Fracture of finger: signs, symptoms and treatment

Signs of a finger fracture on the arm, treatment

The fingers of our hands are capable of carrying out coordinated and very subtle movements that have a profound effect on our daily activities and ability to work.

Their fractures, from which no one is immune, can cause significant problems: the limitations of brush functions in full, bending fingers and causing pain even with minimal loads.

In the future, these consequences of trauma can adversely affect professional activity and restrictions on daily life, and thumb fractures can cause disability.

That is why any fractures of the fingers should become a reason for contacting a specialist.

Such injuries occur quite often and are observed in 5% of patients with fractures.

This information will help in time to suspect the presence of such an injury and make the right decision about the need for treatment with a specialist.

Causes and varieties of fractures

The main cause of finger fractures is a direct injury: a severe shock or compression, a fall from a height, an accident in production or roads.

Such injuries often occur in athletes - especially among volleyball players, basketball players, gymnasts and boxers.

And especially dangerous fractures can occur when fingers fall into complex working mechanisms.

In more rare cases, a fracture of the fingers is provoked by a minimal mechanical effect in osteoporosis, osteomyelitis and, extremely rarely, in the presence of a tumor neoplasm or its metastases.

According to statistics, a fracture of the little finger often occurs. This fact is explained by the fact that he is on the edge of the brush.

And the most dangerous in terms of restoring further work capacity is a fracture of the thumb.

Injuries of the remaining fingers can also be dangerous if their wrong fusion occurs, leading to a violation of fine motor skills.

Depending on the location of the fragments, all fractures of the fingers are divided into traumas with displacement and without it. Fractures with bias are divided into fractures with discrepancies or the occurrence of fragments.

Depending on the number of fragments, the fractures are divided into:

• bezskolchatye;
• single-lobed;
• two-lobed;
• multifragmented.

By the nature of the fault line, the fracture can be:

1. transverse;
2. longitudinal;
3. screw;
4. oblique;
5. T-shaped;
6. S-shaped, etc.

Subperiosteal fracture of the phalanx of the fingers is classified as a separate type of injury. As a rule, it can occur only in children and with it the periosteum remains intact.

This is due to the fact that at this age the periosteum remains flexible and soft.

Such traumas are more difficult to identify, but they are very amenable to treatment, do not require repositioning, and quickly heal.

Symptoms

Leading symptoms of fracture of the finger are severe pain, redness and swelling in the area of ​​the injury. The patient spares the injured finger, tries not to move it.

As with other fractures, such traumas of fingers on the hand cause severe pain.

Later in the area of ​​fracture, the following likely symptoms appear:

• redness and swelling at the site of the fracture;
• the skin at the injury site is warmer;
• a significant limitation of the movements of the damaged finger;
• the appearance of pain when trying to press on the tip of the injured finger;
• sparing position of the finger.

The presence of all the above probable signs of a fracture of the finger in almost 100% of cases indicates violation of bone integrity and does not need a diagnosis to identify significant symptoms fracture:

1. detection of a crack when probing;
2. crepitation at palpation;
3. detection of pathological mobility in those parts of the finger in which it should not be;
4. change the shape of the brush;
5. shortening of the damaged finger (when comparing its length with the same healthy finger on the other hand).

It should be remembered that carrying out manipulations to determine reliable signs of fracture is always accompanied by pain and can cause a fracture progression.

When probing a traumatized finger with a person who does not have medical education, there is a high risk of damage to nerves, tendons and blood vessels.

In the future, such trauma will require surgical treatment and may lead to irreversible impairment of the function of the hand.

First aid

If you suspect a fracture of your finger, it is important to provide first aid to the injured person - the success of the treatment depends on the adequacy of these measures:

• Soothe the victim and let him take an analgesic (Analgin, Ketorol, Nimesil, Ibufen or others).
• Call an ambulance.
• If there is a wound, treat it with an antiseptic solution and apply a bandage from a sterile bandage.
• In the presence of heavy bleeding, stop it by placing a tourniquet, attaching a note about the time of application to it.
• Perform immobilization of the damaged finger using improvised tools (branches, wooden sticks, wire, etc.). The position of the finger should be such that the victim feels the least pain. One end of the improvised tire is attached to the damaged finger (with its end to be 2-3 cm above the finger). The other end should lie on the palm and forearm. After that, the tire is fixed with a bandage. Binding is performed in the direction from the elbow to the fingers. If the tire can not be overlaid, the injured finger is bandaged to the adjacent finger. After performing immobilization of the finger for greater reliability, the hand is immobilized with a bandage bandage.
• Apply ice to the area of ​​the injury and remove it every 5-10 minutes for 2 minutes to prevent frostbite.

Possible complications in self-treatment or inadequate treatment

In case of incorrect treatment, a fracture of the fingers can lead to such complications:

1. Formation of pseudoarthrosis (false joint). Such a complication leads to the bending of the finger in the place where it normally does not bend. It can develop with insufficient immobilization. As a result, fragments eventually erase one another, round off and the bone channel grows in them, and one bone is divided into two short ones. Between them there is a small lumen, and the finger acquires pathological mobility. Such complication can be eliminated only through surgical intervention. In the future, the injured finger becomes shorter.
2. Formation of an excessively large bone callus. If the fragments are not correctly compared, a giant callus develops, which not only leads to the formation of a cosmetic defect, but also causes limitations in the movements of the damaged finger.
3. Appearance of contractures. With unprofessional treatment, inflammation in the lesion area proceeds for a long time, and incorrect immobilization leads to a shortening of the tendons. As a result, the injured finger loses its mobility. Elimination of such complications is always long and accompanied by pain during stretch procedures of the shortened tendon.
4. Vicious union. If the fragments are not correctly compared, one of them is displaced and after the intergrowth is in a non-physiological position. As a result of the motion of the injured finger can not be fully realized.
5. Formation of ankylosis (complete immobility of the joint). Such a complication can develop with fractures in the area of ​​articular surfaces. If they are treated incorrectly, they fully fuse, become immobile, and the finger completely loses its functions. Ankylosis can lead a victim to a disability, since there are no methods to treat such a complication.
6. Osteomyelitis. This complication occurs when the bone marrow is infected with an open fracture at the time of injury or after surgery. The disease is accompanied by severe pain and often becomes chronic. After fusion of the bone, the victim periodically exacerbates osteomyelitis, which causes severe suffering. Treatment of this complication can only be surgical.

Diagnosis - Survey and Inspection

After interviewing and examining the victim and clarifying all the circumstances of the injury to confirm the diagnosis of a "fractured finger the doctor prescribes an X-ray of the individual finger or the entire hand.

Pictures are taken in two projections - direct and lateral.

In the future, they make it possible to make a complete picture of the fracture - its shape, exact location and depth - and designate the most effective treatment.

After removal of gypsum, a repeated radiograph is necessary, which allows to check the quality of healing and to confirm the correct location of the intraosseous devices for fixing fragments (if such were used).

Treatment is determined by the severity of the injury

The tactics of treating fractures of the fingers on the hands are determined by their severity. The following methods can be used:

• closed repositioning;
• skeletal traction;
• open repositioning.

Closed Reposition

This method of treatment can be used in closed simple fractures with displacement. Before the procedure of the closed reposition, a test is performed for the local anesthetic (Procaine or Lidocaine). In the absence of allergy, the drug is injected into the surrounding area of ​​the fracture with soft tissue.

After the local anesthesia begins, the finger is pulled along its axis, and all its joints are bent so that an angle of about 120 ° is formed. Further, pressure is applied to the angle of the fracture, which puts the fragment into the position necessary for the fusion.

After this, a plaster bandage is performed, which ensures reliable immobilization. Gypsum is applied from the upper third of the forearm to the end of the injured finger (while the finger remains partially bent).

When doing this dressing, be sure to take care of the correct position of the brush.

It should be unbent in the wrist joint by 30 °, and the bent damaged finger should touch lightly on the palm.

This position of the hand allows to prevent the development of contractures and the repeated displacement of fragments.

After applying gypsum, it is recommended that the victim keep his arm in elevated position for 2-3 days. This situation prevents the appearance of severe swelling. Analgesics are prescribed to eliminate pain.

Skeletal traction

This method of treatment is used when it is not possible to compare the displacements by closed repositioning or in cases of multi-fracture fractures. For anesthesia, local anesthesia is performed.

The same gypsum longite is superimposed on the hand, as with a closed reposition, but with one peculiarity.

Opposite to the injured finger (from the palm side), a wire is attached, the end of which is longer than a finger by several centimeters and is equipped with a crochet. Reposition of fragments is performed and staples, pins or threads are carried through soft tissues.

After the completion of skeletal traction, the patient is prescribed analgesics, anti-inflammatory and antibacterial agents.

Open repositioning

Indications for open reposition (osteosynthesis) are the following:

1. open fractures;
2. complex multifragment fractures;
3. suppurative complications on the background of other ways of treatment of the fracture;
4. incorrectly fused fracture.

Surgery for osteosynthesis is performed under general anesthesia. To fix the fragments in the necessary for the correct fusion position, knitting needles or screws (in more rare cases) are used. After the operation is completed, a cast is applied.

For the same purpose, Ilizarov's apparatus can also be used. It promotes more reliable fixation of fragments and does not require the wearing of a plaster bandage. The only drawback of this external fixator is the need to perform daily processing.

Osteosynthesis can be:

• one-stage - the fixation devices remain in the bones for life;
• two-stage - the fixation devices are removed from the bone after 3-4 weeks.

After the osteosynthesis is completed, the patient is prescribed analgesics, anti-inflammatory and antibacterial agents.

How long should I wear gypsum

Depending on the severity of the injury and other factors, the duration of immobilization is from 2-3 to 6 weeks.

The duration of immobilization in fractures of fingers on the hands depends on the severity of the injury, age and the presence of concomitant diseases that interfere with the fusion of bones:

1. with simple fractures without displacement (after a closed reposition), gypsum is worn for 2-3 weeks, and the work capacity is restored in 3-4 weeks;
2. with simple and multi-lobed fractures with displacement (after skeletal traction), gypsum lasts 3-4 weeks, and work capacity is restored in 6-8 weeks;
3. with complex fractures (after osteosynthesis), gypsum is worn for about 6 weeks, and work capacity is restored in 8-10 weeks.

Rehabilitation

After the removal of gypsum, the patient is assigned a rehabilitation program that ensures the most complete restoration of the functions of the injured finger. For this, we can recommend:

• complexes of therapeutic gymnastics;
• massage courses;
• physiotherapeutic procedures: UHF, salt and soda baths, ozocerite applications, mechanotherapy.

Fractures of the fingers on the hands are frequent injuries. They should not be treated independently and are always a reason to call a specialist.

Depending on the severity of the injury, the physician will be able to choose an effective treatment tactic, which will ensure the most appropriate intergrowth of fragments and complete restoration of finger functions in the future.

To which doctor to apply

If a finger fracture is suspected, an orthopedic consultation is necessary. To confirm the diagnosis and get a detailed picture of the fracture, the injured person must be assigned radiography.

A source: https://myfamilydoctor.ru/priznaki-pereloma-palca-na-ruke-lechenie/

Symptoms, Diagnosis, Treatment and Rehabilitation of Finger Fracture

Often when a person falls, they lean on their hands, trying to avoid serious damage to the body. Because of this, fingers can suffer. Most often diagnose a fracture or a bruise of the thumb on the arm.

Let's take a closer look at what are the main symptoms of a finger fracture in the arm, what kind of help the victim should give, and how the phalanx is restored after the injury.

Why are my fingers hurt?

Fingers on the arm are damaged most often in people who are engaged in volleyball, basketball, gymnastics, boxing and other sports.

Causes of a fracture of the thumb on the arm:

• impact of the phalanx;
• fall on the brush of a heavy object;
• hit the hand under the moving mechanism.

Very often a finger fracture occurs in children and people suffering from osteoporosis.

Symptomatic of trauma

Often, the joint contusion is confused with a fracture, therefore, in order to begin proper treatment of the trauma, it is necessary to urgently consult a doctor for advice.

Manifestation of a fracture

Symptoms of a finger fracture in the arm area are as follows:

The appearance of sharp and aching pain in the area of ​​the damaged phalanx. Sometimes the pain is given to the wrist, as well as to the radius of the arm when palpation or the load on the finger.

With the affected phalanx, swelling or swelling spreads to the entire joint area.

The mobility of the large or other affected finger is limited. The patient can not unbend it or squeeze the hand into a fist. When flexing and bending the phalanx there is a strong sharp pain.

In the area of ​​fracture of the finger joint, a bruise develops, the skin turns blue. In the area of ​​the thumb, hemorrhage can occur under the fingernail, which causes it to begin to exfoliate.

After the injury, the finger moves unusually.

When the victim moves his fingers, you hear a crunch and friction between the phalanxes.

The broken phalanx is deformed (bent). Such a symptom is characteristic of a closed-type fracture with displacement.

If the signs of injury described do not fit your condition, there is a possibility that a bruise or dislocation of the finger on the limb has occurred.

Manifestation of infection

With an open fracture, the wound sometimes becomes infected.

Symptoms of infection in the wound are as follows:

1. the patient suffers from a fever;
2. the affected area swells and turns red;
3. the finger is very sore;
4. morbidity increases with every minute and it can not be removed;
5. pus begins to stand out;
6. the main symptom of infection of the wound with open trauma is the allocation of an unpleasant odor, as pathological microbes begin to multiply actively.

Most often a sign of unpleasant odor makes itself felt a couple of days after the fracture. It is a complication that should be urgently started to treat.

Diagnosis of injury

To determine the diagnosis and prescribe the right treatment, the doctor carefully studies the patient's history, complaints, conducts objective examination (examines all the symptoms and signs of trauma on the arm), and also examines the affected limb with the help of ray.

The open problem of phalanx with displacement, at which deformation of the injured part occurred, an open wound or bone fragments formed, visually experienced specialists diagnose.

Since the thumb is considered to be the main one, if the patient's fracture is broken, the patient's working capacity is lost, which makes it difficult to work in the office or at home. It is important to properly treat the trauma so that the patient can return to his duties as soon as possible.

Fracture of the index or ring finger does not lead to loss of professional skills of the victim.

Briefly about the treatment of trauma

It is important to treat a trauma correctly so that a person does not lose his ability to perform a normal job after a fracture. It is necessary immediately after trauma to render the right help to a person.

How to provide first aid

After getting a serious injury, immediately call a team of doctors. While they arrive, provide first aid to the victim.

It is important to immobilize the injured finger with a tire. Tire can serve as ice cream sticks, ballpoint pen, tree twig. Attach a suitable object to your finger and fix it with a cloth or bandage.

To reduce pain and remove puffiness to the affected finger, you can attach a piece of ice or a bottle of cold water, wrapped in tissue.

If the bruised fingers become numb, the injured person must be shown to the doctor.

If, as a result of injury, bleeding occurs, it must be stopped with a sterile bandage and antiseptic.

Therapy of trauma

Treatment of an open fracture with infection is treated with antibiotics. To correct the bone, the doctor performs a small operation to further correct fusion of the finger.

An open fracture is treated with a tight bandage or suturing with heavy bleeding.

When the bias occurs, the doctor reposes with local anesthesia.

If the doctor finds a fracture in the victim, but a bruise, appropriate treatment is prescribed to eliminate it.

To eliminate this sign, it is recommended to do physiotherapy exercises and physiotherapy procedures.

After full healing and recovery, the fingers are no longer numb.

Rehabilitation after fracture

After the fusion of bones and the removal of gypsum, all measures must be taken to restore the finger's work successfully.

The development of the joint after the fracture has to start with small loads. To restore the work of phalanx, you need to do the following:

Slowly, in turn, squeeze and spread your fingers to the sides. After a while, the tempo can be accelerated.

The tips of the injured finger need to try to touch the first finger below. If it does not work, you need to train daily.

With each finger, make a circular motion clockwise and counterclockwise.

Snap your fingers. Such a very simple action will help them to recover faster.

Sharply compress your fingers into a fist and quickly release them.

Performing the described exercises, you will help your fingers to recover faster after staying in the cast.

Since the bruise is very similar to a fracture, it is important to know the basic symptoms of the latter in order to start the correct treatment in a timely manner.Determine the exact diagnosis will help the doctor, so you need to contact him immediately after getting injured.

A source: http://drpozvonkov.ru/travmy/fracture/priznaki-pereloma-paltsa-na-ruke.html

Treatment of a broken finger on the arm

For what the fingers on the hand are known even by small children: study, games, work, art, music, science, rest - everywhere, in everything in the life of a person fingers are directly involved. In everyday life they are always on the "front line". Therefore, when one of these irreplaceable helpers gets injured, a person immediately feels inconvenience from their functional limitations.

Structure and functions of the brush

If the structure of the hand is considered from the point of view of anatomy, it will be interesting to know that this is a whole conglomerate of 32 bones and bones, fastened together by layers of muscles and tendons, which help the upper extremities to withstand large load.

In the brush 3 departments:

The pastern consists of 5, and the wrist consists of 8 thin tubular, dependent bones. They are inextricably linked with the fingers, each of which has three phalanges:

1. proximal;
2. average;
3. distal.

The fingers are sufficiently mobile, precise in movements and functional. They consist of tubular shortened bones with moving joints and a whole network of medium and small vessels. The joints of phalanges have a form that excludes lateral movements, but does not prevent flexion and extension.

The main functions of the fingers:

• manipulative;
• tactile.

Due to hypermobility of the fingers, bruises, dislocations, injuries, various injuries occur quite often.

Any injury is fraught with consequences, and the easiest, in terms of recovery, are cracks or incomplete fractures.

More often than not, a fracture of one or more phalanges of the fingers of the hand occurs in a domestic setting.

Types and characteristics

There are several types of violation of bone integrity:

1. Closed, in which the integrity of the skin and muscle tissue is not broken.
2. An open fracture - the bone or its fragments pierce through the skin.
3. Without displacement - the bones of the fingers do not go beyond the periosteum.
4. Fracture of the finger with displacement, which causes damage to the periosteum and fragments can move, injuring surrounding tissues, joints, vessels.
5. Compression - bone is crushed when squeezed and requires immediate medical intervention.
6. Splintered, in which the joints and ligaments of the finger get the greatest harm with numerous fragments.
7. Direct or transverse fracture of the finger is determined by the presence and form of the faults.
8. Articular and extraarticular - trauma occurs either in the joint or outside.
9. Combined - injuries of several bones at once.

Damage to a particular finger

• The most common, unpleasant and disabling person is the fracture of the thumb, which is also difficult to treat because of the use of the apparatus for stretching. It can happen at the base and closer to the ulnar side of it.

• Often, the most extreme and small finger, the little finger, is traumatized. The leader among the reasons is a blow against the hard surface.
• Fracture of the ring finger is considered difficult and requires a long recovery period, during which regular exercises are needed to maintain the motor function of the entire hand.
• Fractures of the middle finger and the index also require immediate medical intervention and exclude treatment at home.
• It happens that the very edge of the fingers is damaged. This is the so-called marginal fracture, in which the nail plate is often deformed.

If there was a fracture of the nail phalanx, it is immediately visible by its bend at a certain angle.

Any fracture of the phalanx of the finger is in itself dangerous to a lesser or greater extent, because if the bone fragments are not properly fused, motor activity may be impaired, so any self-medication.

The fractures include various bone lesions:

1. Cracking. It usually arises from a strong blow.
2. Infraction. Occurs if its integrity is not more than half the phalanx.
3. Cracks. With them, bone fracture affects most of the diameter of bone tissue.

Signs and Symptoms

How to identify a turning point in the absence of medical care?

How to distinguish a fracture from a bruise or a dislocation, correctly recognize the signs of a fracture of the finger on the hand, in time to contact a specialist and get qualified help?

For this, it is necessary to distinguish between the main features, which are many. The signs of a fracture are:

• sharp or aching pain, giving to the wrist;
• rapidly spreading edema;
• skewed phalanx;
• impossibility to move a finger;
• The presence of a hematoma at the site of injury and the color of the nail that has changed color;
• a certain crunch when moving the phalanx;
• loss of sensitivity;
• condition, if the joint can not bend or straighten or it painfully move;
• muscle twitching.

When determining the degree of finger damage, the symptoms described above are extremely important, especially for people far from medicine.

Before the arrival of a specialist, it is very important to distinguish the injury from more serious damage and remember the symptoms of a fracture of the finger in order to provide the victim with the right help.

First aid for injuring the limb

Providing pre-medical care should be remembered about the danger of an open fracture, in which various kinds of infection enter the wound holes.

To relieve the condition, stop bleeding with a fracture of the finger with a shift and prevention of complications, antiseptic disinfection with disinfection sterile dressings.

For competent fixation use a splint in case of a fracture, cause urgent help.The tire can be replaced with various modern alternatives provided in the photo below.

1. Pain from a fracture is often compared to a toothache.
2. The shock state after a fracture can trigger a sharp drop in pressure, down to the lowest markings.
3. Internal blood flow disturbance is considered dangerous.
4. Rarely, but there is a severe damage to blood vessels with heavy bleeding, which can be stopped only by specialists.
5. Only people with special training will be able to tell how to impose a transport bus.

Diagnosis and treatment

Diagnosis is carried out in accordance with classical techniques and depends on the complexity of the fracture - examination, palpation, fluoroscopic examination.

If the initial diagnosis is confirmed, the doctor is prescribed a fracture of the finger, which includes:

• anti-inflammatory and antibacterial therapy;
• surgical intervention;
• fixation.

For complex injuries, first of all, the threat to life is eliminated, surgical treatment is performed for restoration of bone integrity with the use of modern practices and techniques - fastening with the help of spokes and plates.

The fixed bandage is applied immediately only in case of uncomplicated fracture. The imposed plaster should be worn for as long as the doctor has determined.

Rehabilitation

The duration of the regenerative process of tissues directly depends on the type of surgical intervention.

Usually fusion of bones of phalanges takes about 30-40 days. It is this period that a doctor appoints to wear a plaster bandage. This is due to the fact that a short period of fixation allows you to avoid the occurrence of scars on the injured surface.

Injuries in children are treated and restored much easier and faster than those of the older generation. This is explained simply: a young organism, rapid metabolic and metabolic processes.

The main task of the recovery period is the gradual return of motor functions. It includes:

• massage;
• mechanotherapy;
• physiotherapy;
• ozokerite applications;
• iodine-bromine bath;
• therapeutic gymnastics.

The correct, prescribed by the attending physician rehabilitation is good because the entire treatment complex is aimed at acceleration of the natural processes of the body for the purpose of restoration and the fastest fusion of injured extremities.

A source: https://PerelomaNet.ru/perelomy/priznaki-pereloma-paltsa-na-ruke.html

Treatment of fractures of the little finger and other fingers on the arm

Fracture of the little finger on the arm is one of the types of damage to the bony and connective tissues of the finger. It is accompanied by pain, swelling, inability to move a finger.

Most often, a fracture of the phalanx of the finger on the arm is due to some kind of injury. Below are detailed descriptions of the types and causes of fractures, symptoms and ways of treating injuries to the fingers.

Types and causes

Fractures are divided into 2 types:

• traumatic - damage to bone tissue due to any injury;
• Pathological - this is bone damage due to some disease.

Fractures include damage to bones, which lead to a violation of the integrity of their structure. They can be divided into 3 groups:

• break - the damage does not take more than half of the bone;
• fracture is an injury in which a fracture takes up more than half of the bone, leaving part of the entire tissue;
• cracking - the bone in this case is cracking in all directions, most often such a trauma is a consequence of a strong blow.

Fractures are still divided by the nature of the damage:

• transverse;
• oblique;
• the comminuted;
• screw-like;
• longitudinal.

Isolate extraarticular and intraarticular species. The first are characterized by localization throughout the bone. The latter appear together with the dislocation of the back side.

In the case of a comminuted type of damage, the structure of the bone is broken, small fragments of bones appear, an operation is required to remove them and restore the integrity of the bone.

Longitudinal - when the bone breaks horizontally.

The corkscrews are characterized by the presence of bone fragments that have turned relative to the natural position.

Transverse are expressed in perpendicular bone damage relative to the natural position.

Damage can be open and closed. The first often carry a bacterial infection, serious tissue damage. Closed - damage to bone tissue, bone in this case does not bulge, the skin is not damaged, blood is not observed.

Distinguishing symptoms

Symptoms of a finger fracture on the arm are different in the strength of the damage, depending on whether the fracture type is open or not, and whether there are any displacements. The signs of a fracture of the finger differ depending on which finger was broken. On this depends and further treatment.

How to determine a fractured finger, for example, if it is closed type? It's quite difficult, you can not always understand if it's a bruise, a dislocation or a fracture after all. A broken finger hurts, eventually turns blue, but the treatment and diagnosis can be established only by the doctor after the necessary studies.

With an open fracture to understand that this is a fracture, it is much easier. The pain in this case is acute, there is a strong bleeding, often from the wound you can see a broken bone. During an open fracture, the integrity of the skin and blood vessels is compromised.

Symptoms in both cases are quite similar. With such a trauma, joints, cartilages, tendons can be affected, which leads to a strong curvature of the finger.

The fracture of the distal phalanx of the finger is most common, the nail part is injured, in view of the greatest exposure to physical effects.

If you have a finger fracture in children, you should immediately consult a doctor so that he or she can correctly diagnose and prescribe the treatment as soon as possible.

Children with severe trauma may experience an edge detachment of the nail phalanx of the finger with an open type of fracture.

The fracture of the index finger, the middle finger and the ring finger differ in the type of treatment. Necessarily need to see a doctor as soon as possible, often such finger injuries may require operating procedures.

What should I do if I have an injury?

First of all, with any injury, you need to provide first aid to a person. The finger must be fixed in one position - to apply the tire, and to remove the swelling and reduce the acute pain in the area of ​​injury - apply ice.

When there is an open fracture, the main goal is to reduce or completely stop bleeding. The wound needs to be washed, a sterile bandage applied.

After this, the injured person should be directed to the emergency department as soon as possible or call an ambulance, which will take the patient to the hospital. There necessarily it is necessary to be before statement of the diagnosis, many fracture and especially heavy demand the person to leave in hospital before full recover.

You should know that depending on the broken finger, the treatment is prescribed in different ways. For example, a fracture of the little finger can not be cured at home, an appeal to the doctor is mandatory. It is important not to move it, especially - do not try to fix the bone yourself.

Such actions can only worsen the state. If the fracture occurred at home, then you need to drink anesthetic (Analgin, Ketorol, Next), apply cold to the sore spot. Call and wait for the arrival of an ambulance or escort the victim to the emergency room.

Treatment for fracture of a finger with fragments or displacement begins with the comparison of pieces of bones to restore the movement of the fingers.

In this case, surgery is required under local anesthesia. After this, plaster is applied, grasping the first finger, and imposing it is monitored by x-ray.

The fragments are fixed with special knitting needles for 2-3 weeks, the plaster bandage is left for 4-5 weeks.

A fracture without bias is treated with the help of the Belera bus or a gypsum tape on the palm. How much to wear a gypsum in this case? Until a month, so that the bones have time to fully recover.

In the most difficult cases of fracture, when there are closed injuries of the tendon on the finger, fracture fusion is required, only after that the doctors begin to perform the plasty of the tendon. This treatment often takes 2-3 months.

Methods of therapy

Treatment of injuries of various fingers does not have a strong difference. Yes, the treatment depends on the severity of the fracture and the site of the injury, but in general the treatment regimen is the same in all cases. Most often, a fracture of the thumb is observed, but the pain in this case is very similar to the pain with a bruise.

Fracture of this kind is divided into 2 types:

• at the base of the finger;
• the circumferential side.

Fracture of the index finger, phalanxes of the finger, middle finger and little finger are treated approximately equally.

However, in the case of a broken finger, a long rehabilitation period is required to completely restore the motor function.

This is necessary because the finger in ordinary life is practically not involved in the movement, the functional load is minimal. How much exercise and how much to wear gypsum, can tell only the attending physician.

Treatment of the fracture of the little finger is as follows:

1. First, the doctor immobilizes the finger using a plaster or a tire. If the fracture is open, surgery may be necessary.
2. After fixing, the doctor can prescribe a course of physiotherapy procedures that will help to recover faster after an injury.
3. If the fracture is particularly complex, there are fragments, then reposition is required to restore the natural position of the bone.
4. For treatment, special needles can be used to fix the bone.

In other cases, when the fracture is not complicated by the fragments, the treatment can be as follows:

1. Check for allergies to various local anesthetics, then draw a finger, bend the joints, fix the bone in its original position and fix it with gypsum or a tire.
2. Often apply and skeletal traction, in this case a thread is used, which is passed through the tissues. Use it less often than the previous one, and only if the injury is more complicated. After the procedure, anti-inflammatory and antimicrobial agents are prescribed.
3. Surgical intervention is used for particularly severe injuries. If the bone is not fused correctly, the fracture is very complex, with a displacement or splinters, bone fixed by means of spokes or screws, plaster does not impose, which means the question of how much it is worn, falls away. After surgery, rehabilitation measures are prescribed on the open bone.

All of the above methods are used in modern medicine and for the treatment of many other injuries.

Rehabilitation period

After wearing gypsum, regardless of the type of damage, muscle and joint atrophy occurs. It is difficult to restore the motor function due to insufficient blood supply during the wearing of gypsum. Therefore, it is necessary to carry out rehabilitation measures.

Rehabilitation includes massage, exercises, the use of antiseptics and anti-inflammatory drugs for the skin. Massages help improve blood flow, reduce pain, reduce fatigue and accelerate regeneration.

At home, you can do the following exercises, in order to restore the motor function of the finger in the shortest possible time:

• a pinky and a ring finger to unite together, slowly protrude it and press it again, do this exercise several times, trying to gradually accelerate the movements;
• Circular motion with your finger in different directions;
• squeeze your hand into a fist and straighten them in one movement, repeat several times, but do not overwork;
• bend each finger of the phalanx one at a time, but not reaching painful sensations;
• very good help to restore the motor function will help the expander.

Do exercises regularly, but do not overload your finger so as not to disturb the recovery process. If everything is done correctly, then the term of tissue repair can be reduced several times.

Long treatment of injuries exhausts the patient. It is much more important to pay attention to prevention. First of all, you must avoid injury, and when working related to the transport of goods, in conditions of increased injuries, it is necessary to use special protective equipment.

Proper nutrition plays a huge role both in the rehabilitation process and during prevention. Necessarily need to eat vitamins to strengthen the bones - zinc, calcium, vitamins D, A, E.

When wearing gypsum, you need to add the following products to your menu:

• bananas;
• greenery;
• nuts;
• milk;
• kefir;
• natural yoghurt;
• beans;
• boiled chicken meat;
• sunflower seeds.

In the diet must necessarily be foods rich in folic acid, magnesium and zinc.

Currently, treatment does not cause such problems as several years ago. Modern technology allows you to fix even the most complex damage, and rehabilitation will help in the shortest possible time to restore the motor function.

It is necessary to use special protective equipment during work, to monitor their nutrition. During the recovery period, take vitamins, more out in the fresh air, knead your joints.

If the first aid is provided correctly, recognize the trauma in time and regularly do exercises for restoration of movement, the bone of the finger will coalesce in the shortest possible time and will not entail serious consequences.

A source: http://SpinaZdorov.ru/drugie-travmy/perelomy-konechnostey/perelom-mizintsa-na-ruke.html