The knuckles are often considered the hardest and most durable bones in the hand. However, the knuckles are prone to bruising – and potential fractures – when suffering a direct hit against a hard surface. Although bruised knuckles are typically attributed to those who participate in boxing or other mixed martial arts, hitting a wall or being involved in a fight can lead to similar results.
A bruise appearing on the knuckles is not always an injury in and of itself but might be one of the most prominent symptoms of a fracture. Other symptoms of knuckle injuries include:
- Popping sound at the time of impact
- Sharp pain immediately after the impact
- Difficulty making a fist
- Swelling – may be severe if bones are broken
- Stiffness or poor mobility
Contrary to the common plural form of bruised knuckles, it is quite rare for more than one knuckle to bruise or fracture within the same incident. In fact, the most vulnerable knuckle is the one below the little finger, as you typically do not have as much control over that part of the hand.
Regardless of the extent of the injury, it is important to see a qualified pain management physician for an accurate diagnosis and treatment plan. In the majority of cases, you will be required to wear a splint to maintain the knuckle bones in their natural position during recovery. You might also consider taking anti-inflammatory pain medication to reduce the swelling and alleviate the pain.
If you would like to find out whether your bruised knuckles are indeed broken, we encourage you to reach out to one of our Sarasota/Bradenton pain management physicians as soon as possible. At Coastal Orthopedics Sports Medicine & Pain Management, we are committed to helping you overcome even the most confusing hand injuries quickly and effectively.
