11/24/2023 0 Comments Comminuted fracture handHowever, there are some things you can do to help reduce the swelling. Having a lot of swelling can become uncomfortable or limit your movement. You may notice that your knuckle is not as prominent because it's common for the bone to shorten as a result of this injury. There's usually a bony lump at the fracture site. It's normal to have some swelling even after your fracture has healed. Often this will spread down to your fingers. It's normal to have swelling near the fracture. Your local pharmacy can give you advice on managing pain after a fracture. Some people also experience discomfort in the fracture site during colder weather. It's normal to have some pain even when your fracture has healed. Pain can change from day to day and it doesn’t always depend on what you're doing. It's normal to have some discomfort in the areas around your fracture. This will improve the function of the hand and help your recovery. However, it can be debilitating as you can't use your hand normally.Įven though it will be uncomfortable, it's important to move the fingers early on. What to expect after a metacarpal fracture of the handĪ metacarpal fracture of the hand is usually a minor fracture. If you have concerns about your medication talk to a healthcare professional.Īnti-inflammatory medication, like Ibuprofen or Naproxen, have been shown to delay healing. Some medications can slow down fracture healing. Some medical conditions, like diabetes, may slow down the healing process.Įating a healthy diet and keeping yourself active will help your recovery. Stopping smoking as your fracture heals will help to ensure the best recovery. In some people, it can stop healing altogether. Smoking affects all your tissues and slows facture healing times. There are some things that might affect your recovery. It's also normal for the area to be more sensitive for several months after the injury. This often happens when you try activities you haven’t done for a while. It's normal to have aches and discomfort beyond this. Surgery for nailbed repair and/or Kirschner wire fixation will be required in more complex cases.After a metacarpal fracture of the hand, most of the healing happens between 3 to 4 weeks. Extensive wound irrigation, antibiotic cover, and tetanus booster prophylaxis must be considered to mitigate this risk. A mallet splint is often used in these cases.įractures at the base of the distal phalanx are often unstable due to the fact these are the insertions sites for both the flexor and extensor tendon, however splinting of these fractures, granted they are closed has favorable outcomes 3.Īs in all cases of trauma, the importance of recognition of open distal phalanx fractures is due to the increased risk of contamination and, hence, infection. Closed fractures are generally stable, especially when they do not involve the articular surface. The majority of distal phalanx fractures are minimally displaced and may be treated conservatively. Fractures with significant radiological comminution and/or extensive soft tissue injury should be clinically and radiologically reviewed for open fracture. The presence or absence of an intra-articular component, degree of comminution, and fracture displacement should be assessed when formulating a report.įracture rotation can be difficult to assess radiologically and is best assessed on clinical examination. Plain radiographs form the mainstay of imaging distal phalanx fractures. When associated with a crush injury, open fracture is more likely. They are frequently related to sports, with lesions such as the mallet finger and the Jersey finger. They represent > 50% of all phalangeal fractures and frequently involve the ungual tuft 1. Distal phalanx fractures are among the most common fractures in the hand.
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