger and Boxer’s Fracture

Accidents happen, but when we land a punch with unexpected consequences, the post-incident recovery process can be quite challenging. In this article, we will discuss a case where the author unknowingly caused a mallet finger and a boxer’s fracture while expressing frustration, and how a proper medical diagnosis and treatment can lead to recovery.

Understanding Mallet Finger

Mallet finger, also known as baseball finger, is an injury to the extensor tendons at the tip of the finger. If you cannot extend your finger, it means the tendon under the nail is likely ruptured. Symptoms include swelling at the tip of the finger and an inability to extend the tip of the finger. This condition can be very painful and may require proper treatment to regain function.

Case Study: The Author's Experience

Recently, the author found themselves in a heated argument, and in a moment of frustration, opted to punch a wall to emphasize their point. After cooling down, the author noticed significant pain and swelling on the knuckle involving the index finger. They applied ice and wrapped the finger, but the pain persisted.

The situation escalated when the pain did not subside, leading the author to seek medical advice. After an examination, the doctor determined that the finger was indeed broken, specifically a boxer’s fracture, which is a more severe type of injury to the fifth metacarpal bone in the hand.

Medical Examination and Diagnosis

During the examination, the doctor ordered an X-ray to confirm the diagnosis. An X-ray is a common and non-invasive imaging technique used to diagnose fractures and other bone damage. In the case of the boxer's fracture, the X-ray revealed a break in the fifth metacarpal bone, which is known as a Boxer's fracture due to its common occurrence in boxing and other fist-based sports.

After the X-ray, the doctor provided the correct treatment, which may include a splint or a cast to keep the finger in the correct position while it heals. The author was advised to keep the finger elevated, apply ice to reduce swelling, and consult an orthopedic specialist if the condition does not improve.

Treatment Options and Recovery

The treatment for both mallet finger and boxer’s fracture typically involves a combination of rest, physical therapy, splinting, and in some cases, surgical intervention. The goal is to ensure proper healing and prevent long-term complications such as abnormal finger extension or arthritis.

Mallet Finger Treatment:

Orthotic splinting to immobilize the finger and allow the tendon to heal. Physical therapy to regain finger movement and strength. Pain management with over-the-counter pain relievers. Follow-up appointments to monitor progress and ensure proper healing.

Boxer’s Fracture Treatment:

Splinting or casting to maintain the finger in a stable, non-weight-bearing position. Pain management and anti-inflammatory medication. Physiotherapy to regain normal finger movement and reduce stiffness. Periodic X-rays to monitor the healing process.

Conclusion

When dealing with hand injuries like mallet finger or boxer’s fracture, it is crucial to seek professional medical advice. Ignoring the symptoms can lead to complications. The case of the author highlights the importance of timely diagnosis and appropriate treatment to ensure a full recovery and prevent long-term damage.

Remember, if you experience sudden, severe pain or swelling in your knuckles, consult a healthcare provider immediately. Proper medical care can make all the difference in your recovery.