Can You Treat Metacarpal Fractures Without Surgery? Insights and Concerns
Metacarpal fracture Hello doctor, I was in a car accident last Thursday, and the X-ray diagnosis showed fractures of the 3rd, 4th, and 5th metacarpal bones in my right hand. I would like to know if it is possible to just use a cast without surgery. I am mainly concerned about the...
Dr. Chen Bochen Reply:
Hello Jean, if a scaphoid fracture is non-displaced or has a displacement of less than 2mm, surgery may not be necessary. However, if the angulation is greater than 10 degrees or the displacement exceeds 2mm, surgery is recommended to prevent future impairment of hand function. T...[Read More] Can You Treat Metacarpal Fractures Without Surgery? Insights and Concerns
Understanding Recovery from Fourth Metacarpal Fracture: Causes of Swelling and Stiffness
Fourth metacarpal fracture A month ago, I had surgery for a fracture of the fourth metacarpal. I would like to ask why my ring finger is still somewhat swollen and cannot bend normally. What could be the reason, and how can I recover to normal function?
Dr. Chen Yongxue Reply:
There may be adhesions. Please visit the orthopedic outpatient clinic for an examination. Thank you.[Read More] Understanding Recovery from Fourth Metacarpal Fracture: Causes of Swelling and Stiffness
Post-Surgery Recovery Tips for Hand Fractures: Managing Pain and Rehabilitation
Postoperative care for hand fractures? On April 11, I underwent surgery to fix my third and fourth metacarpals with a self-funded titanium alloy plate due to a car accident, which occurred two days prior to the surgery. During my follow-up appointment on April 17, the doctor said...
Dr. Wang Shouji Reply:
Hello, most plates used for metacarpal fractures are positioned close to the joint, which can affect hand mobility. However, if there is stable fixation, movement is still possible. This may impact function for several weeks, but swelling will gradually improve with increased act...[Read More] Post-Surgery Recovery Tips for Hand Fractures: Managing Pain and Rehabilitation
Improving Finger Overlap After Third Metacarpal Fracture Surgery
Steel plates and mobility After the third metacarpal fracture, an interlocked plate was installed near the distal joint, but the joint itself was not injured. Subsequently, there is an overlap between the middle finger and the ring finger. Will removing the plate improve the over...
Dr. Wang Jiacheng Reply:
After the removal of the metal plate, rehabilitation may not be effective because the fracture may have healed in a slightly misaligned position (rotational alignment). Therefore, unless a second surgery is performed to correct it, it may not be possible to change the situation.[Read More] Improving Finger Overlap After Third Metacarpal Fracture Surgery
Impact of Post-Surgery Displacement in Metacarpal Fractures
Postoperative displacement after metacarpal fracture? A fracture of the third and fourth proximal phalanges was treated with internal fixation using a steel pin. However, during the follow-up visit for pin removal, it was noted that there is still a retraction of 0.2 cm. Currentl...
Dr. Shi Guozheng Reply:
It will not significantly affect hand mobility.[Read More] Impact of Post-Surgery Displacement in Metacarpal Fractures
Understanding Metacarpal Fractures: Symptoms and Recovery Insights
Metacarpal fracture issues? On October 14, I had a car accident resulting in a fracture of the third metacarpal bone in my left hand (no surgery, just a cast for immobilization; on October 19, it was changed to a supportive brace). 1. Currently, I experience a tingling and numb...
Dr. Wang Shouji Reply:
Hello, after a fracture, swelling and numbness in the distal area are often caused by swelling and lack of movement. These symptoms should improve once normal activity is resumed. Such fractures typically do not affect arterial blood supply, and applying heat may help alleviate t...[Read More] Understanding Metacarpal Fractures: Symptoms and Recovery Insights
Post-Surgery Issues After Fifth Metacarpal Fracture: Pain and Mobility Concerns
Postoperative issues following a fracture of the fifth metacarpal in the right hand? On July 29, I underwent reduction surgery for a fracture (using a self-funded small locking compression system). I returned for a follow-up on August 6 to have the stitches removed and on August ...
Dr. Wang Shouji Reply:
Hello, it is normal to experience localized numbness and joint stiffness after surgery. Rehabilitation will be necessary in the future. If the fracture is well stabilized, you can increase the intensity of rehabilitation. However, if it is a comminuted fracture or if stability is...[Read More] Post-Surgery Issues After Fifth Metacarpal Fracture: Pain and Mobility Concerns
Understanding Post-Surgery Recovery for Fourth Metacarpal Fractures
Metacarpal fracture Hello doctor, I have a spiral fracture of the fourth metacarpal in my right hand with slight displacement. It has been about two weeks since I underwent surgery. The doctor said I could try to make a fist and bend my fingers. Over the past few days, the range ...
Dr. Zhan Xian Reply:
Hello, metacarpal fractures are most commonly stabilized with plates or screws. You may encounter different situations, and it's best to consult your surgeon for a better understanding of your symptoms![Read More] Understanding Post-Surgery Recovery for Fourth Metacarpal Fractures
Persistent Hand Numbness After Surgery: Causes and Solutions
Numbness in the hand after surgery for a fracture of the metacarpal bones? Hello Dr. Shen! My family member suffered a fracture in the left hand and wrist last October. The doctor recommended surgery for a quicker recovery, so we decided to proceed with the operation and used sel...
Dr. Shen Boquan Reply:
Hello, it seems you may have a metacarpal fracture. Metacarpal fractures are typically treated with surgery on the dorsal side, where a steel plate is implanted. Generally, this procedure does not significantly damage the digital nerves, although it may affect the superficial ner...[Read More] Persistent Hand Numbness After Surgery: Causes and Solutions
Can I Lift Heavy Objects After Healing a Metacarpal Fracture?
Can I lift heavy objects after a metacarpal fracture has healed? Hello doctor, I have a fracture of the fifth metacarpal. Last week, I had an X-ray, and my attending physician said that my bone has completely healed, and I don't need to return for follow-up. I had surgery on...
Dr. Chen Bochen Reply:
If the fracture has healed, normal weight-bearing can be resumed without concern.[Read More] Can I Lift Heavy Objects After Healing a Metacarpal Fracture?
Understanding Exposed Steel Pins Covered by Tissue After Fracture
Exposed steel pins covered by tissue? Hello Doctor: I would like to ask about my right metacarpal fracture. I had three external screws inserted, and one of the screw heads is covered by tissue. I followed up with the doctor, who said it's normal. Is this really normal? How ...
Dr. Li Yongheng Reply:
Hello, it is indeed not uncommon for the exposed steel pin head to be covered by tissue. When removing the pin, it may be necessary to administer a local anesthetic and make a small incision to extract the pin. Please do not worry, and I wish you a speedy recovery.[Read More] Understanding Exposed Steel Pins Covered by Tissue After Fracture
Understanding Metacarpal Fractures: Surgery vs. Cast Treatment Options
Metacarpal fracture Hello, I would like to ask some questions. At the beginning of February, I had an accident that resulted in a closed fracture of the fourth metacarpal, near the phalanx. The X-ray showed displacement and misalignment, and the examining physician assessed it as...
Dr. Shi Guozheng Reply:
If the displacement is not severe, surgery may not be necessary. A metacarpal fracture can heal in about a month, and full recovery of function typically takes around three months, with an additional two to four weeks for complete healing.[Read More] Understanding Metacarpal Fractures: Surgery vs. Cast Treatment Options
Understanding Closed Fractures of the Metacarpals: Recovery and Rehabilitation
Closed fracture of the metacarpal bone? Hello, Doctor. On December 30, 2016, I sustained closed fractures of the second, third, and fourth metacarpals in my right hand due to a car accident. I underwent open reduction and internal fixation surgery, where 3, 2, and 2 steel pins we...
Dr. Shi Guozheng Reply:
Metacarpal fractures typically show initial callus formation within two to three weeks, providing some stability, especially if stabilized with pins. If there is no displacement, it is generally acceptable to perform some hand movements, and self-rehabilitation should be sufficie...[Read More] Understanding Closed Fractures of the Metacarpals: Recovery and Rehabilitation
Impact on Bone Length After External Fixation: What You Need to Know
I had an external fixation device and accidentally bumped it, causing it to become slightly shorter. Will this have any impact? I have a metacarpal fracture that was treated with an external fixation. I accidentally bumped it, and it has shortened slightly, but there is no pain. ...
Dr. Shi Guozheng Reply:
If the injury is on the hand, wrist, fingers, or elbow joint and there is no bleeding or nerve damage, then it is generally not a concern. However, if there is severe pain or signs of wound infection, it is advisable to consult a physician for evaluation.[Read More] Impact on Bone Length After External Fixation: What You Need to Know
Managing Hand Bone Fractures: Protection and Recovery Tips
Metacarpal fracture I would like to ask about a bone fracture in the metacarpal of my left ring finger caused by playing basketball. The doctor recommended that I buy a wrist support, but I am concerned that it may not provide adequate protection. Therefore, I purchased a protect...
Dr. Shi Guozheng Reply:
Metacarpal fractures should be immobilized using a cast, splint, or brace. However, the immobilization period must be sufficient for proper healing of the fracture, and it is important to avoid unnecessary movement to prevent malunion.[Read More] Managing Hand Bone Fractures: Protection and Recovery Tips
Recovery Timeline for Right Hand Metacarpal Fracture: What to Expect
Fracture of the joints in the right hand? Hello, doctor. I have a fracture in the joints of my right hand. After the metal hardware is removed, how long will it take for the wound to heal? How long until I can get it wet? Will I still be able to move the joint after the hardware ...
Dr. Li Wenhong Reply:
Hello! Generally, sutures can be removed around 10 days after surgery, and you can get the wound wet after an additional 2-3 days. Once the fixation device is removed, you can start to move the area, but please consult your attending physician for further details. Dr. Li Wen-Hong...[Read More] Recovery Timeline for Right Hand Metacarpal Fracture: What to Expect
Understanding Recovery After Fourth Metacarpal Fracture Surgery
May I ask the doctor? Dear Doctor: I fractured my fourth metacarpal on May 1, and underwent surgery to insert a pin on May 3. After the surgery, the pin was removed on May 31. However, my hand muscles have become stiff, and I experience soreness during movement. Additionally, the...
Dr. Chu Baijun Reply:
Hello Lin: After a fracture of the metacarpal bone and subsequent surgery with the insertion of a steel pin, it is possible that improper rehabilitation during the immobilization period may lead to stiffness and weakness in the muscles and joints. Typically, with active rehabilit...[Read More] Understanding Recovery After Fourth Metacarpal Fracture Surgery
Do I Need Surgery for a Fractured Metacarpal in My Finger?
Metacarpal fracture? Today, I went to the hospital for an X-ray and found that there is a fracture in the metacarpal bone of my ring finger. The doctor told me it is broken and immediately discussed the need for hospitalization and surgery. I would like to know if it is really ne...
Dr. Shi Guozheng Reply:
A fracture of the metacarpal bone is referred to as a metacarpal fracture. If there is significant displacement, it can affect joint mobility, and surgical treatment may be necessary. If there is no displacement, surgery may not be required; instead, the fracture can be treated w...[Read More] Do I Need Surgery for a Fractured Metacarpal in My Finger?