Depending on your child’s age and immunization status, the doctor also may order a tetanus booster. In this case, antibiotics will be prescribed. A fracture underneath a cut is considered an “open” fracture and is susceptible to infection in the bone. If there’s considerable blood under the nail, the pediatrician may drain it by making a small hole in the nail, which should relieve the pain.Īlthough deep cuts may require stitches, often all that’s necessary is sterile adhesive strips (thin adhesive strips similar to butterfly bandages). An injured nail bed also must be repaired surgically to minimize the possibility of a nail deformity developing as the finger grows.

A fractured finger can be straightened and set under local anesthesia. If the X-ray confirms a fracture-or if there’s damage to the nail bed, where nail growth occurs-an orthopedic consultation may be necessary. Heres how to find out if your jammed finger isnt really a jammed. If your doctor suspects a fracture, he may order an X-ray. Its difficult to tell the difference between a jammed finger and a much more serious injury called a boutonniere deformity.

Do not attempt to straighten a fractured finger on your own. When there’s excessive swelling, a deep cut, blood under the fingernail, or if the finger looks as if it may be broken, call your doctor immediately. These may be signs of infection, and you should notify your pediatrician. But be alert for any increase in pain, swelling, redness, or drainage from the injured area, or a fever beginning twenty-four to seventy-two hours after the injury. If the swelling is mild and your child is comfortable, you can allow the finger to heal on its own. An ice pack or a soaking in cold water may relieve the pain and minimize swelling. When the fingertip is bleeding, wash it with soap and water, and cover it with a soft, sterile dressing.

If bleeding occurs underneath the nail, it will turn black or dark blue, and the pressure from the bleeding may be painful. The skin, tissues below the skin, and the nail bed-as well as the underlying bone and growth plate-all may be affected. Usually the damaged area will be blue and swollen, and there may be a cut or bleeding around the cuticle. Fingers also sometimes get crushed when youngsters play with a hammer or other heavy object, or when they’re around a car door.īecause fingertips are exquisitely sensitive, your child will let you know immediately that she’s been injured. The child is either unable to recognize the potential danger, or she fails to remove her hand quickly enough before the door is shut. Children’s fingertips get smashed frequently, usually getting caught in closing doors.

Tell if your thumb is jammed