Managing Finger Injuries: Recovery Tips for Sports-Related Trauma - Orthopedics

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Suspected trigger finger re-injury?


Last November, I had a small fracture in the second phalanx of my finger while playing basketball.
Today, I injured the same spot on my finger while playing again, causing a bruise.
Currently, I am unable to make a fist and there is noticeable swelling.
I have applied ice and immobilized the finger to prevent further injury.
PS: I prefer not to see a doctor this time since I believe I only need pain relief, so I would like to ask: 1.
Will the injury from last year make my finger more susceptible to fractures or bruises in the future? 2.
What methods do you recommend for immobilization at home to aid recovery, such as using a tongue depressor?

Lin Xiansheng, 10~19 year old female. Ask Date: 2020/02/26

Dr. Zhan Xian reply Orthopedics


Hello Mr.
Lin, 1.
Yes.
2.
If there is pain and limited mobility in the finger joints, it is recommended to visit an orthopedic outpatient clinic to avoid affecting functional recovery.

Reply Date: 2020/02/26

More Info


Managing finger injuries, especially those related to sports, requires a careful approach to ensure proper healing and to prevent long-term complications. Based on your description, it seems you have experienced a previous injury to your finger, which may have contributed to the current situation. Here are some insights and recommendations regarding your questions.


1. Long-term Effects of Previous Injuries
Injuries to the fingers, particularly fractures or significant sprains, can indeed lead to a higher susceptibility to future injuries. This is primarily due to potential changes in the structural integrity of the bone and surrounding soft tissues (ligaments, tendons). After a fracture, the bone may heal but might not regain its original strength, making it more prone to future stress fractures or sprains. Additionally, if the ligaments were stretched or damaged during the initial injury, this could lead to joint instability, increasing the risk of re-injury.

To mitigate these risks, it is essential to engage in a proper rehabilitation program post-injury, which includes strengthening exercises and flexibility training. This can help restore the function of the finger and improve its resilience against future injuries.


2. Home Care and Finger Stabilization
For your current injury, where you are experiencing swelling and difficulty in making a fist, it is crucial to manage the symptoms effectively. Here are some home care strategies you can employ:
- Ice Therapy: Continue using ice packs on the injured finger for 15-20 minutes every hour as needed. This will help reduce swelling and numb the pain.

- Compression: Use an elastic bandage or finger splint to provide gentle compression. This can help control swelling and provide support to the injured area.

- Elevation: Keep your hand elevated above heart level whenever possible. This can help reduce swelling by allowing fluids to drain away from the injured area.

- Immobilization: For stabilization, you can use a finger splint or a buddy taping technique. Buddy taping involves taping the injured finger to an adjacent finger to provide support. If you have access to a tongue depressor or a similar rigid object, you can create a makeshift splint by securing it alongside your finger with medical tape. Ensure that the splint is not too tight, as this can impede circulation.

- Gentle Range of Motion Exercises: Once the initial pain and swelling decrease, you can start gentle range of motion exercises to prevent stiffness. However, avoid any movements that cause pain.


Additional Considerations
While managing your injury at home is feasible, it is essential to monitor your symptoms closely. If you notice increased pain, swelling, or if you are unable to move your finger after a few days, it would be wise to consult a healthcare professional. They can assess whether there are any underlying issues, such as a more severe fracture or ligament injury that may require medical intervention.

In conclusion, while it is understandable to want to avoid medical visits for what seems like a minor injury, the long-term health of your finger is paramount. Proper care, including rest, ice, compression, and elevation, along with appropriate immobilization techniques, can significantly aid in your recovery. However, do not hesitate to seek professional help if your condition does not improve or worsens. Early intervention can prevent complications and ensure a full recovery, allowing you to return to your favorite sports activities safely.

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