Understanding tuft fractures 

A tuft fracture, also known as a distal phalanx fracture, occurs when there is a break in the bone at the fingertip or the end (distal) phalanx of the finger. These breaks can vary in severity, ranging from small, stable fractures to more complex and displaced ones. 

Causes of tuft fractures 

Tuft fractures can result from various factors, including: 

Trauma: Direct trauma or impact to the fingertip, such as slamming it in a door, can lead to tuft fractures. 

Crushing injuries: Occupational/workplace accidents, machinery mishaps, or heavy object accidents can cause tuft fractures. 

Sports injuries: High-impact sports or falls during physical activities can lead to tuft fractures. 

Symptoms of tuft fractures 

Identifying the symptoms of a tuft fracture is crucial for early diagnosis and appropriate treatment. Common signs include: 

Pain and swelling: Pain and swelling in the fingertip. 

Bruising: Bruising or discolouration around the injured fingertip. 

Deformity: Visible misalignment or deformity of the fingertip. 

Difficulty moving: Difficulty moving the finger, especially if the fracture is severe. 

Tenderness: Tenderness and pain when touching the injured fingertip. 

Treatment for tuft fractures 

The treatment of tuft fractures depends on factors like the severity of the fracture and whether it is stable or displaced. Common approaches include: 

Consult with an expert: An Accredited Hand Therapist is a physiotherapist or occupational therapist with expertise in the finger, hand, wrist, elbow, and shoulder.

Immobilisation: Immobilise the injured finger with an orthosis or cast to allow the bone to heal. 

Pain management: Medication, elevation, and rest may help manage the discomfort during the healing process. 

Antibiotics: If there is an open wound or risk of infection, antibiotics may be prescribed. 

Tetanus shot: If a puncture wound or the fracture occurred due to a dirty or contaminated object, a tetanus shot may be administered. 

Elevation: Keeping the injured hand elevated to reduce swelling. 

Rehabilitation: In some cases, rehabilitation exercises may be prescribed to improve finger strength, flexibility, and range of motion. 

Recovery

The recovery period for tuft fractures is often shorter than fractures in other parts of the finger or hand. However, it's essential to follow your hand therapy practitioner's recommendations and engage in prescribed exercises to aid in the healing process. 

During the recovery phase, it's important to: 

Protect the injured finger from further injury. 

Attend follow-up appointments with your hand therapy practitioner to monitor progress. 

Communicate any concerns or unusual symptoms with your hand therapy practitioner promptly. 

Gradually resume normal activities as advised by your hand therapy practitioner. 

Find a local Accredited Hand Therapist

Patients can find a local Accredited Hand Therapist on our website using the link below.

Find an Accredited Hand Therapist