Finger Fractures: Do You Need Surgery for Bone Chips?

Bone issues and sports injuries?

Hello, doctor.
I injured my finger while playing basketball recently.
After visiting a clinic, I was informed that a small corner of the bone in my finger is missing and a small piece of bone has broken off.
The doctor told me it would heal on its own in a few weeks.
I would like to ask if the broken piece of bone will remain in my finger permanently and whether I will need to undergo surgery.

Xiao Fu, 10~19 year old female. Ask Date: 2017/06/01

Dr. Hong Ximing reply Orthopedics

I fractured my finger while playing ball, and a piece of the bone is missing.
It seems that the tendon attachment on the bone has pulled away, causing a fracture.
It needs to be stabilized to allow for proper healing and to prevent any impact on the joint mobility of the finger.

Reply Date: 2017/06/01

More Info

When it comes to finger fractures, particularly those involving small bone chips or fragments, the management and treatment options can vary significantly based on the specifics of the injury. In your case, where a small piece of bone has chipped off during a sports activity, it is essential to understand the implications of this injury and the potential need for surgical intervention.

Firstly, it is important to note that not all fractures require surgery. In many cases, especially when the fracture is stable and the bone fragments are not displaced, conservative treatment can be effective. This typically involves immobilization of the finger using a splint or buddy taping to an adjacent finger, allowing the bone to heal naturally over time. The healing process for minor fractures can take several weeks, and during this time, it is crucial to follow your doctor's advice regarding activity restrictions and rehabilitation.

Regarding your specific concern about whether the chipped bone will remain in your finger, it is generally true that small bone fragments can sometimes be left in place if they are not causing any issues. If the fragment is small and not affecting the function of the finger or causing pain, it may not be necessary to remove it surgically. However, if the fragment is large, displaced, or if it leads to complications such as joint stiffness, pain, or impaired function, surgical intervention may be warranted.

Surgery for a finger fracture typically involves either fixation of the bone fragments using pins, screws, or plates, or in some cases, removal of the bone fragment if it is deemed non-essential. The decision to proceed with surgery should be made in consultation with an orthopedic surgeon who specializes in hand injuries. They will evaluate the fracture through physical examination and imaging studies, such as X-rays, to determine the best course of action.

In terms of recovery, if surgery is performed, the rehabilitation process may involve physical therapy to restore range of motion and strength to the finger. This is particularly important as stiffness can develop after immobilization, and early intervention can help mitigate this risk. The timeline for recovery can vary, but most patients can expect to regain function within a few months, depending on the severity of the fracture and adherence to rehabilitation protocols.

In conclusion, while many finger fractures can heal without surgery, the need for surgical intervention depends on the specifics of the fracture, including the size and location of the bone chip, as well as any associated symptoms. It is advisable to maintain open communication with your healthcare provider and follow their recommendations closely. If you have ongoing concerns about pain, function, or the healing process, do not hesitate to seek a second opinion or further evaluation from a specialist in hand surgery.

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