Childhood Finger Injury: Long-Term Effects and Treatment Options

In childhood, there was an injury to the finger joints?

Hello Doctor, my left hand's middle finger metacarpophalangeal joint was injured when I was a child (I hit my fist against a wall).
When I bend my middle finger, the tendon on the joint shifts to the left.
At that time, I felt no pain or discomfort; I just found it interesting that the tendon would shift, so I never thought about seeking medical attention.
Gradually, I forgot about it.
Recently, while working, I noticed that when I bend my middle finger to a certain degree (the tendon shifts), and then slowly extend it to a point (before the tendon returns to its normal position), my finger gets stuck for a moment, and then when the tendon realigns, my finger trembles.
Since my work requires steady hands, sometimes my fingers feel a bit stuck.
Initially, I thought it was just me getting used to it, but now I realize it's a finger issue.
I would like to ask if this type of injury, which has lasted for over a decade, can still be treated? Since I have not experienced pain or discomfort for all these years, if left untreated, will this injury cause any problems in old age? Thank you, Doctor.

Niming, 30~39 year old female. Ask Date: 2019/07/28

Dr. Shi Guozheng reply Orthopedics

You can consult a hand surgery specialist for a thorough examination to determine whether the issue is related to the tendon or the tendon sheath, as this is the only way to find a solution.

Reply Date: 2019/07/28

More Info

In response to your question regarding the long-term effects and treatment options for your childhood finger injury, it is important to understand the nature of the injury and its potential implications over time. Based on your description, it seems that you sustained an injury to your left middle finger's metacarpophalangeal joint, which has resulted in some degree of misalignment or deviation of the tendons when you flex and extend your finger.

Firstly, it is crucial to recognize that injuries to the fingers, especially those involving the joints and tendons, can lead to long-term complications if not properly addressed. The fact that you have experienced a sensation of "catching" or "snapping" in your finger, along with the deviation of the tendon, suggests that there may be some underlying issues such as tendon subluxation or even a possible trigger finger condition. These conditions can lead to decreased range of motion, pain, and functional limitations, especially as you age.

While you have not experienced pain or discomfort for many years, it is essential to understand that the absence of pain does not necessarily indicate that the injury has healed completely or that it will not cause problems in the future. Over time, the mechanical stress on the affected joint and tendon can lead to wear and tear, potentially resulting in arthritis or other degenerative changes. This is particularly concerning as you approach older age, where joint health becomes increasingly important.

Regarding treatment options, it is advisable to consult with a hand specialist or orthopedic surgeon who can perform a thorough evaluation of your finger. They may recommend imaging studies, such as X-rays or an MRI, to assess the condition of the joint, tendons, and surrounding structures. Based on the findings, treatment options may include:
1. Physical Therapy: A structured rehabilitation program can help improve the range of motion, strengthen the surrounding muscles, and alleviate any catching sensations. A physical therapist can provide specific exercises tailored to your condition.

2. Splinting: In some cases, wearing a splint may help stabilize the joint and prevent further deviation of the tendon during activities. This can be particularly beneficial if you experience discomfort or functional limitations.

3. Surgical Intervention: If conservative measures do not provide relief or if there is significant structural damage, surgical options may be considered. This could involve tendon repair, realignment of the joint, or other procedures to restore normal function.

4. Monitoring: If the injury does not currently cause significant issues, your doctor may recommend a watchful waiting approach, with regular follow-ups to monitor any changes in your condition.

In conclusion, while it is possible that your finger injury may not have immediate consequences, it is prudent to seek medical advice to prevent potential long-term complications. Early intervention can often lead to better outcomes and preserve hand function as you age. Remember, it is never too late to address an injury, and taking proactive steps now can help ensure your hand health in the future.

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