A hand fracture happens when one or more of the small bones of the hand are broken. The hand is composed of several small bones that come together to make up the hand’s supporting framework. Most fractures of the hand occur as a direct result of trauma to the hand. If the hand strikes an object, is struck by an object, or an object falls onto the hand, a fracture can occur. Hand fractures can occur in the long bones of the hand, known as the metacarpals, or they can occur in the small bones of the fingers, known as the phalanges.
What are the Symptoms of a Hand Fracture?
The common symptoms of a hand fracture include pain, tenderness, swelling, a palpable deformity, shortened finger, depressed knuckle, and/or difficulty moving one or more of the fingers.
How is a Fracture of the Hand Diagnosed?
If the orthopedic specialist suspects a hand fracture, he will obtain X-rays to determine if a bone is actually broken. If a fracture (or break) is seen in one or more of the bones of the hand, he can then determine the best course of treatment for that particular kind of fracture.
What is the Treatment for a Hand Fracture?
There are several possible treatments for hand fractures. These include:
Casts and Splints: If the fracture is in-line and not displaced, a cast or splint can be used for the treatment. Some types of hand fractures do not need to be realigned or are in perfect position in order for the area to heal properly. These breaks of the hand may also be splinted or casted. The cast or splint will have to be worn for several weeks before you are able to return to normal activity.
Pins: Small metal pins can be inserted through the skin to allow the bones to be held in the best position for healing. The orthopedic specialist does this procedure under general anesthesia or by way of local anesthesia block. These metal pins will remain in place for a number of weeks to allow the fracture of the hand to heal. Once healed, the surgeon will remove these pins and allow you to get back to normal activity.
Metal Plates and Screws: When the orthopedic specialist find certain types of hand fractures, metal plate and screw placement may be necessary. With these cases, metal screws with either a plate or an external fixator will be used to maintain proper alignment of the broken bones and keep hand fractures from worsening. This type of surgery is done under general anesthesia in most cases. These structures are left in the hand area permanently to hold the bone in place in some cases, and in others, the structures are removed once the bones heal. You will not be able to use your hand for several weeks while the bones are healing to assure the best possible outcome.
What else do I Need to Know about Surgery for a Hand Fracture?
Some hand fractures require surgery in order to align and stabilize the broken bones. These types of breaks usually come through the skin or are the result of a crushing accident. The orthopedic specialist will have to use wires, plates, and screws to hold the pieces together in such cases.
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