Can Removing Pins Improve Finger Mobility After Fracture?

Does the removal of the steel nail allow for greater mobility?

In July of this year, I fractured the fifth metacarpal bone in my right hand, with the fracture site being very close to the little finger but not involving the joint.
In August, I underwent surgery to repair the fracture, during which a self-funded steel pin was inserted to stabilize the bone.
The orthopedic surgeon mentioned that due to the injury and the presence of the pin, the mobility of my little finger is still limited, and I am currently unable to fully make a fist (the little finger cannot be completely clenched or extended).
On October 31st, I had an X-ray, and it showed that the fracture has healed.
Additionally, during rehabilitation, the therapist mentioned that removing the pin might improve my range of motion.
I would like to know if removing the pin could enhance the mobility of my little finger.

A-Zhong, 20~29 year old female. Ask Date: 2016/11/04

Dr. Hong Ximing reply Orthopedics

A fracture of the fifth metacarpal, particularly near the joint, will inevitably affect joint function.
Rehabilitation efforts should be maximized to minimize the impact.
As for the removal of the metal pins, this will need to be assessed through X-rays, so please consult your attending physician.

Reply Date: 2016/11/04

More Info

Removing pins after a fracture can potentially improve finger mobility, but the outcome largely depends on several factors, including the healing process, the specific nature of the injury, and the rehabilitation efforts that follow. In your case, you experienced a fracture of the fifth metacarpal bone, which is located near the little finger. The fact that the fracture site has healed, as confirmed by X-rays, is a positive sign. However, the presence of pins can sometimes restrict movement due to the surrounding soft tissue healing and the mechanical stabilization provided by the pins.

When pins are inserted during surgery, they serve to stabilize the fracture and allow for proper healing. However, they can also limit the range of motion in the affected area. This is particularly true if the pins are in place for an extended period, as the surrounding muscles and tendons may become stiff due to disuse. In your case, the orthopedic surgeon indicated that the limited mobility in your little finger could be attributed to both the injury itself and the presence of the pins.

The rehabilitation process is crucial after the removal of pins. Physical therapy can help restore mobility and strength to the finger. If your physical therapist suggested that removing the pins might enhance your range of motion, it is likely based on the understanding that once the pins are removed, the finger may be able to move more freely without the restriction imposed by the hardware. However, it is essential to follow a structured rehabilitation program to maximize recovery.

It is also important to consider that while removing the pins may improve mobility, it does not guarantee full restoration of function. Factors such as the extent of the initial injury, the quality of the healing, and the effectiveness of rehabilitation play significant roles in the recovery process. Additionally, if there are any underlying issues such as scar tissue formation or tendon adhesions, these may need to be addressed through targeted therapy or, in some cases, surgical intervention.

In conclusion, while removing the pins may provide an opportunity for improved mobility in your little finger, it is essential to consult with your orthopedic surgeon to discuss the timing of the removal and the subsequent rehabilitation plan. They can provide personalized advice based on your specific situation and ensure that you have the best chance for a successful recovery. Engaging in a comprehensive rehabilitation program post-removal will be key to regaining as much function as possible.

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