Fracture Recovery: Your Questions Answered - Orthopedics

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Fracture cast


I am a third-year junior high school student, and I have an exam in two months.
I'm really afraid of pain, and I want to know approximately when I will be fully healed.
(It's really inconvenient to use just one hand QAQ).
Also, why did they remove my cast after just three days in the hospital? Does that mean my injury isn't serious? Right now, I have no strength in my left hand; I can only lift it with my right hand's support.
Do I really need to use a sling all the time? I had a pin inserted in my left hand, specifically at the joint below my shoulder (I don't know the name).
Is it normal to feel sharp pain? Also, five days ago during surgery, the doctor asked when I last ate, and I said noon, but then I remembered I went to McDonald's in the afternoon.
Is that a problem? Will there be significant long-term effects? Please, I really want to know what will happen to my hand QAQ.

Yang Wenwen, 10~19 year old female. Ask Date: 2016/02/25

Dr. Shi Guozheng reply Orthopedics


It is unclear whether the fracture is in the humerus (the bone of the upper arm), the shoulder joint, or the elbow joint.
Pain is a normal occurrence after surgery, and there may not be a need for a cast if internal fixation is deemed sufficient by the physician.
Your hand's condition will depend on the shape and location of the fracture, as well as the status of the reduction after surgery.
The more detailed and clear the information is, the more accurate the assessment can be.

Reply Date: 2016/02/25

More Info


Understanding fracture recovery can be a complex process, especially for a young person like you who is preparing for important exams. It’s completely normal to have concerns about pain, mobility, and the healing process. Let’s break down your questions and provide some clarity on what you can expect during your recovery.

First, regarding your recovery timeline, the healing process for fractures can vary significantly depending on several factors, including the type of fracture, the location, your age, and how well you follow your doctor's recommendations. Generally, most fractures take about 6 to 8 weeks to heal, but this can be longer for more complex fractures or if there are complications. Since you mentioned that you had surgery and had pins placed in your left hand, it’s crucial to follow your doctor's advice regarding activity restrictions and rehabilitation exercises.
You mentioned that you were in the hospital for three days before your cast was removed. This duration is not unusual for certain types of fractures, especially if they are stable and not severely displaced. Your doctor likely assessed that your fracture was healing well enough to remove the cast, but it’s essential to continue monitoring your recovery. If you feel pain or instability, you should communicate this to your healthcare provider.

As for the use of a sling (triangular bandage), it is often recommended to help immobilize the arm and reduce strain on the healing fracture. It can also help alleviate pain by keeping the arm in a comfortable position. If your doctor advised you to use it, it’s best to follow that guidance until you receive further instructions.

Experiencing sharp pain or a "stinging" sensation around the area where the pins were placed can be normal, especially as the nerves and tissues heal. However, if the pain becomes severe or is accompanied by swelling, redness, or fever, you should contact your doctor immediately, as these could be signs of complications such as infection or improper healing.

Regarding your concern about eating before surgery, it’s common for medical staff to ask about your last meal to ensure your safety during anesthesia. If you had a light meal like fast food a few hours before surgery, it typically wouldn’t cause significant issues, but it’s always best to inform your healthcare provider about any concerns you have.

Lastly, it’s understandable to worry about the long-term effects of your injury. Most people recover well from fractures, especially with proper care and rehabilitation. Physical therapy can be very beneficial in restoring strength and mobility to your hand. Make sure to engage in any prescribed exercises and gradually increase your activity level as advised by your healthcare team.

In conclusion, while it’s normal to feel anxious about your recovery, staying informed and following your doctor’s advice will help you navigate this process. Remember to communicate openly with your healthcare providers about any concerns or symptoms you experience. With time and proper care, you should be able to regain strength and function in your hand. Good luck with your recovery and your upcoming exams!

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