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This article was co-written by Jonathan Frank, MD. Jonathan Frank is an orthopedic surgeon based in Beverly Hills, California, specializing in sports medicine and joint-conserving therapy. Frank specializes in minimally invasive, arthroscopic knee, shoulder, hip and elbow surgery. Frank holds a medical degree from the University of California, Los Angeles School of Medicine. He completed his residency in orthopedic surgery at Rush University Medical Center in Chicago and his doctoral internship in orthopedic sports medicine and hip-conserving therapy at Steadman Medical Center in New York. Vail, Cporado. He is a member of the American Ski Team. Frank is now a review writer for scientific journals, his research is presented at regional, national and international conferences on orthopedic surgery, he has also won numerous awards. awards, including the Mark Coventry and William A Grana awards.
There are 18 references cited in this article that you can see at the bottom of the page.
This article has been viewed 11,871 times.
Thumb fractures range in severity, from a single, easily treatable fracture to a complex injury that breaks multiple segments along the joint and requires surgery. Since a thumb injury has a lasting impact on many aspects of your life from eating to your ability to work, it’s important to take it seriously. [1] X Research Sources Brian Carlson MD and Stephen Moran MD. American Society for Surgery of the Hand, May June 2009 Vpume 34 Issue 5 945-952[2 ] X Resources Skinner, H, Current Diagnosis and Treatment of Orthopedics 5th Edition, Chapter 9, Hand Surgery, 2008 Understanding Symptoms of Thumb fracture and treatment options are essential to the recovery of this type of injury.
Steps
Recognizing Broken Thumbs
- Pain is also felt if something touches the finger or when you try to bend it.
- In general, the closer the pain is to the joint where the thumb meets the rest of the hand (closer to the webbing between the thumb and index finger), the more worrisome the situation and the risk of complications.
- When broken fingers often bruise, which is a sign of capillaries in the cell membrane. [5] X Trusted Source Seattle Children’s Hospital Go to Source
- In particular, you should check to see if you can move your thumb back. If you can do it without pain, you’re likely just sprained, not broken.
- The thumb can turn blue if it doesn’t receive enough health or doesn’t return it.
- The swelling in the thumb can also affect the adjacent fingers.
Have a Doctor Assess the Wound
- In addition, fractures of the thumb in children have long-term effects on the development of that finger because the growth synaptic cartilage has been damaged.
- Even if you only suspect a sprain (a ligament tear) you should see a doctor for an accurate diagnosis. And even some serious sprains require a surgeon’s hand. In general, you should let a medical professional determine the outcome of your diagnosis and treatment. [10] X Research Source C, Tsiouri et al, Hand, Injury to the Ulnar Cplateral Ligament of the Thumb, 2008 March, 4(1) 12-18 [11] X Research SourceBrian Carslon MD , Steven Moran MD, Thumb Trauma : Bennetts, Fracure, Rloando’s fractrues, and Ulnar Cplateral Ligament Injuries, American Society for Surgery of the Hand, May June 2009 Vpume 34 Issue 5 945-952
- Side view: A cup with the hand resting on one side so that the thumb is on top.
- Upside down: A cup with the hand resting on one side and slightly tilted, so that the thumb is on top.
- Front-to-back: This is a photo shoot with the hand lying flat and shooting from the top.
- If you are pregnant, tell your doctor because a CT scan can harm your unborn baby.
- An extraarticular fracture is when the break occurs away from the joint, along one of the two bony segments of the thumb. Although very painful and takes up to six weeks to heal, this type of fracture usually does not require surgery. [16] X Research Source Ashkenaze DM, Ruby LK. Metacarpal fractures and dislocations. Orthop Clin North Am 1992; 23:19.
- An intra-articular fracture is when a break occurs in a joint, often requiring surgery to regain maximum joint mobility. [17] X Research Source Ashkenaze DM, Ruby LK. Metacarpal fractures and dislocations. Orthop Clin North Am 1992; 23:19.
- Among the types of intra-articular fractures, the two most common are the Bennett fracture and the Rpando fracture. In both cases the thumb is broken (and possibly dislocated) at the metatarsal joint (the thumb joint closest to the wrist of the hand). [18] X Research Resources Wheeless, Wheeless Textbook of Orthopaedics, Bennetts Fracture Dislocation, 10, 2012 The biggest difference between the two fractures is that the Rpando fracture consists of three or more fractures and requires alignment, while the Bennett fracture. Sometimes surgery may not be necessary, Rpando fractures always require surgical treatment. [19] X Research Resources Wheeless, Wheeless Textbook of Orthopaedics Rpandos fracture, 10, 2012[20] X Research Resources Brian Carlson MD, Steven Moran MD, Thumb Trauma: Bennetts, Fracure, Rloando’s fractrues, and Ulnar Cplateral Ligament Injuries, American Society for Surgery of the Hand, May June 2009 Vpume 34 Issue 5 945-952
Treatment of a Broken Thumb
- With this method (also known as closed manipulation), the doctor pulls the bone along the fracture to realign, and uses fluoroscopy (instant continuous X-ray technique) to observe the bone during the procedure. align. [23] X Research Source J, Leggit, Acute Finger Injuries Part II, Fractures, Dislocations and Thumb Injuries, American Family Physician, March 1 2006 73 (5) 827-834
- Note that with some Rpando fractures, especially when the bone breaks into too many interlocking pieces, the surgeon can also treat the fracture with this method, which means they have to do their best to arrange the fracture. reshaping the bone fragments (called open manipulation). [24] X Research Source C, Wheeless, Wheeless Textbook of Orthopedics Rpandos fracture, 10, 2012
- Using fluoroscopy to insert metal wires through the skin and realign the broken pieces is called external fixation. This method is mainly used for Bennett fractures when the fragments are still close together.
- The surgeon cuts open the hand to insert small screws and pins into the bone, to hold them in place. This method is called internal fixation.
- Potential complications with surgery include injury to nerves or ligaments, stiffness, and an increased risk of arthritis. [27] X Research Source
- You’ll probably have to carry the cast around for two to six weeks, usually close to six weeks. [28] X Research Sources
- In addition, you will have to be re-examined several times during this time.
Advice
- Regardless of broken bones or sprains, you should go to the hospital for medical care.
Warning
- This article provides medical information about a broken thumb and should not be taken as advice. Always see your doctor to get an accurate diagnosis and choose the right treatment for your injury.
- If you are pregnant, tell your doctor before having an X-ray. The fetus is very sensitive to X-rays, so it’s best to avoid using this method to determine if a finger is broken.
This article was co-written by Jonathan Frank, MD. Jonathan Frank is an orthopedic surgeon based in Beverly Hills, California, specializing in sports medicine and joint-conserving therapy. Frank specializes in minimally invasive, arthroscopic knee, shoulder, hip and elbow surgery. Frank holds a medical degree from the University of California, Los Angeles School of Medicine. He completed his residency in orthopedic surgery at Rush University Medical Center in Chicago and his doctoral internship in orthopedic sports medicine and hip-conserving therapy at Steadman Medical Center in New York. Vail, Cporado. He is a member of the American Ski Team. Frank is now a review writer for scientific journals, his research is presented at regional, national and international conferences on orthopedic surgery, he has also won numerous awards. awards, including the Mark Coventry and William A Grana awards.
There are 18 references cited in this article that you can see at the bottom of the page.
This article has been viewed 11,871 times.
Thumb fractures range in severity, from a single, easily treatable fracture to a complex injury that breaks multiple segments along the joint and requires surgery. Since a thumb injury has a lasting impact on many aspects of your life from eating to your ability to work, it’s important to take it seriously. [1] X Research Sources Brian Carlson MD and Stephen Moran MD. American Society for Surgery of the Hand, May June 2009 Vpume 34 Issue 5 945-952[2 ] X Resources Skinner, H, Current Diagnosis and Treatment of Orthopedics 5th Edition, Chapter 9, Hand Surgery, 2008 Understanding Symptoms of Thumb fracture and treatment options are essential to the recovery of this type of injury.
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