Finger Injuries: Treatment Options for Orthopedic Issues

Orthopedic finger injuries

I consulted an orthopedic doctor.
Over a year ago, my left index finger was accidentally punctured by a nail from a pneumatic gun while working, entering from the left and exiting from the right.
Initially, only the nail was removed, and no further treatment was done.
I am unsure if it is due to ligament atrophy or if the scar tissue is compressing the ligament, causing the first segment of my finger to not straighten.
Later, I visited a traditional Chinese medicine clinic, but it did not help.
Would surgery be beneficial? Are there other treatment options available?

RYO, 20~29 year old female. Ask Date: 2004/11/24

Dr. Shi Guozheng reply Orthopedics

Injury to the first phalanx of the finger can result in an inability to fully extend it.
This phenomenon may be due to damage to the tendons or joints, both of which can lead to an inability to straighten the finger.
Additionally, it is possible that the reluctance to move the injured area has caused joint contracture, resulting in the inability to extend.
If this condition leads to functional impairment, a medical evaluation is necessary to determine whether surgical intervention or other treatment options are appropriate.

Reply Date: 2004/11/24

More Info

When dealing with finger injuries, particularly those involving ligaments and tendons, it is essential to understand the nature of the injury and the available treatment options. Your case, involving a puncture wound from a nail, raises several important considerations regarding the potential long-term effects on your finger's functionality and the appropriate steps for rehabilitation.

Firstly, it is crucial to assess the extent of the injury. A puncture wound can lead to various complications, including damage to the tendons, ligaments, and even the joint structures. If the injury was not adequately treated at the time, there could be scar tissue formation, which may restrict movement and cause pain. The fact that you are experiencing difficulty in straightening your finger suggests that there may be some degree of tendon or ligament involvement, possibly due to scarring or adhesions that have developed over time.

In terms of treatment options, surgery may be a viable option depending on the specific diagnosis. If imaging studies, such as an MRI or ultrasound, reveal that the tendons or ligaments are indeed damaged or that there is significant scar tissue affecting mobility, surgical intervention could help restore function. Surgical procedures may involve repairing the damaged tendons or releasing any adhesions that are limiting movement. However, the success of surgery can vary, and it is essential to have realistic expectations regarding recovery.

Before considering surgery, it may be beneficial to explore non-surgical treatment options. Physical therapy is often a first-line approach for improving mobility and function in cases of finger injuries. A physical therapist can guide you through specific exercises designed to strengthen the muscles around the finger, improve flexibility, and reduce pain. Modalities such as ultrasound therapy, electrical stimulation, or manual therapy techniques may also be employed to facilitate healing and improve function.

Additionally, splinting or bracing may be recommended to support the finger and prevent further injury while you engage in rehabilitation exercises. This can help alleviate pain and provide stability as you work on regaining range of motion.

If you have not yet sought a comprehensive evaluation from an orthopedic specialist, it would be advisable to do so. They can perform a thorough examination, possibly including imaging studies, to determine the exact nature of the injury and recommend a tailored treatment plan. This plan may include a combination of surgical and non-surgical options based on your specific needs and the severity of the injury.

In summary, while surgery may be an option for addressing the issues with your finger, it is essential to first explore non-surgical treatments such as physical therapy and splinting. A thorough evaluation by an orthopedic specialist will provide you with the necessary information to make an informed decision about your treatment options. Early intervention and appropriate rehabilitation are key to optimizing recovery and restoring function to your finger.

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