![]() ![]() ![]() If a fracture involves the joint surface then arthritis may develop later in life. This swelling can cause stiffness to the hand and fingers. Overall, swelling occurs at the site of the fracture and often affects the whole hand. This swelling is magnified by the bleeding that occurs from the bone ends at the site of the fracture. Therefore, significant soft tissue trauma also occurs with its resultant swelling. The forces required to fracture a bone also act on the surrounding soft tissues. Even though the laceration is often no more than a small puncture wound, these are at very high risk of developing an infection including septic arthritis and should be treated aggressively. ![]() ![]() This typically occurs in boxer’s fractures when the fist strikes a tooth. A significant force can result in the bone ending up multiple pieces (comminuted) or become significantly displaced resulting in a deformity.Īny laceration overlying, or associated with, a fracture is referred to as a compound fracture. It typically results from a punching mechanism. Why do exercises for movement? The immobilization of the fingers for a long time causes muscle stiffness, that is, the muscles, bones, tendons and nerves were so long in a position that it is practically impossible to close the fingers, lower them, raise them or simply use them. For this reason, it is necessary to perform physiotherapy exercises that stimulate the stretching of the fingers and press down and up so that, little by little, total mobility is gradually recovered.A Boxer’s fracture refers to a fracture involving the neck of the 5th metacarpal. In general, during boxer’s fracture rehabilitation, heat and cold are also applied to treat the pain of the injury and prepare the fingers to do the exercises more easily and without feeling as much pain during stretches. Electricity and massage may also be applied to the area, which stimulates the nervous response and also relaxes the tendons and parts of the finger to facilitate movement. The type of splint used to treat a boxer’s fracture can vary and this is because as this area is so weak and delicate, the fracture can occur in multiple ways and involve different areas, for this reason two people with fifth metacarpal fracture received splinting and totally different treatment. One of the factors that varies in the treatment of this fracture is the degree of the splint, since there is no study that establishes an exact degree that is effective to recover all types of fractures that may occur in the fifth bone of the hand. Therefore, depending on the injury, the degree of immobilization also varies. In some cases, a cast is placed in place of the splint.Īfter the splint or cast is removed, it is necessary for the person to undergo at least three weeks of physical therapy so that through certain exercises indicated by the physiotherapist, depending on the degree of mobility of the fingers, the ability to move is increased. Once any of the diagnostic tests have been performed, it will be necessary to administer medication to calm the pain and reduce inflammation of the wound. Treatment will depend on the type of fracture. In the case of a partial fracture , care consists of immobilizing the bone and joints near the injury through a splint performed on the little and ring fingers, which also compromises the mobility of the wrist. ![]()
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