Finger Crush Injuries: Healing and Recovery Insights - Surgery

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Finger crush injury


I injured my hand in a hydraulic press, resulting in a soft tissue injury, and I received five stitches at the junction of the first and second phalanges of my right index finger.
The doctor stitched it at the junction, and after a few days, there was noticeable healing.
However, my finger, which was originally straight, has now become bent.
Is this due to the healing of the soft tissue? Is this considered normal?

Niming, 10~19 year old female. Ask Date: 2023/07/13

Dr. Li Zhonghuai reply Surgery


Hello! First, we need to confirm if there is a fracture.
After the wound heals, rehabilitation should be done gradually; otherwise, joint stiffness may occur, and you may not be able to fully extend it in the future.
Take care! Changhua Hospital cares about you.

Reply Date: 2023/07/13

More Info


Finger crush injuries can be quite painful and complex, especially when they involve the delicate structures of the hand. Based on your description, it sounds like you experienced a significant injury to your right index finger, which required sutures. The healing process for such injuries can vary widely depending on several factors, including the severity of the injury, the specific tissues involved, and how well the injury is managed post-treatment.


Healing Process and Changes in Finger Shape
When you mention that your finger was initially straight but has now become bent, this could be attributed to several factors related to the healing process. After a crush injury, the body goes through a series of stages to repair the damaged tissues. This includes inflammation, tissue formation, and remodeling. During the healing phase, scar tissue forms, which can sometimes lead to changes in the shape or flexibility of the affected area.
Scar tissue is less elastic than normal tissue, which can contribute to a feeling of tightness or a change in the finger's alignment. If the injury involved the joint or the tendons that control finger movement, this could further complicate the healing process, potentially leading to a permanent change in the finger's shape.


Is This Normal?
It is not uncommon for fingers to heal in a slightly different position after an injury, especially if the injury was severe. However, if the change in shape is significant or if you are experiencing pain or difficulty moving the finger, it is essential to consult with a healthcare professional. They may recommend physical therapy to help restore function and flexibility to the finger.

Recovery and Rehabilitation
To promote optimal healing, consider the following recommendations:
1. Physical Therapy: Engaging in physical therapy can be beneficial. A therapist can provide exercises to improve range of motion and strength, which may help correct any alignment issues over time.

2. Gentle Mobilization: It’s important to start moving the finger gently as soon as it is safe to do so. Immobilization for too long can lead to stiffness and further complications.

3. Scar Management: Once the wound has healed, you may want to consider scar management techniques. This can include silicone gel sheets, massage, or other topical treatments that can help soften the scar tissue.

4. Follow-Up Care: Regular follow-up appointments with your healthcare provider are crucial. They can monitor your healing progress and make necessary adjustments to your treatment plan.

5. Pain Management: If you experience ongoing pain, over-the-counter pain relievers can help manage discomfort. However, consult your doctor before taking any medication.


Conclusion
In summary, while some changes in finger shape after a crush injury can be normal due to the healing process, significant changes or persistent pain should be evaluated by a healthcare professional. Early intervention and appropriate rehabilitation can greatly enhance recovery outcomes and help restore function to your finger. If you have concerns about the healing process or the appearance of your finger, do not hesitate to reach out to your doctor for further evaluation and guidance.

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