Should You Return to the Doctor After a Hand Injury Post-Surgery?

After a fracture of the metacarpal bones, a steel plate was placed, and then the hand was impacted?

You sustained a closed fracture of the third metacarpal in your left hand after being hit.
You underwent surgery in mid-February to place an interlocking plate.
Now, two months later, you accidentally got hit on the hand by a ball and are experiencing some warmth and a prickling sensation.
Should you return for a follow-up appointment? What symptoms would indicate a displacement of the fracture site or the plate? Thank you.

Huang, 20~29 year old female. Ask Date: 2022/05/01

Dr. You Dianqi reply Orthopedics

If you experience any discomfort, it is advisable to seek medical examination to avoid affecting your recovery.
Thank you.

Reply Date: 2022/05/01

More Info

After experiencing a hand injury, particularly following surgery for a closed fracture of the third metacarpal, it is crucial to monitor any new symptoms closely. Given that you had surgery two months ago to place an interlocking plate, any subsequent trauma to the area, such as being hit by a ball, warrants careful consideration.

Should You Return to the Doctor?
Yes, you should definitely consider returning to your doctor. Even if the injury seems minor, the fact that you are experiencing sensations of heat and tingling in the area is a signal that something may not be right. These symptoms could indicate inflammation, irritation, or even potential complications related to the surgical site or the hardware that was implanted.

Symptoms of Complications
If there is a displacement of the fracture site or a shift in the position of the plate, you may experience several symptoms, including:
1. Increased Pain: If the pain intensifies or changes in character (sharp, throbbing, etc.), this could indicate a problem.

2. Swelling: Noticeable swelling around the surgical site or the hand can be a sign of complications.

3. Heat: As you mentioned feeling heat, this could suggest inflammation or infection.

4. Tingling or Numbness: These sensations may indicate nerve involvement, which could occur if the fracture has shifted or if there is swelling pressing on nerves.

5. Decreased Range of Motion: If you find it increasingly difficult to move your fingers or hand, this could be a sign that something is wrong.

6. Visible Deformity: Any visible change in the shape of your hand or fingers should be evaluated immediately.

Importance of Follow-Up Care
Post-surgical follow-up is essential for monitoring the healing process. Your doctor will likely perform a physical examination and may order imaging studies, such as X-rays, to assess the integrity of the fracture site and the position of the hardware. Early intervention is key to preventing long-term complications, such as chronic pain, stiffness, or functional impairment.

What to Expect During Your Visit
During your follow-up appointment, the doctor will:
- Evaluate Symptoms: Discuss your symptoms in detail, including when they started and any activities that exacerbate them.

- Perform a Physical Exam: Check for tenderness, swelling, and range of motion.

- Order Imaging: If necessary, X-rays or other imaging studies may be conducted to assess the healing process and the position of the plate.

- Discuss Treatment Options: Depending on the findings, your doctor may recommend conservative management (like rest and physical therapy) or, in more severe cases, surgical intervention to correct any issues.

Conclusion
In summary, given your recent injury and the symptoms you are experiencing, it is advisable to return to your doctor for a thorough evaluation. Prompt attention can help ensure that any complications are addressed early, allowing for a better recovery trajectory. Remember, it’s always better to err on the side of caution when it comes to post-surgical care and hand injuries. Your health and functional recovery are paramount, and your healthcare provider is there to help you navigate this process.

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