Is It Necessary to Correct Bone Deformities in the Hand?

Is it necessary to correct bone deformities?

I have a bump near the metacarpal and proximal phalanx of my right thumb that prevents me from fully opening my web space.
A chiropractor previously examined it and mentioned that the bone is misaligned.
Although it doesn't cause discomfort, I can't move it very flexibly.
Are there any treatment options for this condition?

Chen Tongxue, 20~29 year old female. Ask Date: 2023/12/26

Dr. You Dianqi reply Orthopedics

It is recommended that you visit an orthopedic outpatient clinic for evaluation.
Thank you.

Reply Date: 2023/12/26

More Info

When it comes to addressing bone deformities in the hand, particularly in your case with the protrusion at the base of your thumb, it's essential to consider several factors before deciding on a treatment approach. While you mentioned that the condition does not cause discomfort, the limitation in mobility and function can significantly impact daily activities and overall quality of life.

Bone deformities, especially in the hand, can arise from various causes, including previous injuries, congenital conditions, or repetitive stress. In your situation, the protrusion you described could be a result of improper healing from a past injury or a developmental issue. The fact that a practitioner has identified it as a "crooked bone" suggests that there may be an underlying structural issue that could benefit from further evaluation.

Treatment Options
1. Physical Therapy and Rehabilitation:
- Engaging in a structured rehabilitation program can help improve flexibility and strength in the affected area. A physical therapist can provide targeted exercises to enhance the range of motion and functionality of your thumb. This approach is particularly beneficial if the deformity is not severe and if you are still able to perform most daily activities.

2. Orthotic Devices:
- Sometimes, using splints or orthotic devices can help in realigning the thumb and providing support during activities. This can alleviate strain on the joint and may improve function over time.

3. Surgical Intervention:
- If the deformity is significant enough to hinder function or if conservative treatments do not yield satisfactory results, surgical correction may be necessary. Surgery can involve realigning the bones, removing excess bone, or even reconstructing the joint to restore normal anatomy and function. However, surgery carries risks, including infection, nerve damage, and the possibility of not achieving the desired outcome.

4. Monitoring and Observation:
- If the deformity does not cause pain or significant functional limitations, your healthcare provider may recommend a watchful waiting approach. Regular monitoring can help ensure that the condition does not worsen over time.

Considerations for Decision-Making
- Severity of Deformity: The degree to which the deformity affects your hand's functionality is crucial. If it significantly limits your ability to perform tasks, surgical intervention may be warranted.

- Impact on Daily Life: Consider how this condition affects your daily activities. If it interferes with work, hobbies, or basic tasks, seeking treatment may be beneficial.

- Consultation with Specialists: It is advisable to consult with an orthopedic surgeon or a hand specialist who can provide a comprehensive evaluation and discuss the potential benefits and risks of various treatment options.

- Personal Goals: Reflect on your personal goals regarding hand function. If you desire to regain full mobility and dexterity, pursuing treatment may align with those goals.

In conclusion, while it may not be strictly necessary to correct bone deformities in the hand, addressing them can lead to improved function and quality of life. A thorough evaluation by a healthcare professional, combined with your personal circumstances and goals, will guide you in making an informed decision about the best course of action for your thumb condition.

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