Struggling with Inability to Straighten Right Hand After Injury - Orthopedics

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Inability to fully extend the right hand?


Hello, I had a car accident in April, and after an X-ray, a fracture was found in my wrist, specifically at the joint connection.
The initial diagnosis from the doctor recommended a cast, but I couldn't fully regain my previous mobility without surgery.
I avoided getting a cast because I was concerned about the inconvenience.
As a result, I still cannot fully extend my right hand.
Should I get a cast to heal, or are there other methods? Please let me know.

Ya Lun, 20~29 year old female. Ask Date: 2003/08/02

Dr. Shi Qiming reply Orthopedics


Hello: Poor fracture healing can lead to limited joint mobility.
If possible, please take some time to come to the outpatient clinic for an X-ray, so we can assess the treatment options.
Orthopedics Department, Hsinchu Hospital.

Reply Date: 2003/08/02

More Info


It sounds like you are experiencing significant challenges with your right hand following an injury from a car accident in April. Based on your description, it appears that you have a fracture in the area of the joint, which can indeed complicate recovery and function.
When it comes to fractures, especially those located near joints, proper immobilization is crucial for healing. The use of a cast (or "plaster") is a common method to ensure that the bones are held in the correct position while they heal. If the fracture is not properly aligned or if the joint is not stabilized, it can lead to complications such as malunion (where the bone heals incorrectly) or nonunion (where the bone fails to heal). This could explain why you are still struggling to straighten your hand.

In your case, since you mentioned that you are unable to fully straighten your hand and that you have not opted for a cast due to concerns about inconvenience, it is important to reconsider this decision. While it may seem uncomfortable or inconvenient, a cast can provide the necessary support to allow your injury to heal properly. Without it, you may risk further complications that could lead to long-term functional limitations.

If you are apprehensive about getting a cast, it may be helpful to discuss your concerns with an orthopedic specialist. They can provide you with information about the healing process, the importance of immobilization, and what to expect during recovery. Additionally, they can discuss alternative treatment options, such as splints or braces, which may offer some level of support while allowing for more mobility than a traditional cast.

In terms of rehabilitation, once the fracture has healed sufficiently, physical therapy will be essential to regain strength and range of motion in your hand. A physical therapist can guide you through exercises designed to improve flexibility and strength, which are crucial for restoring function. They may also use modalities such as ultrasound or electrical stimulation to help reduce pain and swelling.

It is also worth noting that if you have a fracture near a joint, the healing process may take longer than a simple fracture. Typically, fractures can take anywhere from 6 to 12 weeks to heal, depending on the severity and location. After this period, rehabilitation can take additional time, so patience and adherence to your treatment plan are key.

In summary, I strongly recommend that you consult with an orthopedic specialist regarding the possibility of getting a cast for your injury. Proper immobilization is critical for healing, especially with fractures near joints. Once healing has occurred, engaging in a structured rehabilitation program will be essential for regaining the full function of your hand. Remember, addressing these issues sooner rather than later can help prevent more serious complications down the line.

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