<s>[INST] The other day, I was really angered and punched my wall. I was in horrible pain for days after that and a week later and my knuckle STILL hurts. My pinky knuckle. I can move it, but it still hurts when I put any pressure on it. There s also a bump/lump right below the knuckle. What does that mean? [/INST] Hello, There will be a contusion. Fracture is unlikely. Consult an orthopedician and get evaluated. An X-ray is required for further assessment. Hope I have answered the question. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician </s>