Can Deformed Fingers Heal? Treatment Options for Finger Injuries

Q: Can Deformed Fingers Heal? Treatment Options for Finger Injuries

Hello： In response to your question... <br>Given the current situation, there is still swelling in the proximal interphalangeal joint of your right middle finger. <br>Generally speaking, if an injury occurred a long time ago and there is still swelling present, there is a high po

Finger deformity

Hello Doctor, I am 15 years old and in the second year of junior high school.
A couple of years ago, my right index finger was bent to the left by a classmate, causing significant swelling in the middle joint of the finger, and the bone above that joint has shifted to the left.
At that time, I didn't understand the seriousness of the injury and thought it would heal on its own, which delayed my medical treatment.
When I eventually saw a doctor, he mentioned that either the ligament or the bone was fractured (I forgot which one he said).
It healed on its own, but it grew in the crooked position without any treatment.
Although I don't experience much pain anymore, the swelling persists, and I have difficulty making a fist.
Doctor, can this finger still heal? Is surgery necessary? Here is a link to the photos of the affected area: http://tw.pg.photos.yahoo.com/ph/vanilla1324/album?.dir=5da7&.src=ph&store=&prodid=&.done=http%3a//tw.pg.photos.yahoo.com/ph/vanilla1324/my_photos.
There are five pictures in total.
I would appreciate your help in answering my questions.
Thank you.

Yu-Jie, 10~19 year old female. Ask Date: 2004/11/04

Dr. Li Wenlin reply Orthopedics

Hello: In response to your question...
Given the current situation, there is still swelling in the proximal interphalangeal joint of your right middle finger.
Generally speaking, if an injury occurred a long time ago and there is still swelling present, there is a high possibility of structural issues.
However, whether it can heal depends on the specifics of the injury.
I recommend that you consult an orthopedic physician nearby to determine whether surgical treatment or rehabilitation therapy is necessary.

Keelung Hospital, Department of Health, Executive Yuan
Li Wen-Lin

Reply Date: 2004/11/04

More Info

Deformed fingers resulting from past injuries can be a significant concern, especially for young individuals like yourself. Based on your description, it seems that your right index finger sustained an injury a few years ago, leading to swelling and a noticeable deformity at the joint. While you mentioned that you no longer experience pain, the persistent swelling and difficulty in making a fist indicate that there may still be underlying issues that need to be addressed.

To understand the treatment options available for your condition, it's essential to consider a few key factors:
1. Nature of the Injury: It appears that your injury involved either a ligament or bone fracture, which, if not treated properly, can lead to malalignment and deformity. The fact that the finger healed in a misaligned position suggests that there may be a need for corrective measures.

2. Current Symptoms: The ongoing swelling and difficulty in gripping indicate that the finger's function is compromised. This can be due to several factors, including scar tissue formation, joint stiffness, or even arthritis that can develop after an injury.

3. Treatment Options:
- Physical Therapy: Engaging in a structured rehabilitation program can help improve the range of motion and strength of your finger. A physical therapist can provide exercises tailored to your specific needs, focusing on flexibility, strength, and functional use of the finger.

- Surgical Intervention: If the deformity is significant and affects your daily activities, surgery may be considered. Surgical options could include realigning the bones, repairing ligaments, or even joint fusion in severe cases. A hand surgeon would be best suited to evaluate your condition and recommend the appropriate surgical approach if necessary.

- Splinting or Bracing: In some cases, using a splint or brace can help stabilize the finger and allow for proper healing. This is particularly useful if there is ongoing instability in the joint.

4. Consultation with a Specialist: Given your age and the impact this injury has on your daily life, it is crucial to consult with an orthopedic specialist or a hand surgeon. They can perform a thorough examination, possibly including imaging studies like X-rays or MRIs, to assess the extent of the injury and determine the best course of action.

5. Long-term Outlook: While it is difficult to predict the exact outcome without a detailed examination, many individuals with similar injuries can achieve significant improvements in function and appearance with appropriate treatment. Early intervention is key, so seeking professional help sooner rather than later is advisable.

In summary, while your finger may not return to its original state due to the nature of the injury and the time elapsed, there are treatment options available that can help improve its function and appearance. Engaging with healthcare professionals who specialize in hand injuries will provide you with the best chance for recovery and improved quality of life. Don't hesitate to reach out for help; your health and well-being are paramount.

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