Bone Growth After Finger Fracture Surgery: What to Do Next?

Q: Bone Growth After Finger Fracture Surgery: What to Do Next?

Hello： After a fracture, the human body has a natural ability to heal itself. <br>The bone will grow from the ends of the fracture along the cortex towards the opposite side, which is why the X-ray may show a phenomenon described in your letter as "protruding." This is known as "

Hand fracture ~ After surgery ~ A piece of bone has grown longer?

Hello, Director Li.
At the end of November, I suffered a work-related injury resulting in fractures of my little finger and ring finger.
I underwent surgery in early December 2012, where the doctor used two steel pins for fixation.
In mid-January 2013, an X-ray was taken, and the pins were removed.
At that time, it was noted that there was a protrusion next to the fracture site of the little finger, and the doctor explained that as the bone heals, it can form a callus similar to how skin heals after an injury, so there was no need to worry.
The doctor mentioned that the protrusion would eventually disappear on its own.
However, now, after half a month, the protrusion has not decreased in size; in fact, it seems to have increased.
I promptly went to a nearby hospital for an X-ray, and the doctor indicated that there is an extra piece of bone that has formed.
They could not determine whether this bone would continue to grow.
When the pins were removed, the doctor advised me to keep using a cast for support and to remove it only during rehabilitation.
However, I thought it was improving and found the cast uncomfortable, so I stopped using it.

Could my decision to stop using the cast be the reason for the additional bone growth at the fracture site of my little finger? If I start using the cast again now, will it help stop the growth of this extra bone? I did try to use the cast earlier, but I couldn't tolerate it for more than half an hour, so I removed it.
What should I do now, doctor? Thank you.

Feng, 30~39 year old female. Ask Date: 2013/02/04

Dr. Li Wenlin reply Orthopedics

Hello: After a fracture, the human body has a natural ability to heal itself.
The bone will grow from the ends of the fracture along the cortex towards the opposite side, which is why the X-ray may show a phenomenon described in your letter as "protruding." This is known as "callus." The purpose of surgery is to stabilize the fracture site, which allows for faster healing.
If the fracture is not properly stabilized (for example, if surgery is not performed, or if a cast or pins are removed too early), the ends of the fracture will still attempt to grow towards each other.
However, inadequate stabilization can prevent the formation of a solid connection between the ends, leading to noticeable callus formation.
This is actually a sign that the bone is trying to heal.
As long as the fracture heals properly, the callus will gradually be absorbed; it may not completely disappear, but it generally does not affect function significantly.
Additionally, fractures of the phalanges often come with issues such as deformity and joint stiffness, which are also important to consider.
Regarding your situation mentioned in the letter, it would be best to evaluate a series of X-rays for a more accurate assessment.
I recommend regular follow-up visits to an orthopedic clinic.

Reply Date: 2013/02/04

More Info

After a finger fracture surgery, it is common to have concerns about bone healing and the appearance of new bone growth, often referred to as callus formation. In your case, it seems that you are experiencing a situation where a bony prominence has developed near the fracture site of your little finger, which has raised questions about its significance and the appropriate next steps.

Firstly, it is important to understand that bone healing is a complex biological process. When a bone fractures, the body initiates a healing response that involves the formation of a soft callus, which eventually transforms into a hard callus as the bone heals. This process can sometimes result in a visible bump or protrusion at the fracture site, which is a normal part of healing. The bump you are noticing is likely a result of this callus formation, and while it may appear concerning, it is often a sign that the body is actively repairing the fracture.

Regarding your concern about whether the lack of continued immobilization with a cast or splint has contributed to the additional bone growth, it is essential to recognize that proper immobilization is crucial during the early stages of healing. If the fracture site is not adequately stabilized, it can lead to complications such as malunion or nonunion, where the bone does not heal correctly. However, the presence of new bone growth (callus) is generally a positive sign, indicating that the healing process is underway.

If you are considering reapplying a cast or splint to stabilize the area, it is advisable to consult with your orthopedic surgeon first. They can assess the current state of your healing through physical examination and imaging studies, such as X-rays, to determine the best course of action. While immobilization can help prevent further movement at the fracture site, it is also important to balance this with the need for rehabilitation and movement to regain function.

In terms of managing discomfort while wearing a cast, it is not uncommon for patients to experience discomfort or frustration with immobilization. If the cast is causing significant discomfort, discuss this with your doctor. They may be able to adjust the cast or suggest alternative methods of support that provide stability while allowing for some movement.

Additionally, it is essential to follow your doctor's recommendations regarding rehabilitation exercises. Engaging in appropriate physical therapy can help improve mobility and strength in your fingers, which is crucial for regaining function after a fracture. Your healthcare provider can guide you on when to start these exercises and how to progress safely.

In summary, the bony prominence you are experiencing is likely a normal part of the healing process, but it is essential to follow up with your orthopedic surgeon for a thorough evaluation. They can provide personalized advice based on your specific situation and help you determine the best approach to support your recovery. Remember, patience is key in the healing process, and adhering to medical advice will facilitate the best possible outcome for your finger function.

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