Pinky Finger Fractures: Recovery Tips and Concerns

Pinky finger fracture

Hello Doctor: On June 28, 2015, I went out to exercise with friends and accidentally hit my right pinky finger against a table, causing a fracture at the third joint (the one that forms a round bulge when making a fist).
I immediately sought medical attention, and the doctor reviewed the X-ray and advised against surgery, stating that a cast would suffice as the displacement was minor.
From June 29 to July 14, the cast was applied from my finger to just below my forearm.
During my follow-up on July 14, the cast was adjusted to extend from my wrist to above my forearm, with my wrist positioned in a fist.

1.
I am currently 20 years old, and my family cooks catfish soup for me daily.
Does this help speed up bone recovery?
2.
Initially, making a fist was very painful, but after July 14, the new cast position alleviated the pain.

3.
The doctor mentioned that my fist would heal faster! Although the cast is already shaped to assist in making a fist, will exerting force while making a fist help?
4.
How long until I can remove the cast and start rehabilitation? Will I be able to travel abroad? I am scheduled to go to Australia on September 3 for a year to work in the food and beverage industry, specifically in a Chinese restaurant kitchen.
Are there any potential long-term effects?
I apologize for the many questions! Thank you very much!

Mr. Zheng, 20~29 year old female. Ask Date: 2015/07/18

Dr. Shi Guozheng reply Orthopedics

You have a fracture near the metacarpophalangeal joint of the fifth digit, known as a Boxer's fracture.
This type of fracture typically heals in about six weeks and usually does not result in any long-term complications.
It is essential to consume nutritious foods, although this may not necessarily speed up the healing process.
Rehabilitation can begin as soon as the cast is removed.

Reply Date: 2015/07/18

More Info

Understanding pinky finger fractures, particularly in the context of your injury, involves recognizing the healing process, rehabilitation strategies, and potential concerns regarding long-term function. Based on your description, it seems you have experienced a boxer's fracture, which is a common injury resulting from punching a hard object, like a table. Here’s a comprehensive overview of your situation and some recovery tips.

1. Diet and Bone Healing: Consuming nutritious foods, such as fish soup, can indeed support bone healing. Fish, particularly those rich in omega-3 fatty acids, can help reduce inflammation and promote overall health. Additionally, ensure you are getting enough calcium and vitamin D, which are crucial for bone health. Foods like dairy products, leafy greens, and fortified foods can be beneficial. Staying hydrated is also essential for recovery.

2. Pain Management and Mobility: It’s normal to experience pain when you first start moving your finger after an injury. The fact that you can now make a fist without pain is a positive sign. Gradually increasing your range of motion is vital, but it should be done carefully to avoid re-injury. If you experience significant pain, it’s essential to listen to your body and not push through it.

3. Using the Cast for Rehabilitation: The cast's design to support your hand in a fist position is beneficial for maintaining some muscle memory and preventing stiffness. However, once the cast is removed, you should engage in gentle exercises to restore full range of motion and strength. This includes flexing and extending your fingers, as well as grip exercises. It’s crucial to follow your doctor’s advice regarding when to start these exercises, as starting too early can lead to complications.

4. Timeline for Cast Removal and Rehabilitation: Typically, casts are worn for about 4 to 6 weeks, depending on the severity of the fracture and how well it heals. After the cast is removed, physical therapy is often recommended to regain strength and flexibility. You should consult your doctor about when to start rehabilitation exercises. Given your timeline, if you are healing well, you may be able to start rehabilitation shortly after the cast is removed.

5. Traveling and Potential Long-term Effects: Regarding your upcoming trip to Australia, if your healing progresses well and your doctor gives you the green light, you should be able to travel. However, be mindful of your hand during your travels. Avoid activities that could put undue stress on your pinky finger. As for long-term effects, most people recover fully from a boxer's fracture, but some may experience lingering stiffness or reduced strength. Engaging in rehabilitation exercises can significantly mitigate these risks.

6. Follow-up Care: Regular follow-ups with your healthcare provider are essential to monitor your healing progress. If you notice any unusual symptoms, such as increased pain, swelling, or changes in color, contact your doctor immediately.

In summary, your recovery from a pinky finger fracture involves a combination of proper nutrition, gradual rehabilitation, and attentive follow-up care. By adhering to your doctor's recommendations and engaging in appropriate exercises post-cast, you can optimize your recovery and minimize the risk of long-term complications. Enjoy your upcoming trip, and best wishes for a smooth recovery!

Similar Q&A

Post-Surgery Challenges: Recovering from a Pinky Finger Fracture

Hello, doctor. On June 6th, I was injured when someone suddenly opened a car door, resulting in a fracture of my right little finger. I was subsequently taken to the emergency room for surgery, where the doctor inserted three metal pins for stabilization (the pins are visible ext...

Dr. You Dianqi reply Orthopedics
It is advisable to have your condition assessed in person, and I recommend returning for a consultation with your original treating (surgical) physician. Thank you.

Understanding Finger Fractures: Recovery and Rehabilitation Insights

Hello Doctor, I was in a motorcycle accident on February 4, 2022, in Taoyuan, where I slipped on a road marking and injured my left pinky finger. I had an emergency surgery for suturing on the same day. Currently, I am unable to bend my finger or make a fist; the distal and middl...

Dr. Chen Bochen reply Orthopedics
Hello, tendon ruptures, fractures, and post-traumatic adhesions may all warrant a consultation with an orthopedic hand specialist for a more accurate diagnosis of the issues.

Understanding Finger Fractures: Treatment Options for Your Injured Pinky

On April 21, I was involved in a collision while riding my scooter with a car. I sustained an injury and swelling to my right pinky finger. At that time, I had an X-ray taken, and the doctor said the bones were fine. However, two weeks later, I still experienced pain and was unab...

Dr. Wang Shouji reply Orthopedics
Hello, fractures have a specific healing time. If a fracture is unstable, doctors often recommend surgery or splint fixation. After about a month of slight healing, rehabilitation exercises will begin. It typically takes at least three months for a fracture to heal. Changhua Hosp...

Understanding Pinky Finger Injuries: Rehabilitation Insights After Surgery

Injured for 5 years, underwent surgery about 3 years ago; the initial surgery was said to be for the removal of fragmented bones.

Dr. Li Weiqiang reply Rehabilitation
Hello: What is the current angle of finger flexion? Sincerely, Dr. Li Wei-Chiang, Rehabilitation Medicine.