Pin Displacement After Finger Fracture Rehabilitation

Dislocation of the little finger?

Hello, I fractured my little finger in mid-April.
After the stitches were removed, the doctor taught me how to rehabilitate it myself.
Recently, after rehabilitation, a certain point on my little finger has become very painful and swollen.
After getting an X-ray at the hospital, I found out that the steel pin has shifted and is pressing against my flesh.
However, the doctor mentioned that it is normal for the steel pin to move during the rehabilitation process (it will be removed once the bone heals), and it is also normal for the pin to potentially pierce the skin before the bone has fully healed.
I would like to ask if the current situation with the steel pin is really okay, as it is extremely painful, and I can hardly imagine it piercing through the skin.
Thank you.

Niming, 20~29 year old female. Ask Date: 2024/05/12

Dr. Chen Yongxue reply Orthopedics

Hello, a fracture of the little finger generally requires fixation with a steel pin.
However, the bone quality of the little finger is not very good, so the fixation effect is naturally poorer compared to other bones.
The displacement of the pin is not ideal and may be related to excessive rehabilitation.
It is advisable for the attending physician to assess the healing of the fracture and adjust the rehabilitation intensity accordingly.
Thank you.

Reply Date: 2024/05/12

More Info

It sounds like you are experiencing a challenging recovery process following your finger fracture and subsequent surgery. The pain and discomfort you're feeling, especially with the pin displacement, can be concerning. Let's break down your situation and address your questions.

Firstly, it's important to understand that after a fracture, especially in the fingers, the healing process can be complex. The use of pins or screws is common to stabilize the bone and allow it to heal properly. However, as you've experienced, sometimes these pins can shift or cause discomfort during the rehabilitation process.
1. Pin Displacement and Pain: It is not uncommon for pins to move slightly during the healing process. However, if the pin is causing significant pain or is protruding through the skin, this could indicate a complication. While some movement of the pin may be expected, it should not cause severe pain or discomfort. If the pin is indeed pressing against your skin, it may need to be addressed sooner rather than later. I recommend discussing this with your orthopedic surgeon, as they can assess whether the pin needs to be repositioned or if any other intervention is necessary.

2. Rehabilitation Concerns: Rehabilitation after a finger fracture is crucial to regain function and mobility. However, if you are experiencing pain at a specific point in your finger, it may be a sign that you are overexerting that area or that there is an underlying issue with the pin or the healing bone. It's essential to communicate with your physical therapist about your pain levels and any specific movements that exacerbate the discomfort. They may need to adjust your rehabilitation exercises to accommodate your current condition.

3. Normal Healing Process: The healing process for finger fractures can vary significantly from person to person. Generally, after a fracture, the bone begins to heal within a few weeks, but full recovery can take several months. During this time, it's vital to follow your doctor's advice regarding movement and rehabilitation. If your doctor has indicated that the pin displacement is normal, it may be because they believe the bone is stable enough to continue healing despite the pin's position. However, your comfort and pain levels should always be a priority.

4. When to Seek Further Help: If the pain becomes unbearable or if you notice any signs of infection (such as increased redness, swelling, or discharge around the pin site), you should seek medical attention immediately. Additionally, if you feel that your rehabilitation is not progressing or if you have concerns about your range of motion, it may be beneficial to consult with a hand specialist or a physical therapist who specializes in post-fracture rehabilitation.

In summary, while some discomfort can be expected during the healing process, significant pain or issues with the pins should not be ignored. Regular follow-ups with your orthopedic surgeon and open communication with your rehabilitation team are essential to ensure a smooth recovery. They can provide tailored advice based on your specific situation and help you navigate any complications that arise. Remember, your recovery is a priority, and addressing these concerns promptly will aid in your overall healing process.

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