Post-Injury Finger Healing: Fluid Buildup and Joint Mobility Issues

Q: Post-Injury Finger Healing: Fluid Buildup and Joint Mobility Issues

Hello! Dirty lacerations often present two issues： the presence of foreign bodies and partial tears of muscles or tendons. <br>It is important to consult the surgeon who performed your operation to understand the condition at that time. <br>Take care! Changhua Hospital is concern

After a finger laceration, there seems to be fluid accumulation post-healing, and there is difficulty bending the joint?

The ring finger joint was cut by a processed iron piece (the semi-finished product had rust-proof oil and iron filings residue).
In the emergency department, only medication was applied.
The next day, the orthopedic department assisted with three stitches, and the stitches were removed 15 days later.
It has been 20 days since the stitches were removed, and there is a white line around the sutured area, with a particularly prominent spot that feels like there is some fluid inside.
I would like to ask the doctor:
1.
Is the presence of fluid normal? Should I have a doctor evaluate it? Should I see a general surgeon or return to the orthopedic surgeon who performed the suturing?
2.
After the wound has healed, I am experiencing pain when bending my finger, with limited bending angles.
Additionally, I have sudden sharp pain in other fingers of the same hand, numbness in the little finger, and symptoms similar to trigger finger at the joints of the little finger and palm.
Is this still part of the healing process, and should I wait and see? Or do you recommend a specific specialty for consultation?

Ann, 20~29 year old female. Ask Date: 2019/12/22

Dr. Li Zhonghuai reply Surgery

Hello! Dirty lacerations often present two issues: the presence of foreign bodies and partial tears of muscles or tendons.
It is important to consult the surgeon who performed your operation to understand the condition at that time.
Take care! Changhua Hospital is concerned about you!

Reply Date: 2019/12/22

More Info

Injuries to the fingers, especially those involving cuts and lacerations, can lead to various complications during the healing process. Based on your description, it seems you are experiencing some common post-injury symptoms, including fluid buildup, pain during movement, and potential nerve issues. Let's address your questions one by one.

1. Fluid Buildup: It is not uncommon to have some fluid accumulation around a healing wound, especially in the initial stages after sutures are removed. This can be due to inflammation, which is part of the body's natural healing response. However, if the fluid buildup is significant, persistent, or accompanied by increased redness, warmth, or discharge, it may indicate an infection or other complications. In your case, since you mentioned a "white line" and a "point that feels particularly swollen," it would be prudent to consult a physician. You should consider returning to the orthopedic surgeon who performed the suturing, as they are familiar with your specific injury and can provide a more accurate assessment. If they are unavailable, a visit to a general surgeon or a hand specialist would also be appropriate.

2. Joint Mobility and Pain: The pain and limited range of motion in your finger after the injury could be attributed to several factors, including scar tissue formation, joint stiffness, or even nerve irritation. It is essential to differentiate between normal healing discomfort and signs of a more serious issue. The sudden pain in your other fingers and the symptoms resembling trigger finger (where a finger gets stuck in a bent position) could suggest that the injury has affected the tendons or nerves in your hand.
In terms of treatment, physical therapy can be beneficial for improving mobility and reducing pain. A hand therapist can provide specific exercises to enhance flexibility and strength in your fingers. If you are still experiencing significant pain or functional limitations after a few weeks, it may be wise to seek further evaluation. A hand specialist can assess for any underlying issues, such as tendon injuries or nerve compression, and recommend appropriate interventions.

In summary, while some fluid accumulation and discomfort can be part of the healing process, persistent symptoms warrant further evaluation. It is advisable to consult with your orthopedic surgeon or a hand specialist to ensure proper healing and to address any complications that may arise. Additionally, engaging in physical therapy can significantly aid in restoring function and alleviating pain in your fingers. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek medical advice if you're concerned about your recovery.

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