Unable to Bend Ring Finger After Fracture: Possible Causes and Solutions - Orthopedics

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Dear Patient,
Thank you for your inquiry regarding the inability to bend your ring finger after a fracture and subsequent surgery. It sounds like you have been through a challenging recovery process, and I appreciate your detailed description of your situation.
From your description, it appears that you have undergone surgery to repair a fracture in your ring finger, specifically at the second phalanx, and have been participating in rehabilitation. However, you are experiencing a significant limitation in the range of motion, particularly in the first phalanx, which is preventing you from bending the finger without external assistance.

There are several potential causes for your current condition:
1. Tendon Injury: It's possible that during the injury or surgery, the flexor tendon responsible for bending the finger may have been damaged or not healed properly. Tendon injuries can lead to stiffness and a reduced ability to flex the finger.

2. Joint Stiffness: After a fracture and surgical intervention, it is common to experience stiffness in the joints due to immobilization. This stiffness can be exacerbated by scar tissue formation around the joint and tendons, limiting movement.

3. Hardware Issues: The presence of the plate and screws used to stabilize the fracture can sometimes lead to discomfort or impede the normal movement of the finger. In some cases, the hardware may need to be removed if it is causing significant issues.

4. Complex Regional Pain Syndrome (CRPS): Although less common, CRPS can develop after an injury and may lead to pain, swelling, and stiffness in the affected limb. This condition can complicate recovery and may require specialized treatment.

To address your concerns and improve your finger's function, I recommend the following steps:
1. Consult Your Orthopedic Surgeon: It is crucial to follow up with your orthopedic surgeon to discuss your ongoing symptoms. They may want to perform imaging studies, such as X-rays or an MRI, to assess the healing of the bone and the condition of the tendons and hardware.

2. Physical Therapy: Continuing with physical therapy is essential. A physical therapist can provide targeted exercises to improve flexibility and strength in your finger. They may also use modalities such as ultrasound or electrical stimulation to promote healing and reduce stiffness.

3. Tendon Gliding Exercises: These exercises are designed to promote movement in the tendons and joints of the fingers. They can help improve the range of motion and reduce stiffness.

4. Consider a Hand Specialist: If your current rehabilitation efforts are not yielding results, it may be beneficial to consult a hand specialist. They can provide a more focused evaluation and treatment plan tailored to your specific needs.

5. Surgical Options: If the issue is determined to be related to tendon damage or hardware interference, your surgeon may discuss surgical options to repair the tendon or remove the hardware if it is deemed necessary.

6. Patience and Consistency: Recovery from finger fractures can take time, and it is essential to remain patient and consistent with your rehabilitation efforts. Regular follow-ups with your healthcare team will help monitor your progress and make necessary adjustments to your treatment plan.

In conclusion, while it is concerning that you are unable to bend your finger, there are several avenues to explore for potential solutions. Engaging with your healthcare providers and adhering to a structured rehabilitation program will be key to improving your finger's function. Please do not hesitate to reach out for further assistance or clarification on any of these points.

Wishing you a smooth recovery,
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