Finger Fractures
A finger fracture is another word for break in one of the bones of a finger. These injuries can happen after a various type of accidents. They are most associated with sports injury or manual labor. Although the middle and index finger are most affected it could happen to any finger. These breaks can involve the shaft of the bone and/or the joint surfaces, each distinct characteristics and require tailored management approaches. Timely diagnosis and management are fundamental to preserving optimal hand function.
What is a finger fracture?
Dr. Oren Michaeli Finger Fracture
How is a finger fracture Diagnosed?
If a finger fracture is suspected, a clinical examination combined with imaging are needed for accurate diagnosis. X-rays are the initial imaging modality, they allow for the evaluation of the fracture pattern, displacement, and involvement of joint surfaces. In some circumstances when the joint is involved cross-sectional imaging techniques like computed tomography (CT) scans are needed to provide a three dimensional image.
Nerve Surgery
What is conservative management of a finger fracture?
None operative care involves immobilization of the affected finger. It maybe splinted (imagine a popsicle stick taped to a finger) or using buddy taping. Buddy taping is when fractured finger is taped to an adjacent uninjured finger (the buddy) to provide stability. The duration of immobilization depends on the fracture's stability and the individual's healing response.
What is operative management of a finger fracture?
Surgical treatment options may include closed reduction and percutaneous pinning (putting a temporary small metal rod through the skin into the bone). Complex fractures may require an open reduction and internal fixation (ORIF) using screws, plates, or wires. The chosen technique will depend on the fracture's characteristics, and location. More importantly this decision will be made by the patient and the physician together taking into account the patients goals, lifestyle and preference.
Hand Surgery
What are the expected outcomes of a finger fracture?
There are many factors that come into play that may affect the outcome, such as preoperative function, fracture characteristics, fixation, patient healing properties and many more. In order to get the best possible outcome for the patient, whatever that may be; rehabilitation plays a crucial role. Hand therapy is recommended to restore finger strength, dexterity, and flexibility. Compliance with therapy and regular follow-up visits are important for monitoring progress and addressing any issues that may arise during the recovery process.