Lecture Notes: Finger Fractures and Recovery
Presenter
- Name: Josh Richards
- Profession: Hand Surgeon
- Location: Oakland, California
Topic Overview
- Discussion on what to expect after phalanx (finger) fractures
Anatomy and Types of Fractures
- Phalanx: Three small bones in fingers
- Metacarpals: Bones in the hand
- Fractures commonly occur from jamming or twisting fingers
- Not always immediately painful
Diagnosis and Importance of a Hand Surgeon
- Critical to see a hand surgeon for proper diagnosis
- Determines if the fracture is stable, needs fixation, and how it should be immobilized
- Early motion is crucial but challenging
Treatment and Healing Process
- Stable Fractures:
- Minimally or non-displaced fractures can be treated with buddy taping
- Encourages early, aggressive motion with follow-up care
- Follow-up:
- Weekly check-ups for first 3 weeks
- Importance of monitoring bone placement and motion recovery
Challenges in Recovery
- Regaining motion is difficult and painful
- Average healing time: 6 weeks
- Activity restriction: No sports, lifting, or pushing over 2-3 pounds
Treatment Options
- Casting, Splinting, and Surgery:
- Depends on fracture displacement and malrotation
- Use of small plates for stability allows aggressive motion post-surgery
- K wires (small nails) require casting and delayed motion
- Therapy needed post-surgery to initiate motion
Recovery Timeline
- 6 Weeks: General mobility returns
- Swelling:
- Can persist 3-6 months or longer
- Full motion typically regained by 3 months
- Swelling may affect ring fit for up to a year
Recommendations
- Consult with a local hand surgeon for proper assessment and recovery plan
- Focus on early motion recovery
- Be patient with swelling and fit of rings, especially on the ring finger
Summary
- Emphasize the role of expert assessment and follow-up for effective recovery
- Healing averages around six weeks, with continued improvement by three months
Notes prepared based on lecture by Josh Richards on phalanx fractures and recovery methods.