Finger Injuries: Long-Term Effects and Recovery Options - Orthopedics

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Hand problems


When I was 17 years old, I injured my pinky finger while playing basketball; I hit the basketball hoop, and the force of the rebound caused a fracture in the proximal phalanx of my pinky.
I went to see an orthopedic doctor, who said that to restore it to its original state, I would need to have a pin inserted.
However, since the degree of bending was acceptable, he suggested that I could just use tape to stabilize it.
At the time, I wanted to go ahead with the pinning, but my dad wouldn't allow it.
Looking back, I feel a bit frustrated because sometimes my hand movements don't feel as natural, and certain actions feel a bit stiff or uncomfortable, making it hard to apply force.
However, a long time has passed, and the bone has healed.
I would like to ask if this could affect anything or if there are any ways to improve the situation.
Currently, I don't have any pain issues, but there is a noticeable difference when I compare the injured hand to the other hand when making a fist; the long bone portion of the pinky on the injured hand is less prominent due to the slight curvature.

joe, 20~29 year old female. Ask Date: 2017/02/20

Dr. Shi Guozheng reply Orthopedics


The fracture of the little finger has healed, but there may be some impact on joint mobility.
If grip strength or other movements are not affected, no further treatment is necessary.

Reply Date: 2017/02/20

More Info


Understanding finger injuries, particularly those resulting from trauma such as a basketball accident, is crucial for both recovery and long-term function. In your case, the injury to your little finger, which resulted in a bent bone fracture, has led to some lasting effects on your hand's functionality. While the bone has healed, the way it healed and the treatment you received can influence your hand's performance in the long run.


Long-Term Effects of Finger Injuries
1. Joint Mobility: After a fracture, especially if it was not surgically fixed, there can be a risk of reduced mobility in the affected joint. This is due to the formation of scar tissue and the potential for misalignment during the healing process. In your case, the slight bend in the bone may lead to a limitation in the range of motion, which can affect how naturally you can perform tasks with that finger.

2. Grip Strength: Injuries to the fingers can also impact grip strength. If the little finger is not able to function optimally, it can affect your overall grip, as the little finger plays a significant role in stabilizing the hand during gripping actions. You may notice that certain activities, like holding objects or performing fine motor tasks, feel less secure or more challenging.

3. Pain and Discomfort: While you currently report no pain, it is not uncommon for individuals with past finger injuries to experience discomfort during specific movements or after prolonged use. This can be due to the stress placed on the joint or surrounding tissues.

4. Aesthetic Differences: As you noted, there is a visible difference between your injured finger and the uninjured one. This can be due to the alignment of the bones and the way the soft tissues have adapted post-injury. While this may not cause functional issues, it can affect your perception of hand aesthetics.


Recovery Options and Rehabilitation
1. Physical Therapy: Engaging in a structured rehabilitation program can significantly improve your hand's functionality. A physical therapist can provide exercises tailored to your specific needs, focusing on improving range of motion, strength, and coordination. Stretching and strengthening exercises can help mitigate stiffness and enhance overall hand function.

2. Occupational Therapy: An occupational therapist can assist you in adapting your daily activities to accommodate any limitations you may have. They can also provide strategies to improve your grip and dexterity, which can be particularly beneficial if you find certain tasks challenging.

3. Home Exercises: Incorporating simple exercises at home can also be beneficial. For instance, finger stretches, squeezing a stress ball, or using therapy putty can help improve strength and flexibility. It’s essential to perform these exercises gently to avoid exacerbating any discomfort.

4. Assistive Devices: If you find that certain activities are still challenging, consider using assistive devices designed to help with grip and dexterity. These can range from specialized grips for pens and utensils to tools that help with opening jars or holding objects securely.

5. Regular Monitoring: Keep an eye on your finger's condition. If you notice any changes, such as increased pain, swelling, or decreased mobility, it’s essential to consult a healthcare professional. Regular check-ups can help ensure that any potential issues are addressed promptly.


Conclusion
While your little finger injury has healed, the long-term effects can vary based on the nature of the injury and the treatment received. Engaging in rehabilitation and being proactive about your recovery can significantly enhance your hand's functionality and overall quality of life. If you have any concerns about your recovery or experience new symptoms, don’t hesitate to reach out to a healthcare provider for further evaluation and guidance.

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