Minor Hand Fractures: Treatment and Recovery Tips - Orthopedics

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Minor bone fracture of the hand?


I sustained a minor fracture in my elbow from a skateboard fall and went to a clinic for treatment.
The doctor referred me to a larger hospital where I had two X-rays taken.
The doctor confirmed it was a minor fracture and said that I don't need a cast, just medication.
However, the pain is quite severe, and I can only maintain one position; I can barely bend my fingers.
I'm unsure if just taking medication will be sufficient for recovery or if I should get a cast.
I'm feeling anxious as I can hardly move at work...

Wu, 30~39 year old female. Ask Date: 2022/09/16

Dr. Wang Shouji reply Orthopedics


Hello, the location of the fracture is important.
If the symptoms are mild, it may still take at least two to three weeks for the pain to subside.
It is advisable to minimize movement and use a triangular bandage.
Follow-up outpatient visits are necessary to check for any displacement of the fracture.
For pain relief, apply ice packs.
Changhua Hospital cares about your health.
Wang Shou-ji.

Reply Date: 2022/09/16

More Info


When dealing with minor hand fractures, such as a hairline fracture in the elbow resulting from a skateboarding accident, it's essential to understand the appropriate treatment and recovery strategies to ensure proper healing and minimize discomfort. Based on your description, it seems that your doctor has assessed the fracture as minor and has opted not to use a cast, which is a common approach for less severe injuries.


Understanding Minor Fractures
Minor fractures, often referred to as hairline fractures or stress fractures, typically involve a small crack in the bone without significant displacement. These fractures can be painful and may limit your range of motion, as you've experienced. The pain you feel is a natural response to the injury, and it is crucial to manage it effectively while allowing the bone to heal.


Treatment Options
1. Medication: Your doctor has prescribed medication, likely pain relievers such as NSAIDs (non-steroidal anti-inflammatory drugs) like ibuprofen or naproxen. These medications can help reduce pain and inflammation, making it easier for you to manage daily activities.

2. Rest and Immobilization: While a cast may not be necessary, it is still vital to rest the affected area. Avoid activities that put stress on your elbow, and consider using a sling or brace to immobilize the joint if it helps alleviate pain.

3. Ice Therapy: Applying ice to the injured area can help reduce swelling and numb the pain. Aim for 15-20 minutes of ice application every few hours, especially in the first few days post-injury.

4. Elevation: Keeping your arm elevated can help minimize swelling. Try to keep your elbow above the level of your heart when resting.

5. Gradual Movement: Once the initial pain subsides, gentle range-of-motion exercises can be beneficial. Start with small movements to prevent stiffness, but avoid any activity that causes pain.


Recovery Timeline
The healing time for minor fractures can vary but generally takes about 4 to 6 weeks. During this period, it's essential to monitor your symptoms. If you notice increased pain, swelling, or any changes in sensation, it may be necessary to revisit your doctor for further evaluation.


When to Consider a Cast
If your pain persists despite following the above recommendations or if you find that your range of motion is not improving, it may be worth discussing the possibility of a cast with your doctor. A cast can provide additional support and immobilization, which may facilitate faster healing in some cases.


Returning to Work
Given that you mentioned your job requires physical activity, it's crucial to communicate with your employer about your injury. Depending on the nature of your work, you may need to adjust your duties temporarily or explore options for light-duty work until you fully recover.


Conclusion
In summary, while medication is a critical component of your treatment, combining it with rest, ice therapy, and gradual movement will enhance your recovery. Pay close attention to your body's signals, and don't hesitate to seek further medical advice if your condition does not improve. Remember, patience is key in the healing process, and prioritizing your recovery will help you return to your normal activities sooner and with less risk of complications.

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