'Mandu Fist': Healing and Rehabilitation for Hand Injuries - Orthopedics

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Mantou Fist


Doctor, I would like to ask about an injury I sustained a year ago.
I fractured the membrane of my right pinky finger due to forcefully hitting a wall with a fist.
It has healed, but now whenever I apply even slight force or bump it, it immediately turns red and experiences mild pain, which usually resolves after a few hours.
I remember when I first got injured, the doctor said, "Breaking the bone is actually brave," but now it feels very fragile.
When I make a fist with my right hand, I can only see the knuckles of my index, middle, and ring fingers; the pinky appears almost rounded.
Additionally, if I gently push the second joint of my pinky, it completely dislocates.
Is there any way to correct this?

Habi Ren, 10~19 year old female. Ask Date: 2005/01/14

Dr. Ye Qingnian reply Orthopedics


Based on the correspondence, I cannot provide a satisfactory answer.
Please undergo X-rays and a clinical examination at the orthopedic outpatient clinic to make a determination.

Reply Date: 2005/01/14

More Info


In your case, it sounds like you have experienced a significant injury to your right hand, specifically to the little finger, which has resulted in ongoing symptoms such as pain, swelling, and instability in the joint. This type of injury can be quite complex, especially if it involves damage to the ligaments or the joint capsule, which may lead to instability and a feeling of weakness in the affected area.

First, it is important to understand that injuries to the hand, particularly those involving the fingers, can lead to long-term complications if not properly rehabilitated. The symptoms you describe—redness, pain upon impact, and the inability to maintain proper alignment of the little finger—suggest that there may be residual damage that needs to be addressed through rehabilitation.


Rehabilitation and Treatment Options
1. Physical Therapy: Engaging in a structured rehabilitation program with a physical therapist who specializes in hand injuries can be beneficial. They can provide you with exercises aimed at improving strength, flexibility, and stability in your hand. This may include:
- Range of Motion Exercises: These exercises help to restore normal movement in the joints of your fingers and hand.

- Strengthening Exercises: Gradual strengthening of the muscles around the affected joint can help improve stability and function.

- Joint Protection Techniques: Learning how to protect your joints during daily activities can prevent further injury.

2. Splinting: If your little finger is prone to dislocating or feels unstable, a splint may be recommended to provide support and prevent excessive movement while healing. This can also help in maintaining proper alignment during the rehabilitation process.

3. Pain Management: If you experience pain, over-the-counter pain relievers such as NSAIDs (e.g., ibuprofen) can help manage discomfort. However, it is essential to consult with your healthcare provider before starting any medication.

4. Occupational Therapy: An occupational therapist can help you adapt your daily activities to minimize strain on your hand while you recover. They can also provide you with adaptive tools to assist with tasks that may be challenging due to your injury.

5. Surgical Intervention: If conservative treatments do not yield satisfactory results, and if there is significant instability or structural damage, surgical options may be considered. This could involve repairing ligaments or stabilizing the joint to restore function.


Addressing Concerns About Joint Stability
The fact that your little finger appears to be "round" and dislocates easily indicates that there may be a need for further evaluation. A follow-up with an orthopedic specialist or a hand surgeon is advisable. They may recommend imaging studies, such as an MRI or ultrasound, to assess the integrity of the ligaments and joint structures.


Conclusion
In summary, while it is possible to rehabilitate your hand and improve its function, it will require a comprehensive approach involving physical therapy, possibly splinting, and ongoing evaluation by healthcare professionals. It is crucial to address any pain or instability promptly to prevent further complications. Regular follow-ups with your healthcare provider will ensure that you are on the right track toward recovery. Remember, patience and consistency in your rehabilitation efforts are key to regaining strength and function in your hand.

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