Managing Hand Bone Fractures: Protection and Recovery Tips - Orthopedics

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Metacarpal fracture


I would like to ask about a bone fracture in the metacarpal of my left ring finger caused by playing basketball.
The doctor recommended that I buy a wrist support, but I am concerned that it may not provide adequate protection.
Therefore, I purchased a protective brace with two aluminum plates that covers the palm.
I would like to know if this might compress the palm instead.
Additionally, I want to ask if I can type with my fingers in this condition.
I feel like I can move them, but I'm worried that it might affect the healing process of the injury.
Thank you.

huǒ lú, 20~29 year old female. Ask Date: 2016/06/21

Dr. Shi Guozheng reply Orthopedics


Metacarpal fractures should be immobilized using a cast, splint, or brace.
However, the immobilization period must be sufficient for proper healing of the fracture, and it is important to avoid unnecessary movement to prevent malunion.

Reply Date: 2016/06/21

More Info


Managing hand bone fractures, especially in the case of a metacarpal fracture like the one you described, requires a careful balance between protection, mobility, and rehabilitation. Here are some insights and recommendations based on your situation.


Protection and Support
1. Wrist Support: The wrist support recommended by your doctor is essential for protecting the injured area. It helps stabilize the wrist and prevents excessive movement that could aggravate the fracture. If you feel that the aluminum splint you purchased provides better support, it may be beneficial, but ensure that it does not apply excessive pressure on the palm or restrict blood flow. The splint should be snug but not painfully tight.

2. Monitoring Symptoms: Pay attention to any signs of increased pain, swelling, or changes in color in your fingers. If you notice these symptoms, it may indicate that the splint is too tight or that the injury is not healing properly. In such cases, consult your healthcare provider.


Mobility and Rehabilitation
1. Finger Movement: It’s crucial to maintain some level of mobility in your fingers to prevent stiffness. If your doctor has cleared you for movement, gentle exercises can be beneficial. However, avoid any activities that cause pain or discomfort at the fracture site. You can practice moving your fingers individually, making sure not to overexert yourself.

2. Typing: If you feel comfortable moving your fingers and typing does not cause pain, you can attempt to type. Start slowly and pay attention to how your hand feels. If typing causes discomfort, it may be best to limit this activity until you have further healed.

3. Gradual Increase in Activity: As your healing progresses, gradually increase the intensity of your activities. This includes light exercises for your fingers and wrist, as advised by your healthcare provider. The goal is to restore function without compromising the healing process.


Nutrition and Healing
1. Dietary Considerations: Nutrition plays a significant role in bone healing. Ensure you are consuming a balanced diet rich in calcium and vitamin D, which are vital for bone health. Foods such as dairy products, leafy greens, nuts, and fish can support your recovery.

2. Hydration: Staying well-hydrated is also important for overall health and can aid in the healing process.


Timeline for Recovery
1. Healing Duration: Metacarpal fractures typically take about 4 to 6 weeks to heal, depending on the severity of the fracture and your overall health. Follow-up appointments with your doctor will help monitor your progress.

2. Physical Therapy: Once your doctor determines that the fracture is healing well, they may recommend physical therapy to help regain strength and flexibility in your hand. This is an important step in ensuring that you can return to your normal activities, including sports.


Conclusion
In summary, while it’s important to protect your injured hand, maintaining some mobility is equally crucial for recovery. Listen to your body, and do not hesitate to reach out to your healthcare provider if you have concerns about your healing process or if you experience any unusual symptoms. With proper care, you should be able to return to your normal activities, including playing basketball, in due time. Remember, patience is key in the recovery process.

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