Abdominal Pain - Female
Abdominal Pain - Male
Acne
Animal or Human Bite
Antibiotics: When Do They Help
Arm Injury
Arm Pain
Asthma Attack
Athlete's Foot
Back Pain
Bed Bug Bite
Bee or Yellow Jacket Sting
Blisters
Bottle-Feeding Formula Questions
Breast-Feeding Questions
Bruise
Burn
Chest Pain
Chickenpox
Circumcision Problems
Colds
Constipation
Cough
Coughs: Meds or Home Remedies
Cracked or Dry Skin
Cradle Cap
Croup
Crying Baby - Before 3 Months Old
Crying Child - 3 Months and Older
Cut, Scrape, or Bruise
Diaper Rash
Diarrhea
Diarrhea Diseases From Travel
Dizziness
Drinking Fluids - Decreased
Dry Skin
Ear - Congestion
Ear - Discharge
Ear - Injury
Ear - Pulling At or Rubbing
Ear - Swimmer's
Ear Infection Questions
Earache
Earwax Buildup
Ebola Exposure
Eczema
Emergency Symptoms Not to Miss
Eye - Allergy
Eye - Foreign Body or Object
Eye - Injury
Eye - Pus or Discharge
Eye - Red Without Pus
Eye - Swelling
Fever
Fever - How to Take the Temperature
Fever - Myths Versus Facts
Fifth Disease
Finger Injury
Fire Ant Sting
Flu
Fluid Intake Decreased
Food Allergy
Foreskin Care Questions
Frostbite
Genital Injury - Female
Genital Injury - Male
Hair Loss
Hand-Foot-And-Mouth Disease HFMD
Hay Fever
Head Injury
Headache
Heat Exposure and Reactions
Heat Rash
Hives
Human or Animal Bite
Immunization Reactions
Impetigo - Infected Sores
Infection Exposure Questions
Influenza - Seasonal
Influenza Exposure
Insect Bite
Jaundiced Newborn
Jellyfish Sting
Leg Injury
Leg Pain
Lice - Head
Lymph Nodes - Swollen
Medication - Refusal to Take
Mental Health Problems
Molluscum
Mosquito Bite
Mosquito-Borne Diseases from Travel
Motion Sickness
Mouth Injury
Mouth Ulcers
Neck Pain or Stiffness
Newborn Appearance Questions
Newborn Illness - How to Recognize
Newborn Rashes and Birthmarks
Newborn Reflexes and Behavior
Nose Allergy Hay Fever
Nose Injury
Nosebleed
Penis-Scrotum Symptoms
Pinworms
Poison Ivy - Oak - Sumac
Puncture Wound
Rash or Redness - Localized
Rash or Redness - Widespread
Reflux Spitting Up
Ringworm
Roseola
Scabies
Scrape
Sinus Pain or Congestion
Skin Foreign Body or Object
Skin Injury
Skin Lump
Sliver or Splinter
Sore Throat
Spider Bite
Spitting Up - Reflux
Stomach Pain - Female
Stomach Pain - Male
Stools - Blood In
Stools - Unusual Color
Strep Throat Exposure
Strep Throat Infection
Sty
Sunburn
Suture Questions
Swallowed Foreign Body or Object
Swallowed Harmless Substance
Swimmer's Itch - Lakes and Oceans
Tear Duct - Blocked
Teething
Thrush
Tick Bite
Toe Injury
Toenail - Ingrown
Tooth Injury
Toothache
Umbilical Cord Symptoms
Urinary Tract Infection - Female
Urination Pain - Female
Urination Pain - Male
Vaginal Symptoms
Vomiting With Diarrhea
Vomiting Without Diarrhea
Warts
Wheezing Other Than Asthma
Wound Infection

Resources

Is Your Child Sick?TM


Finger Injury

Is this your child's symptom?

  • Injuries to fingers

Types of Finger Injuries

  • Cuts, Scrapes (skinned knuckles) and Bruises. These are the most common injuries.
  • Jammed Finger. The end of a straightened finger or thumb receives a blow. Most often, this is from a ball. The energy is absorbed by the joint surface and the injury occurs there. This is called traumatic arthritis. For jammed fingers, always check that the fingertip can be fully straightened.
  • Crushed or Smashed Fingertip. Most often, this is from a car door or a screen door. The end of the finger may get a few cuts or a blood blister. Sometimes, the nail can be damaged. Broken bones are not common with this kind of injury. If they do occur, they are at risk for a bone infection (osteomyelitis).
  • Fingernail Injury. If the nailbed is cut, it needs sutures to prevent a deformed fingernail.
  • Subungual Hematoma (Blood Clot under the Nail). Most often caused by a crush injury. This can be from a door crushing the finger. It can also be from a heavy object falling on the nailbed. Many are only mildly painful. Some are severely painful and throbbing. These need the pressure under the nail released. This can relieve the pain and prevent loss of the fingernail.
  • Dislocations. The finger has been pushed out of its joint.
  • Fractures. Finger has a broken bone.

Pain Scale

  • Mild: Your child feels pain and tells you about it. But, the pain does not keep your child from any normal activities. School, play and sleep are not changed.
  • Moderate: The pain keeps your child from doing some normal activities. It may wake him or her up from sleep.
  • Severe: The pain is very bad. It keeps your child from doing all normal activities.

When to Call for Finger Injury

Call Doctor Now or Go to ER

  • Skin is split open or gaping and may need stitches
  • Large swelling is present
  • Blood under a nail is causing more than mild pain
  • Fingernail is torn
  • Base of fingernail has popped out from under the skin fold
  • Cut over knuckle of hand
  • Dirt in the wound is not gone after 15 minutes of scrubbing
  • Can't open and close the hand or use the fingers normally
  • Severe pain and not improved 2 hours after taking pain medicine
  • Age less than 1 year old
  • You think your child has a serious injury
  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • You think your child needs to be seen, but the problem is not urgent

Call Doctor During Office Hours

  • Dirty cut and no tetanus shot in over 5 years
  • Clean cut and no tetanus shot in over 10 years
  • Pain not better after 3 days
  • Not using the finger normally after 2 weeks
  • You have other questions or concerns

Self Care at Home

  • Minor finger injury

Call Doctor Now or Go to ER

  • Skin is split open or gaping and may need stitches
  • Large swelling is present
  • Blood under a nail is causing more than mild pain
  • Fingernail is torn
  • Base of fingernail has popped out from under the skin fold
  • Cut over knuckle of hand
  • Dirt in the wound is not gone after 15 minutes of scrubbing
  • Can't open and close the hand or use the fingers normally
  • Severe pain and not improved 2 hours after taking pain medicine
  • Age less than 1 year old
  • You think your child has a serious injury
  • You think your child needs to be seen, and the problem is urgent

Call Doctor Within 24 Hours

  • You think your child needs to be seen, but the problem is not urgent

Call Doctor During Office Hours

  • Dirty cut and no tetanus shot in over 5 years
  • Clean cut and no tetanus shot in over 10 years
  • Pain not better after 3 days
  • Not using the finger normally after 2 weeks
  • You have other questions or concerns

Self Care at Home

  • Minor finger injury

Care Advice for Minor Finger Injuries

  1. What You Should Know About Finger Injuries:
    • There are many ways that children can hurt their fingers.
    • There are also many types of finger injuries.
    • You can treat minor finger injuries at home.
    • Here is some care advice that should help.
  2. Pain Medicine:
    • To help with the pain, give an acetaminophen product (such as Tylenol).
    • Another choice is an ibuprofen product (such as Advil).
    • Use as needed.
  3. Bruised/Swollen Finger:
    • Soak in cold water for 20 minutes.
    • Repeat as needed.
  4. Small Cuts or Scratches:
    • For any bleeding, put direct pressure on the wound. Use a gauze pad or clean cloth. Press down firmly on the place that is bleeding for 10 minutes. This is the best way to stop bleeding. Keep using pressure until the bleeding stops.
    • Wash the wound with soap and water for 5 minutes.
    • For any dirt in the wound, scrub gently.
    • For any cuts, use an antibiotic ointment (such as Polysporin). No prescription is needed.
    • Cover it with a bandage (such as Band-Aid). Change daily.
  5. Jammed Finger:
    • Caution: Be certain range of motion is normal. Your child should be able to bend and straighten each finger. If movement is limited, your doctor must check for a broken bone.
    • Soak the hand in cold water for 20 minutes.
    • If the pain is more than mild, "buddy-tape" it to the next finger.
  6. Smashed or Crushed Fingertip:
    • Wash the finger with soap and water for 5 minutes.
    • For any cuts, use an antibiotic ointment (such as Polysporin). No prescription is needed.
    • Cover it with a bandage (such as Band-Aid).
  7. Torn Nail (from catching it on something):
    • For a cracked nail without rough edges, leave it alone.
    • For a large flap of nail that's almost torn through, cut it off. Use a pair of scissors that have been cleaned. Cut along the line of the tear. Reason: Pieces of nail taped in place will catch on objects.
    • Soak the finger for 20 minutes in cold water for pain relief.
    • Use an antibiotic ointment (such as Polysporin). No prescription is needed. Then cover with a bandage (such as Band-Aid). Change daily.
    • After about 7 days, the nailbed should be covered by new skin. It should no longer hurt. A new nail will grow in over 6 to 8 weeks.
  8. Call Your Doctor If:
    • Pain becomes severe
    • Pain not better after 3 days
    • Finger not normal after 2 weeks
    • You think your child needs to be seen
    • Your child becomes worse

And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

Disclaimer: This information is not intended to be a substitute for professional medical advice. It is provided for educational purposes only. You assume full responsibility for how you choose to use this information.


Copyright 1994-2017 Schmitt Pediatric Guidelines LLC. All rights reserved.

First Aid - Bleeding Finger
  • Apply direct pressure to the entire wound with a sterile gauze dressing or a clean cloth.
First Aid - Amputated Finger or Toe - Transport
  • Step 1: Briefly rinse amputated part with water (to remove any dirt)
  • Step 2: Place amputated part in plastic bag (to protect and keep clean)
  • Step 3: Place plastic bag containing the part in a container of ice (to keep cool and preserve tissue).

Note: Take patient and amputated part to emergency department immediately.

First Aid - Removing a Splinter

You can remove splinters, larger slivers, and thorns with a needle and tweezers. Check the tweezers beforehand to be certain the ends (pickups) meet exactly. (If they do not, bend them.) Sterilize the tools with rubbing alcohol or a flame.

Clean the skin surrounding the sliver briefly with rubbing alcohol before trying to remove it. Be careful not to push the splinter in deeper. If you don't have rubbing alcohol, use soap and water, but don't soak the area if FB is wood (Reason: can cause swelling of the splinter).

Remove the splinter:

  • Step 1: Use the needle to completely expose the large end of the sliver. Use good lighting. A magnifying glass may help.
  • Step 2: Then grasp the end firmly with the tweezers and pull it out at the same angle that it went in. Getting a good grip the first time is especially important with slivers that go in perpendicular to the skin or those trapped under the fingernail.

Select from over 100 symptoms to learn about managing your child's illness.