Numbness in the hand after a fracture?
The doctor said that my radius at the elbow is fractured and I need to wait for surgery to have screws or plates inserted.
However, since it is the weekend, there are no clinics available for the surgery.
Is it very urgent to have surgery for a closed fracture? Additionally, after my elbow fracture, my little finger and the inner side of my elbow have been numb continuously.
Is this normal, or should I adjust my posture?
Tingting, 20~29 year old female. Ask Date: 2022/03/25
Dr. Shi Guozheng reply Orthopedics
1.
The department is very urgent.
2.
During a fracture, there may be contusions that can affect the surrounding nerves, which may cause some numbness.
Therefore, a simple immobilization is sufficient for now.
Reply Date: 2022/03/25
More Info
When dealing with a fracture, especially one involving the elbow and the radius, it is crucial to understand the implications of numbness and the urgency of surgical intervention. Based on your description, it seems you have sustained a closed fracture of the radius at the elbow, and you are experiencing numbness in your little finger and the inner side of your elbow.
Firstly, the urgency of surgery for a closed fracture can vary depending on several factors, including the degree of displacement of the fracture, the presence of associated injuries, and the overall stability of the joint. If the fracture is significantly displaced or if there is a risk of complications such as nerve or vascular injury, surgery may be considered urgent. In your case, since you mentioned that the surgery is scheduled for the weekend, it is likely that your healthcare provider has assessed that while the situation is serious, it may not require immediate emergency intervention. However, it is essential to follow up closely with your orthopedic surgeon.
Regarding the numbness you are experiencing, it is not uncommon for fractures near joints to cause nerve irritation or compression. The ulnar nerve, which runs along the inner side of the elbow, can be affected by swelling or direct trauma from the fracture. Numbness in the little finger and the inner side of the elbow could indicate that the ulnar nerve is being compressed or irritated. This is a condition known as ulnar nerve entrapment, and it can occur due to swelling or positioning after an injury.
While some degree of numbness can be expected immediately following a fracture, persistent numbness should not be ignored. It is essential to monitor the symptoms closely. If the numbness worsens, or if you experience additional symptoms such as weakness in the hand, inability to move the fingers, or severe pain, you should seek urgent medical attention. These could be signs of more severe nerve damage or complications that may require immediate intervention.
In terms of positioning, ensure that your arm is supported and that you are not placing undue pressure on the elbow or wrist. Avoid positions that may exacerbate the numbness. Keeping your arm elevated can help reduce swelling, which may alleviate some of the pressure on the nerves.
Post-surgery, rehabilitation will be crucial for regaining function and strength in your elbow and hand. Physical therapy may be recommended to help restore mobility and reduce the risk of stiffness. Your healthcare provider will guide you on the appropriate exercises and activities to promote healing.
In summary, while the numbness you are experiencing may be related to the fracture, it is essential to keep an eye on the symptoms and communicate with your healthcare provider. If you notice any worsening of your condition or new symptoms, do not hesitate to seek medical attention. Your recovery and the restoration of function in your elbow and hand are paramount, and timely intervention can make a significant difference.
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