Can Surgery Correct My Two-Year-Old Broken Pinky Finger? - Orthopedics

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Fracture of the right little finger (pinky finger)?


I fractured my right little finger while playing basketball in middle school.
I went to a clinic for an X-ray, which confirmed the fracture.
The doctor there mentioned that the angle of the fracture wasn't significant enough to require surgery.
However, now that two years have passed, I feel that the angle looks a bit unsightly, and I'm not quite used to it.
Is it still possible to have surgery, and if so, can it return to its original appearance?

Bo Hong, 10~19 year old female. Ask Date: 2020/01/13

Dr. Zhan Xian reply Orthopedics


Hello, please consult the orthopedic outpatient department for evaluation using X-rays and physical examination.

Reply Date: 2020/01/13

More Info


When it comes to the possibility of surgical correction for a two-year-old broken pinky finger, there are several factors to consider. First and foremost, it is essential to understand that the healing process for bones can vary significantly from person to person, and the decision to proceed with surgery should be based on a thorough evaluation by a qualified orthopedic specialist.

In your case, you mentioned that the fracture was assessed two years ago, and the initial medical advice was that the angle of the fracture was not significant enough to warrant surgical intervention. However, now that you are experiencing dissatisfaction with the appearance and function of your pinky finger, it is reasonable to seek a second opinion or further evaluation.

The first step in determining whether surgery is a viable option would involve imaging studies, such as X-rays, to assess the current alignment of the bone and any potential complications that may have arisen since the initial injury. The orthopedic surgeon will look for signs of malunion (where the bone heals in an incorrect position) or nonunion (where the bone fails to heal altogether). If either of these conditions is present, surgical intervention may be indicated.

Surgery for a malunited fracture typically involves realigning the bone fragments and stabilizing them using hardware such as plates, screws, or pins. The goal of the surgery would be to restore the normal anatomy of the finger, which could improve both its appearance and function. However, it is important to note that while surgery can often lead to significant improvements, it may not always return the finger to its exact pre-injury state. Factors such as the extent of the initial injury, the time elapsed since the fracture, and the body's healing response all play a role in the final outcome.

Post-operative rehabilitation is also a crucial component of recovery. After surgery, physical therapy may be necessary to regain strength, flexibility, and function in the finger. The timeline for recovery can vary, but many patients can expect to see improvements within a few months, provided they adhere to their rehabilitation program.

In summary, while it is possible to consider surgical correction for your two-year-old broken pinky finger, it is essential to consult with an orthopedic specialist who can evaluate your specific situation. They will conduct a thorough examination, review imaging studies, and discuss the potential benefits and risks of surgery. If surgery is deemed appropriate, you can expect a structured recovery process that may lead to improved function and aesthetics of your pinky finger. Always remember that open communication with your healthcare provider is key to making informed decisions about your treatment options.

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