Dislocation of finger on hand: symptoms, first aid, treatment

Dislocation of the finger on the arm: how is manifested, the principles of treatment

When the finger is dislocated, a stable displacement of the articular surfaces occurs, which form one of the joints of the finger of the hand. As a result, the articular surfaces of the bones cease to coincide with each other and their normal movements are lost.

Everyone can get a dislocation of a finger on the hand, since no one is immune from blows and domestic or sports injuries. This unpleasant damage does not pose a threat to life, but in many ways limits the victim, since.

only with the fingers our hands can perform various actions. In addition, the brush has a large number of nerve endings, and such damage delivers a lot of unpleasant and painful sensations to the patient.

In this article we will acquaint you with the varieties, manifestations, methods of first aid, diagnosis and treatment of finger dislocations.

This information will help you in time to recognize the appearance of such a trauma, correctly provide yourself or a close first aid and make the right decision about the need to contact a doctor.

A little anatomy

The fingers of the hands are the final section of the hand. Specialists refer to them in Roman numerals:

• I - large;
• II - the index;
• III - medium;
• IV - the nameless;
• V - little finger.

Each finger is distinguished by a back, palmar and two lateral surfaces.

All fingers of the hand, except for I, consist of three phalanges:

• proximal (main) - is located closer to the brush;
• distal (nail) - located at the end of the finger;
• middle - located between the proximal and distal.

I finger consists of two phalanges.

Between them, the phalanges are joined by joints, and to the brush are attached to the heads of metacarpal bones, forming metacarpophalangeal joints.

Classification

II-V fingers are composed of three phalanges, I - of two. Phalanges are connected to each other by joints. Dislocation can occur in any of them.

Depending on the location of the damage, these types of dislocations are distinguished:

• the main phalanx - the articular surface of the main phalanx is displaced relative to the metacarpal bone;
• middle phalanx - the surfaces of the main and middle phalanges are shifting;
• nail phalanx - the surface of the middle and nail phalanges are displaced.

Depending on the direction of displacement of articular surfaces, these types of dislocations are distinguished:

• lateral;
• rear (occur more often);
• palm.

Depending on the severity of the dislocation, there may be:

• full - articular surfaces completely shifted;
• incomplete (subluxation) - articular surfaces are not completely displaced.

Symptoms

Independently to determine the presence of a dislocation of the finger or its fracture is impossible, since an accurate diagnosis can be made only on the basis of the data of radiographic photographs.

Visually, such lesions are clearly visible and manifest a significant change in the appearance of the finger, but with an accuracy to exclude the absence of damage to the integrity of the bone can only specialist.

Usually with dislocations of the fingers of the victim, the following symptoms appear:

• sharp pain at the time of injury and its amplification in any attempt to move or during probing;
• redness of the skin and increase of its temperature in the area of ​​trauma;
• marked swelling of soft tissues;
• blanching of the damaged finger;
• change the shape of the finger;
• impossibility of performing movements.

In some cases, a dislocation of the finger is accompanied by damage to the integrity of the skin, muscles and / or ligaments.

Dislocation of the thumb

Such a dislocation can be complete or incomplete, palmar (with flexion mechanism of damage) or rear (with extensor damage mechanism).

When the palmar is dislocated, the finger is displaced toward the palm and on the palmar surface it is possible to determine the head of the metacarpal bone during palpation. And with the rear - the finger is shortened, unbent in the interphalangeal joint and bends in the metacarpophalangeal.

On the palmar surface during palpation, you can determine the head of the metacarpal bone, and on the back - the articular surface of the main phalanx of the finger. Sometimes with such dislocations the tendon of the long flexor is also displaced and clamped between the articular surfaces.

Such a complication further complicates joint management.

Dislocations of the main phalanges of II-V fingers

With the defeat of these parts of the fingers, spinal dislocations often occur. The victim has a sharp pain, swelling of the skin and deformity of the finger. He can not move a damaged finger, and when such attempts are made, springing resistance appears.

When the palmar surface is palpated, the metacarpal bone appears, and the head of the main phalanx of the injured finger is determined from the back.

Dislocations of middle and nail phalanges of II-V fingers

When these parts of the fingers are affected, back dislocations often occur, in more rare cases, lateral ones. Such injuries cause complete immobility of the injured finger. In some cases, the extensor tendon ruptures (sometimes it breaks off along with a bone fragment).

First aid

To reduce the place of injury, swelling and anesthetize, the injured finger should be applied ice.

If you suspect a finger dislocation, you should consult a doctor for a complete diagnosis, excluding a possible fracture, and treatment.

Immediately after receiving the injury, the victim should be provided with pre-medical care:

1. Remove from the injured hand all jewelry and hand clutching clothing.
2. Keep your arm in a raised position.
3. Allow the patient to take an anesthetic drug: Ibuprofen, Nimesil, Ketorol, Analgin, Paracetamol or others.
4. If there are open injuries, treat the wound with an antiseptic solution and apply a bandage from a sterile bandage.
5. To prevent aggravation of the trauma, immobilize the finger, pribintovav it to a healthy (the bandage should not overlap tightly). If the finger is significantly deformed, then this fixation should not be carried out.
6. Apply ice to the site of injury. It should be remembered that it must be removed every 15-20 minutes for 2 minutes to prevent frostbite. Remember that with such injuries, heat can not be applied to the damaged area!
7. Do not direct the dislocation yourself. Such actions can lead to complications. The procedure for correction should be performed only by a doctor.
8. It is most gentle to deliver the victim to a trauma center or other medical institution. Do not delay visit to the doctor! If necessary, call an ambulance.

Diagnostics

To identify the dislocation of the finger, the doctor examines the patient, clarifies the details of the injury and appoints him to conduct X-rays, the results of which allow an accurate diagnosis. If there is a suspicion of infringement of the tendon of the flexor (with a trauma of the 1st finger), CT or MRI of the joint may be recommended.

Treatment

The tactics of treating the dislocation of the finger on the arm are determined after performing X-ray photographs.

Usually, to correct the injury, it is sufficient to carry out the correction, which consists in comparing the articular surfaces.

However, in the presence of ruptures of ligaments or bone injuries and the impossibility of correction, it may be necessary to perform a surgical operation.

Closed direction

This manipulation is quite painful and requires the execution of local anesthesia or intravenous anesthesia, providing sufficient relaxation of the muscles. The method of its anesthesia is determined individually.

After this, the arm is placed in an elevated position to improve the outflow of blood and prevent edema.

Usually, to match the articular surfaces, it is often enough to move the finger aside and pull the tip in the direction of the finger axis until a characteristic click appears.

If the dislocation of the thumb is accompanied by the entrapment of the tendon, then it is turned to the elbow and simultaneously the nail phalanx is bent.

To reduce pain, patients are prescribed analgesics (Paracetamol, Diclofenac, etc.).

In addition, to eliminate inflammation, swelling and pain, the application of ointment forms non-steroidal anti-inflammatory drugs (Diclofenac, Fastum-gel, Ketonal, Dolgit, Diclac gel and etc.).

As a rule, after the closed repositioning of the finger, the patient's work capacity is restored in 4-5 weeks. During this time he can be treated out-patient.

Surgical treatment (or open reduction)

If it is not possible to close the rear dislocation of the first finger, complicated by the infringement of the tendon, patient is hospitalized, and he is assigned to perform a surgical operation for an open correction. Such intervention can be performed under local or conduction anesthesia.

The surgeon performs rear-beam access and dissects the injured capsule. With the aid of the elevator, the doctor shifts the tendon to the side and leads the correction.

After this, layer-by-layer suturing and drainage of the postoperative wound is performed. On the finger impose a longet for 3 weeks.

And 10 days after the operation, the stitches are removed.

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Surgery may also be needed to correct the dislocations of II-V fingers complicated by extensor tendon lesions.

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During the intervention, the surgeon sews it to the bone with the transossal sutures, if necessary, removes the effects of the fracture and performs the correction.

After that, the wound is sutured, and the immobilizing longite is applied to the finger for 3 weeks.

Surgery for dislocating fingers can be necessary if more than 7 days have elapsed since the injury, and the correction has not occurred.

After such interventions, the finger is immobilized for 2-4 weeks with gypsum.

Rehabilitation

After removal of the immobilizing longet, the rehabilitation program is assigned to the patient for the most complete restoration of the function of the damaged finger and hand:

• physiotherapy;
• massage courses;
• physiotherapy.

Physiotherapy

The complex of therapeutic exercises after the dislocation of the finger on the arm should be performed 3 times a day. Each exercise is repeated 10 times.

Before the beginning of gymnastics it is recommended to steam your fingers in warm water (sea salt can be added to it). And some exercises can be performed directly in the water.

Typically, patients are recommended such a set of exercises:

1. Grind the hands until a sense of warmth.
2. Fold the straightened fingers into the "scapula" and perform rotational movements in the hands.
3. Place your hands on a table or other horizontal surface (palms down). Turn the hands, not taking them from the table, lifting their palms up and lowering them to their previous position.
4. The position of the hands as in Exercise 3. Perform rotational movements with hands, but do not tear them away from the table.

In addition to these basic exercises, it is necessary to perform actions that ensure the development of fine motor skills:

• add puzzles or a designer;
• collect matches scattered on a flat surface of the table or croup;
• to be engaged in needlework (sewing, embroidery, knitting, applique, etc.);
• print on the PC keyboard;
• Play keyboards or stringed musical instruments;
• train your hand with a hand-held expander.

With a dislocation of the thumb to the above gymnastics should be added such a complex of therapeutic exercises:

1. Squeeze your hand into a fist and try to light an imaginary lighter.
2. Clench your arm in a fist so that I finger is in it. Rotate hands with palmar surface up.
3. Relax your hand and get the tip of each finger to the tip of the first finger. Repeat the same exercise, but already through the finger.
4. Put your hands on a flat horizontal surface with your palms facing down. Gather your fingers together as if something should be salted and stirred. After this, return the fingers to their original position.
5. Bend 2-4 fingers and perform a circular motion with one finger first into one and then to the other side.

A dislocation of the finger on the hand always requires a visit to the doctor.

Do not try to fix it yourself and do not refuse to visit a specialist, even if the pain has less worried you! Only correctly rendered first aid and properly conducted treatment and rehabilitation will help you prevent the development of unwanted complications and restore to the full all the functions of the injured finger.

To which doctor to apply

If after a finger injury you have a sharp pain, redness and swelling in the area of ​​damage, limited movements, then you need to contact a traumatologist. To confirm the diagnosis of "dislocation of the finger the doctor will prescribe the performance of X-ray images. With some dislocations of the thumb, CT or MRI can be prescribed.

About what is a dislocation in general, and how to recognize it says the pediatrician E. ABOUT. Komarovsky:

Dislocation. What is and how to recognize it - Doctor Komarovsky - Emergency Care

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A source: https://myfamilydoctor.ru/vyvix-palca-na-ruke-kak-proyavlyaetsya-principy-lecheniya/

Dislocation of the thumb: symptoms and treatment at different ages + photo

A person has such a structure of his skeleton that, normally moving, with all his fingers, does not feel any pain or discomfort.

But there are situations where the trend changes completely in the opposite direction, this can happen when the thumb is dislocated.

To threaten life such a trauma, of course, can not, but the doctor will require intervention, because in addition to severe pain, it brings many more problems.

The thumb on the arm has a very advantageous location, and it's no wonder, because nature in man has provided everything. This allows him to manipulate not only different objects, capture them, but it is this location that causes many injuries.

A little anatomy

Dislocation of the thumb on the arm

Bones have their medical and general names, in the thumb distinguish the proximal, located closer to the brush, and the distal phalanx (terminal).

Due to the tendons that attach to different areas, the finger can flex and unbend.

The thumb, like everyone else, has two flexors, one is short, the other is long.

The mechanism of dislocation

The most common dislocation occurs in the metacarpophalangeal joint. Bundles, of course, prevent injuries, but, like any tissue, they have their own threshold of strength.

The most common dislocation occurs in the back, but there are rare cases of displacement in the direction of the palm. The displacement of the finger occurs at a right angle to the metacarpal bone.

Causes and Varieties

Full dislocation of thumb

There are several reasons for the dislocation, often injuries and injuries result from the displacement of the finger.

1. Most often there is a dislocation when falling, especially on the open palm or directly the first finger.
2. It can lead to dislocation not only a sharp and strong blow, but also a sudden contraction of the muscles, most often extensors.

1. Professional or sports activities can cause dislocation in the joint. The main clients of traumatologists are boxers, miners, etc.

Displacement can be complete or incomplete, it is characterized by the degree of displacement of the phalanx of the finger relative to the metacarpal bone.

If there was a complete dislocation, then expect a rupture of the joint capsule.

If there remains contact between the articular surfaces (albeit insignificant), one can speak about incomplete dislocation or subluxation.

Fresh is considered a trauma that occurred and was diagnosed within 48 hours.When from the moment of trauma passes from 3 to 4 weeks, the dislocation is considered to be stale, and a month later - to the old.

The nature of the dislocations

• A dislocation is considered irreversible, in which soft tissues enter between the articular surfaces.
• A habitual dislocation, provided that it is often repeated.
• Closed dislocation, such that there is no damage to the skin.
• Open is accompanied by damage to the skin.
• Complicated dislocation, in which nerve endings or vessels are damaged, there are fractures.
• Uncomplicated is one in which there is no damage.

Symptomatology

Appearance of dislocation

The tissue at the site of the dislocation of the thumb of the hand is a little bit and it is not difficult to recognize its complexity.In the region of the joint, a pronounced deformation is observed, which can be noticed even without the production of a snapshot.

Movement in this case is completely impossible or significantly limited. The thumb springs when passive movements are tried in it. But the pain develops at the moment of trauma and increases when you try to touch your finger.

The skin above the joint is tense, the joint itself is swollen and increases in size.

Diagnostics

Dislocation of the thumb on the x-ray

In addition to a general examination of the damaged finger, it is enough to produce an X-ray for diagnosis. Perform it in two projections, in order to control the displacement and fractures.

How can I help you?

The first aid is not only able to alleviate the suffering of a person, but also enable further successful treatment and rehabilitation, but only if it is correctly and correctly delivered.

1. When the dislocation is necessary to remove from the finger all the rings and embarrassing jewelry, as the development of the edema, they can become a cause of compression.
2. A damaged arm should be raised, lowering it below the horizontal position promotes an even more edema of the edema.

Treatment

Direction of dislocation

The dislocation of the first finger is treated by a traumatologist, and the essence is reduced to correction and immobilization, in rare cases, surgical intervention is performed.

All are corrected under local anesthesia, after which a rigid immobilizing bandage or gypsum langete is applied.

The period for which it is imposed is two weeks, and full working capacity is observed after about a month and a half.

Immobilization with a thumb dislocation

Appointed drugs that reduce pain and swelling, topically apply gels and ointments.

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The direction of the finger is made only by the doctor, he pulls the finger until a characteristic click appears.

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After all, the obligatory radiological control in the plaster is made, so that the finger does not dislocate again.

Rehabilitation

Gypsum with a thumb dislocation

With all the recommendations of the doctor, the rehabilitation period can last from 4 to 6 weeks. After removing gypsum, a person needs massage, medical gymnastics and physiotherapy.

All of them are aimed not only at the restoration of movements, but also the restoration of the ligament apparatus.

In order for the damaged area to be normally blood-filled, it is necessary to make movements not only with a brush, but also with a wrist, since it is also immobilized by gypsum.

Dislocation of finger in children

In children, such a trauma occurs especially often, since the child is active, but the ligamentous apparatus is weak and subject to stretching. A dislocated finger leads to the fact that in addition to pain the child begins to panic, the same state develops in the parents.

Bandage with a thumb dislocation

It is necessary to start everything by calming the baby, fixing the injured hand and applying cold.Then immediately consult a doctor at the reception.

You can calm down the child by starting with to calm the parents, then the child will see the calm faces of mom and dad. Treatment of damage is the same as that of an adult, only the time of immobilization and rehabilitation is less. The child's body is restored much faster.

The dislocation of the thumb is not such a simple injury as it seems at first glance. It can happen anywhere and any person, especially often in children. Timely treatment will become the key to prevent complications and lasts for a relatively short time.

You can and should take them throughout the period of treatment and rehabilitation.

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What to do if you dislocate the joint of the finger

High sensitivity of the fingers is provided by a large number of nerve endings that are located in these limbs. It is for this reason that any trauma is painful.

In case of damage, especially if there is a dislocation of the joint of the finger of the hand, all nerves begin simultaneously to send signals to the brain.

Because of this, the localization of pain is not limited solely to the area of ​​damage, but spreads all over the arm.

Signs of a dislocated finger

Dislocation of the middle finger joint, mainly observed in professional athletes, as well as in patients whose main occupation is activity directly related to the threat of injury. The risk group includes builders, military, etc.

You can cause injury in two ways:

1. Progressive impact on the finger.
2. Falling on the arm with an open palm.

In the latter case, there is a strong swelling of the joint, which can begin to spread up to the elbow.

The signs of joint injury are:

• External signs. Dislocation of the joint can be seen from the changed shape of the structure of the skeleton. Bones are in an abnormally anatomically wrong position.
• Pain syndrome. Determine what type of injury a patient, fracture or dislocation, without special equipment in this case is extremely difficult. Symptoms in both cases include strong pain, which increases with movement. Strong puffiness is noticeable.
• Localization of pain. Immediately after the injury, the pain syndrome manifests itself exclusively in the area of ​​injury. Thus, the dislocation of the metacarpophalangeal joint of the index finger causes the localization of pain exclusively in this department. But after a while the pain syndrome can spread to the whole hand.

According to the statistical report, the most common injury is the dislocation of the joint of the thumb.

This is due to the great mobility and wide use of this part of the body in everyday tasks.

What to do when the joint is dislocated in the finger

It is strictly forbidden to set the finger independently. Any unqualified exposure can only worsen the patient's condition.

First aid for trauma is as follows:

• Remove all ornaments.
• Fix a damaged finger, pribintovav it to a healthy one.
• First aid if necessary can include cooling the damaged area with ice.
• As soon as possible, take the victim to the emergency room.

Self-adjustment of the subluxation of the finger joint can lead to further trauma, rupture of ligaments and even damage to the integrity of the bones.

How to treat a finger dislocation

After referring the patient to a surgeon or traumatologist, the doctor will perform a general examination of the injury site and determine the extent of the injury and the necessary measures for recovery. Passage of X-rays is mandatory.

Diagnosis of a finger dislocation is an extremely important measure.

During the trauma certain functions are lost, the shape of the bone structure is disrupted. If you do not carry out the necessary therapy, the disorders can become chronic.

With long-term dislocation, drug therapy is often unsuccessful. In severe cases, surgical intervention is required.

The dislocation of the ring finger is extremely rare and is treated as well as the trauma of other areas.

Assistance to the victim is in the following order:

• Examination and analysis.
• Direction.
• Imposition of a plaster bandage (langets) for 2-4 weeks, depending on the severity of the injury. When the second joint of the thumb is dislocated, the wire tire of Belera is superimposed.
• Anti-inflammatory therapy.

The mechanism of dislocation of the finger joint of the hand consists in loss of integrity of the skeleton of the hand, accompanied by a strong edema and inflammatory process.

Methods of therapy are aimed at overcoming the consequences of trauma and restoring the normal shape of the skeleton and mobility.

Rehabilitation and prevention

The joint after the dislocation of the finger passes long enough, in some cases it may take several months until complete recovery. The terms of rehabilitation are individual and depend on the severity of the injury.

During the entire period of recovery, the patient needs gymnastics to develop the joint after the dislocation of the finger. The attending physician will prescribe the necessary procedures, including the following:

• Preparations for swelling.
• Exercises to restore mobility.
• Anesthetics.

The development of the restoration of the mobility of the finger joint after the dislocation takes a long time and requires strict implementation of the recommendations of the surgeon or rehabilitologist.

It should be remembered that only in this case, it is possible, full restoration of all functions. Any violation can lead to a worsening of the condition.

Although folk methods of therapy can help to remove puffiness and inflammation, they do not abolish the qualified help that only a specialist can provide.

A source: http://ponchikov.net/health/pozvonochnik-i-sustavi/431-vyvih-sustava-palca-ruki.html

Symptoms and treatment of finger dislocation

A dislocation of the finger on the arm is a trauma, in which the bones of the joint are displaced.

It is often accompanied by rupture of the joint capsule and ligaments.

If incomplete displacement of articular surfaces occurred, then incomplete dislocation or subluxation is diagnosed. Damage is very painful.

Injury of the middle, index, ring finger is found in combination and separately. Mostly there is a dislocation of the thumb in the metacarpophalangeal joint. This is due to the fact that it is located somewhat remotely from the rest.

The dislocation of the little finger is often observed after hitting the corner of the door or bed. The index is usually injured along with the mean. Dislocation of the middle finger is most likely accompanied by traumatization of the neighboring ones. Nameless is rarely damaged. How to treat a dislocation?

Varieties, causes, symptoms

If the dislocation is accompanied by a fracture, a breakdown in the work of nerves or blood vessels, then such damage is called complicated.

If you regularly dislocate the same joint, then the trauma becomes familiar.

Pathology is usually closed, but if there is a violation of the skin and soft tissue - it is considered open.

Depending on the side on which the articular surface has moved, the dislocation of the finger of the hand can be back and palm.

There are also irreparable injuries - if between the surface of the joints with their damage were nearby soft tissue.

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Also distinguish fresh, stale, chronic finger dislocations on the arm. In the first case, up to 2 days have passed since the injury, in the second - 3-4 weeks, in the third - more than a month. Older dislocations are referred to irreparable injuries, they are treated, as a rule, with the help of the Volkov-Oganesyan apparatus.

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The dislocation of the phalanx of the finger is always noticeable visually, since it has a manifestation - deformation of the joint.

Usually, pathology results in an unexpected, sharp contraction of the muscles (fall, severe compression of the joints). As a result of a blow to the brush, it is also possible to damage several fingers at once.

The main signs of dislocation are:

• unbearable pain when touching a trauma or when attempting to make a move;
• swelling of damaged tissues;
• increased temperature in the area of ​​dislocation;
• when the integrity of the skin is broken, muscle and ligament ruptures can be seen;
• a change in the color of the skin in the place of injury (at first it turns red, then turns pale).

How to identify a dislocation? To clarify the diagnosis, the doctor examines the fingers, asks about the disturbing symptoms, the details of the incident that caused the pathology.

The specialist will ask you to bend and unbend your fingers to see if there is damage to one or more tendons.

Also, the physician palpates the pulsation of the digital arteries located on both sides of each finger to exclude or detect trauma to the blood vessels.

Further, radiography is prescribed, which allows to exclude a fracture, a hemorrhage into the joint cavity, to find out whether the ligaments are stretched, and also to specify the localization of the injury. If there is a suspected infringement of the tendon of the flexor (if the thumb is injured on the arm), CT or MRI can be performed.

First aid and treatment options

First aid in case of a dislocation is as follows:

• it is necessary to apply cold to the area of ​​the injury (removing every 15 minutes for 2 minutes to prevent frostbite);
• with the hand you need to remove all the jewelry;
• take an anesthetic: Paracetamol, Nimesil, Analgin, Ibuprofen;
• keep the upper limb in a raised position;
• if the skin is damaged, treat the affected area with an antiseptic and cover with a sterile bandage.

The tactics of treating the dislocation of the finger will be selected by the doctor depending on the severity of the injury of the hand, the time that has elapsed since it was received, and the condition of the joint capsule and ligaments. The joint must be fixed (open or closed way) and fixed.

Closed direction. Manipulation is performed under local anesthesia. A special loop from the ribbon is applied to the damaged finger.

Further, the specialist performs the pulling of the phalanx along the healthy fingers until a characteristic click is heard and the joint that has been dislocated does not fit into place.

To improve the outflow of blood, as well as the prevention of edema, the arm is placed in a raised position, having previously applied an immobilizing linget. Remove the cast after 3 weeks.

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Open direction. What to do with a dislocation of the thumb, complicated by the infringement of the tendon? A patient under local or conduction anesthesia performs an operation for open repositioning.

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Cutting of the skin on the inner surface of the fingers is made "zigzag" in order not to form a tightening scar. The doctor lifts the tendon to the side with an elevator, and makes a correction. The next step is layer-by-layer suturing and drainage of the postoperative wound.

An immobilizing linget is applied to the finger for 3 weeks. Sutures are removed 10 days after the operation.

With dislocations of the nameless, middle, index finger and little finger, complicated by damage to the tendon, surgical intervention is also performed.

It is very important to sew the ends of the tendon immediately after the injury, since irreversible changes in the membranes and tendons can occur. In this case, two-stage plastic will be needed and the course of treatment will be prolonged for 4-6 months.

Rehabilitation

The patient with a dislocation of the finger should not be supercooled or overheated, as this can provoke swelling and intensification of the inflammatory process.

Such injuries often occur in athletes. Therefore, they are recommended to wear elastic bandages during training.

The children also dislocate their fingers as they lead an active lifestyle.

The average adult is usually traumatized in a domestic setting.

If the dislocation was not corrected within a week, a false joint may form. It is removed by surgery.

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Another consequence of the dislocation is contracture - restriction of the mobility of the finger due to scar scarring of the joint.

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After lifting the plaster for several weeks, you should avoid increased stress on the limb (exercise, lift weights) and adhere to the doctor's recommendations.

For quick rehabilitation, a massage is prescribed to the patient.

It is aimed at developing movements to restore the functionality of the finger and is performed for several hours a day.

Also, specific exercises may be prescribed for the development of the joint, muscles and ligament apparatus of the hand. However, their implementation should not cause any significant discomfort. Therapeutic exercises are performed 3 times a day:

• Clenching of the fist. It is necessary to squeeze and unclench the fist, gently and with maximum possible straightening of the fingers. Repeat 10 times;
• Fold your fingers to the side. Fingers together and stretched out. We need to divorce them and return them to their original position. Repeat 10 times;
• Squeezing the tennis ball. Squeeze the ball in your hand as much as possible. Hold for 5 seconds and relax your arm. Repeat 10 times.

With a deterioration of well-being, therapeutic exercises stop.

The prognosis for such injuries is usually favorable. However, without the implementation of the expert's recommendations, rehabilitation is impossible. The functionality of the finger may not be restored in the required volume or lost completely.

Traditional methods of treatment of dislocation

To accelerate the recovery process when the finger is dislocated and to relieve uncomfortable sensations, folk methods of treatment at home are used. To the damaged finger it is possible to press leaves of white cabbage, a plantain or nuts.

It is mixed with sunflower oil in the proportion: and insisted for about 2 months, sometimes shaking.

Fresh leaves of wormwood are kneaded into the gruel and applied to the damaged area.

The crushed root of elecampane is poured into a glass of boiling water and is infused for about 20 minutes. Compresses from this infusion are good at dislocation.

The old Siberian recipe is the treatment of dislocations with warm milk. Marl, moistened in it, put on the injured zone, covered with polyethylene and a warm cloth.

A dislocation of the finger on the arm is most often the result of an injury. Appeal to a specialist should be immediate, self-treatment is unacceptable.

With adequate and timely therapy, the damage quickly and without consequences heals.

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The imposed dislocation can threaten with complications, which can be eliminated only by an operative route.

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A source: https://PoTravmam.ru/vyvihi/vyvih-paltsa-na-ruke.html

Symptoms and treatment of finger dislocation

As is known, traumas involving the displacement of contiguous joint surfaces are called dislocations. One of the most unpleasant and rather painful of its varieties is a dislocation of the finger.

It is in the fingers of a person that a lot of nerve endings are concentrated, which, when the joint surfaces are displaced, give impulses to the brain of the victim.

The cause of dislocation is most often various injuries, which provoke intensive muscle contraction.

In this case, damage, up to the rupture, joint capsule and ligaments, can be noted.

Causes and features of the occurrence of trauma

With this trauma in my life, I've come across many of us. All fingers are affected by this trauma: the index finger, the ring finger, the middle finger and the little finger. The thumb is injured most often. This occurs mainly in the metacarpophalangeal joint.

In view of the constructive features of the structure of the palm, dislocation can happen even with excessive bending of the fingers, especially large, for example, as a result of a fall, when the body weight of a person falls into the region of the proximal phalanges. At the same time, it can be bent in the back of the hand or on its outer side. With all the power of the ligament apparatus of the thumb, if the limit of the permissible loads is exceeded, then the injury can not be avoided.

Sportsmen, especially basketball players and volleyball players become frequent patients of traumatologists. This dislocation can occur as a result of direct mechanical impact on the fingers, and as a result of falls with an emphasis on the open palms of the hands.

Main symptoms

Trauma can be easily diagnosed by yourself even on the basis of visual data. However, in order to exclude a fracture of the finger, it is necessary to go to the emergency room for professional diagnosis.

Typical symptoms of finger dislocation are the following:

• change in the habitual appearance of the injured limb, with obvious signs of deformity and unnatural position of the ossicles and joints;
• strong and sharp pain, which has the property of increasing at the slightest attempts to do any movements or even when touching the injured finger;
• in the area of ​​damage there is swelling of the tissues;
• limited motor function, especially flexion or extension;
• redness of the skin in the place of injury;
• pale shade;
• sometimes with dislocation, there is damage to the skin, visible ligament ruptures and muscles.

In some cases, when there is a bruise of the nail, can observe the symptoms associated with this injury. In this case, the main sign that indicates the damage to nail platinum is the formation of hemorrhage in the subungual region.

Emergency First Aid Measures

Strongly not recommended:independently make attempts to fix it.

Unqualified care in this case may be the cause of improper coalescence, stretching, or even fracture.

In addition, such manipulations can lead to deterioration of the general condition of the victim.

The first activities that would be appropriate and safe to do to the victim are the following:

• it is necessary to try to remove the jewelry on the injured finger;
• fix the injured finger with a tight bandage to avoid further deformation of the joint;
• Cool the injured area with compresses made of ice or immersion under a stream of cold running water;
• if the pain is unbearable, it is recommended to take any traditional anesthetic drug;
• try to quickly deliver the patient to the emergency department or hospital for diagnosis and treatment.

Methods of diagnosis and treatment

Anybruise of a fingershould see a doctor. Only an experienced specialist will be able to diagnose, traditional dislocation, stretching of muscles or a fracture was received by the patient. In some cases it is appropriate to carry out radiography.

Dislocation of the dislocation is performed under local anesthesia. This manipulation is performed as follows: the doctor neatly pulls the injured finger by the tip to the appearance of a characteristic click, which will indicate that the dislocated joint has occupied its normal position.

After repositioning, a tire or special bandage is applied to the affected finger for a period of 2-3 weeks.

This is necessary for proper fusion and prevention of a repeated dislocation.

It is very effective to treat dislocations after removing the bandage with the help of special anti-inflammatory creams and gels: Dolobien, Diclofenaca Fastum gel and others. They have the proper effect, in terms of removing swelling and pain. Also, some folk methods of treatment have proved themselves well:

• Baths of infusions or decoctions of medicinal herbs;
• putting the leaves of cabbage, plantain, nuts.

In some cases, which are accompanied by damage to the tendons or complex fractures, a decision is made as to the expediency of surgical intervention.

Consequences and prevention

If the dislocation of the finger is not treated, then as a result, you can face such unpleasant situations as improper coalescence, painful sensations over a long period, the formation of a false joint,long-term restoration of functionalityor not recovery at all. Such consequences can have a corresponding impact on the ability to fully use the entire hand.

As for preventive methods, it is quite a difficult task for the hands. The fact is that it is the hands, and in particular the fingers, that take part in many processes of human life.

People who promote active lifestyles, engage in sports disciplines and carry out any types of work by hand, it is recommended that you try to remove all ornaments and accessories from your fingers and brushes. If the injury could not be avoided, the timely access for help to a specialist will be the key to successful treatment and rapid recovery.

A source: http://medikmy.ru/vyvihi/vyvih-palca-priznaki-chto-delat-lechenie.html