Symptoms, treatment, and other conditions

A broken pinky toe is a fracture of the smallest toe. The term “broken toe” usually describes a traumatic fracture, which can occur due to a direct blow or impact, such as stubbing the toe or dropping something on it.

The pinky toe is a commonly broken toe, and the fracture usually occurs at its base.

This article looks at the symptoms of a broken small toe, along with some other problems that can cause pain and swelling in the area. It also examines the treatment and management options for this injury.

The most common symptoms of a broken pinky toe include:

• a snapping, grinding, or popping noise at the time of the break
• pain at the place of impact at the time the fracture occurs
• the toe appearing to be crooked
• redness, bruising, and swelling

If there is an open wound, a person should seek immediate medical attention to prevent infection.

Other than a broken pinky toe, there are many reasons a person might have pain or swelling in their smallest toe.

People can treat most of these causes at home. However, if home remedies do not seem to be working, it is important to see a doctor, as the issue could turn out to be something more serious.

The following sections outline some other causes of pain and swelling in the pinky toe in more detail.

Stress fracture

A stress fracture, or a hairline fracture, is a small crack or severe bruising within a bone.

It is slightly different from a traumatic fracture, as it usually occurs due to overuse and repetitive activity.

Symptoms

• pain during or after performing normal activities
• pain that goes away when resting but returns when standing or during activity
• painful to the touch
• swelling but no bruising

Treatment

According to the American Academy of Orthopaedic Surgeons (AAOS), the most important treatment for a stress fracture is rest.

Advising that it takes up to 8 weeks for most fractures to heal, the AAOS warn against resuming the activity that caused the stress fracture to occur too quickly. They warn that this could lead to long-term problems.

As well as resting, using shoe inserts or braces can help stress fractures heal.

Learn more about stress fractures here.

Sprains

A sprain occurs when there is damage to a ligament. Ligaments are the bands of tough, elastic connective tissue that connect the bones in the toes to each other.

Symptoms

• pain
• swelling
• difficulty walking
• tender to the touch

The AAOS categorize sprains into three grades:

• Grade I: This is characterized by overstretched ligaments, a minimal loss of function, and mild pain.
• Grade II: This is characterized by a partially torn ligament, moderate pain, and difficulty putting weight on the toe.
• Grade III: This is characterized by a complete tear of the ligament, severe pain, a total loss of function, and an inability to bear weight.

Treatment

Treatment depends on the severity of the sprain but could include:

• resting the toe
• icing the toe
• wearing a compression sock
• using crutches to aid walking
• taking pain relief medication
• using a walking boot, which is a stiff boot that protects the toe as it heals

Learn about the difference between a sprain and a strain here.

Dislocation

A dislocation is a complete separation of the bones in a joint. The bones then move out of their normal position.

Symptoms

• severe pain
• deformity or displacement of the toe
• swelling and bruising
• numbness or tingling
• difficulty moving the toe

Treatment

• “buddy” taping it to an adjacent toe
• using a splint
• wearing a cast
• trying a walking boot

Bunion

A bunion is a painful, bony bump on the toe joint.

A bunion on the pinky toe is called a tailor’s bunion. Historically, this name comes from the tailors who sat cross-legged all day, with the outside edge of their feet rubbing on hard surfaces.

Symptoms

• a visible bump on the outside of the pinky toe
• pain and tenderness at the site of the bump
• redness and inflammation
• a callus or corn on the bump

Treatment

In some cases, corticosteroid injections can help treat the inflamed tissue around the joint. Surgery may be necessary in severe cases.

Learn more about tailor’s bunions here.

Corns

Corns are hard, thickened areas of skin that form as a result of friction or pressure. Corns are the foot’s natural defense to help protect the skin underneath them. They are a response to bone pressure against the skin.

Corns may develop on the tops and sides of the toes and on the balls of the feet.

Symptoms

• a hardened patch of skin
• open sores between the toes
• pain when wearing shoes

Treatment

• shaving the corn, but only when a health professional carries it out
• soaking the feet and using a pumice stone on the corn
• wearing a donut shaped foam pad over the corn to reduce the pressure

Learn more about corn remedies here.

It is best to visit a doctor as soon as someone suspects that there is something wrong. This is particularly important if a person hears a snapping, grinding, or popping noise at the time of the break.

If a person leaves a broken toe untreated, it can get worse and cause lasting problems.

The doctor will examine the foot, gently pressing on different areas to find out where there is pain.

They will also order X-rays. Additional imaging studies may be necessary if the initial X-ray does not show anything.

It is a myth that nothing can mend broken toes. In fact, leaving them without treatment can lead to future complications.

Healing of a broken toe may take 6–8 weeks.

A person may need to have their broken toe buddy taped to an adjacent one. Wearing a stiff-soled shoe can also help, as can using crutches to help keep weight off of the toe while it heals.

Rarely, a person may need to wear a cast to keep the foot immobile.

Surgery may be necessary if there are multiple breaks or if nonsurgical treatment does not work.

Also, if a fracture leads to large amounts of blood underneath the nail, a person may need to take antibiotics and undergo nail removal.

Taking NSAIDs such as aspirin and ibuprofen can help decrease swelling and pain.

At home, people can use the RICE method to try to reduce swelling and allow the pinky toe to heal.

RICE

• Rest: Give the toe time to heal.
• Ice: Ice the toe for up to 20 minutes four times per day.
• Compression: Using an elastic bandage or brace can provide support and reduce swelling.
• Elevate: Elevating the foot above the heart can also help reduce swelling.

Learn more about the RICE method here.

The pinky toe works with the rest of the toes to keep a person balanced. A person’s foot works in a tripod fashion to keep them balanced, with the little toe being one part, the big toe another, and the heel the third.

Sustaining damage to any part of this tripod can affect a person’s range of motion.

Learn more about the bones of the feet here.

It might be small, but the pinky toe plays a vital role in keeping a person balanced. Therefore, any damage to it can cause issues.

It is important to seek medical attention if a person suspects a broken toe, as it can get worse without treatment.

A person can treat milder problems at home, by changing their footwear, taking NSAIDs, and resting. A medical team can treat more serious issues.

Broken Toe | What To Do & When To See A Doctor

What causes a broken toe?

A broken (fractured) toe is an injury normally caused by either dropping a heavy object on the toe or stubbing the toe hard. Generally it takes quite a lot of force to break a bone. However, toe bones are more vulnerable because they are small bones and because they are on the edge of the body, so are more likely to be injured in the first place. A broken little toe, caused by stubbing it, may be particularly common due to its position.

Occasionally, broken toes may occur in association with other complex injuries, such as after a fall from height on to the feet, or because of a road traffic accident.

What are the symptoms of a broken toe?

Breaking a bone (fracture), as long as your nerves work properly, is a very painful injury. Broken bones bleed, so the area will swell quickly. It will eventually bruise as the blood travels through to the skin. You may be able to see blood beneath the toenail.

In addition, the two ends of the broken bone may be out of line (displaced), or the break may go into the toe joint. In this case the toe will look misshapen.

It’s painful to walk on a broken toe. This is particularly the case for a broken big toe, as this toe takes more of our weight when we walk.

It can be difficult to be certain that your toe is broken, as sprains and strains can also be painful and tender. A misshapen toe usually means a break or dislocation; severe swelling or bruising is suggestive of a break but often the only way to be sure is with an X-ray. Don’t worry if you’re not sure whether your toe is broken or not, since the treatment is generally the same for a break as it is for a sprain, as long as it’s not your big toe that you have injured and the toe is not misshapen.

Do I need to see a doctor if I have broken my toe?

You don’t always need to see a doctor for a broken (fractured) toe. You can manage a fractured toe very safely yourself as long as it isn’t your big toe, isn’t crooked or out of line and there is no skin wound over or near the fracture.

You should, however, see a doctor for your broken toe if:

• The pain becomes worse and isn’t relieved by normal painkillers.
• The swelling and bruising don’t start to improve in a few days.
• There is an open wound associated with the break.
• You have a medical condition that may affect your healing – for example, diabetes, heart failure, peripheral arterial disease.
• You are taking oral steroids.

You should go to an accident and emergency department if:

• The toe goes numb or tingly. This suggests pressure on, or damage to, the nerves to the toe (which run up the side of the toe, one on each side).
• The skin on the toes has turned blue (other than bruising) or grey and is cold to the touch when the other toes are not.
• The toe is bent at an angle or with an open wound.
• The injured toe is your big toe.
• You have more than one fractured toe.
• The injured person is a child: children may need a special boot for walking. It can be difficult to be certain that the child’s toe is not misaligned without an X-ray.
• The accident in which you damaged your toe was severe – for example, a fall from a height or a road traffic accident (you may have other injuries).

What do I do for a broken toe?

Broken toe treatment depends on which toe you have injured and how badly. If your broken (fractured) toe is not displaced, it is not your big toe and the skin is not broken then you may be able to manage it at home yourself, as long as none of the conditions above apply. Rest, ice and elevation are recommended for initial management to help reduce bruising, swelling and pain, and therefore shorten recovery time.

• Rest: means not putting excessive weight on the toe and not standing for too long.
• Ice: beyond 72 hours ice is no longer beneficial. Hold an ice pack to the toe for 15-20 minutes every one to two hours for the first couple of days. See the separate leaflet called Heat and Ice Treatment for Pain for more information.
• Elevation: this means sitting or lying with your foot up, as high as is comfortable. It is helpful for as long as the toe is swollen but particularly for the first 24 hours.
• How to wrap a broken toe: for the smaller four toes, put a little padding such as gauze, cotton wool or some tissue between the toe and the one next to it. Then tape them together. This is sometimes called buddy taping or buddy strapping. The uninjured toe acts as a splint. Make sure the tape isn’t too tight. Also make sure you remove it and apply fresh tape and padding after washing your injured foot.
• Pain relief: take over-the-counter painkillers such as paracetamol or ibuprofen to relieve the pain. Ibuprofen gel applied to the toe may be helpful if the skin isn’t broken.
• Protection: wear sturdy shoes with stiff soles, that don’t squash or bend the toe.

You can begin normal activity once the swelling has gone down and you’re able to wear a protective shoe comfortably.

How is a broken big toe treated?

A broken (fractured) big toe may be put in a cast to support it, as it takes much more of your weight than the other toes and is also needed for balance.

The big toe is more likely than the smaller toes to need surgery in order to heal properly and to be as strong as it was before you broke it. Even if surgery is not required, you may be given crutches so you can walk without putting weight on the toe.

What is the treatment for a badly broken toe?

If there is a lot of blood under the nail this may put pressure on the nail and make it very painful. Your accident and emergency department may make a small hole in the nail with a heated needle in order to allow the blood to escape, or they might remove the nail. However, they will be cautious if there is a break (fracture) beneath the nail, as if the nail is intact it will protect the break underneath from infection.

If the skin is broken then you may need antibiotic medication to prevent an infection in the fracture, which would interfere with healing and could spread further into the foot.

If your toe is crooked, particularly if the fracture is through one of the toe joints, your toe may need to be put back into line and held with metal pins. You will be given local anaesthetic injections to numb the area – normally one on each side of the toe at the base. Doctors may then be able to realign the toe without operating on it.

If surgery is needed this can be done in several ways:

• With a metal wire (called a K-wire) which is inserted through the tip of the toe, down its length. K-wires are smooth and slim. They are inserted with a special drilling device, usually under anaesthetic. The wire can be pulled out fairly painlessly by the surgeon once the bones have healed, usually 3-4 weeks later.
• With internal wiring or metal plates which can’t be seen from the outside and which stay permanently in place.
• External fixation with pins and bars may be needed for a complicated broken toe.

A plaster cast might then be put over the foot to keep everything firmly in place whilst it all heals. You might need crutches or a special boot.

How long does a broken toe take to heal?

This depends on which toe you have injured and how badly. It will also depend on how old you are, as bones generally take longer to heal the older you are.

• Broken big toe:
• 2-3 weeks in a walking boot or cast, then
• 3-4 weeks in a stiff-soled shoe.
• Return to work and sport in 6-8 weeks is usual.
• Broken lesser toes, including broken pinky toe:
• Buddy strapping and use of a stiff-soled shoe.
• Walking when bearable.
• Usually healed completely within 4-6 weeks

What are the possible complications of a broken toe?

Well-healed broken (fractured) toes usually cause no ongoing problems. The possible complications, which are more likely to happen after severe breaks, include:

• Failed healing of the bones: this can either mean the bones heal in a crooked state or that they don’t heal together at all. In either case further surgery may be needed.
• Bone infection: this is called osteomyelitis and can be very persistent. There is a risk of this if the skin over the fractured toe is damaged. A long course of antibiotics or further surgery may be needed.
• Toe stiffness is a common consequence of a broken toe, particularly if the joint was involved. Joints anywhere in the body which have had blood in them have a tendency to become stiffer. Physiotherapy exercises may help.
• Pain: it is quite common to have occasional aches and pains in a bone that has been broken, particularly after heavy use. More severe pain suggests further treatment is needed.
• Skin injury from buddy strapping that is too tight or isn’t removed when the foot is washed and remains wet.

Symptoms, Diagnosis, Treatment, Buddy Taping

What Is a Broken Toe?

A broken toe is when you break a bone in one of your toes. Each of your toes has three bones, except for the big toe, which has two. A break can happen when you stub your toe really hard or drop something on it.

A broken toe doesn’t usually need much medical care. In fact, it can be tough to tell whether you broke it or just hurt it badly, and the treatment’s often the same.

Broken Toe Signs and Symptoms

When you break a toe, you’ll likely have:

• Pain and tenderness in your toe
• Pain when you walk or put weight on your foot
• Redness or bruising
• Stiffness
• Swelling

When to Call a Doctor

If you think you broke your toe, it’s best to have your doctor look at it. Even though you can often treat it yourself, a broken toe can sometimes lead to more serious problems, like infection, arthritis, or long-term foot pain.

Continued

Call your doctor if you have one these more serious breaks, which do need treatment:

• Big toe injury
• Broken bone sticking out of your skin or causing an open wound (can lead to an infection in your bone)
• Toe is bent or crooked

For a less serious break, even if you put it off at first, call your doctor if you have:

• An illness that impacts the nerves or blood flow in your feet, like diabetes
• Fever or chills
• Intense pain under your toenail (possibly a blood buildup under the nail)
• Numbness, tingling, or coldness in your toe
• Pain that gets worse or doesn’t get better with over-the-counter pain medicine
• Blue or gray skin on your toe
• Swelling, bruising, or redness that doesn’t improve after a few days

Broken Toe Diagnosis

First, your doctor will ask you what happened and what symptoms you’re having. They’ll check for tenderness and broken skin around your toe. They’ll also test your nerves and blood flow. Then, if your doctor thinks it’s a break, you’ll likely get an X-ray.

Broken Toe Treatment

Treatment depends on where and how bad the break is. In most cases, you’ll be sent home with directions for self-care. You may also get a prescription for pain medicine.

It helps you heal if you can keep your toe from bending too much. Your doctor might suggest buddy taping. That’s where you tape your broken toe to the toe next to it. First, you first put cotton or gauze between your toes so the skin doesn’t rub and get raw. Then, you wrap them with medical tape.

You doctor may also give you a stiff-bottomed shoe with a cloth top. This keeps your toe from bending too much and allows room for swelling.

If you broke your toe all the way through and the bone moved, your doctor may need to set it back in place. First, you’ll get a shot to numb your toe. Then your doctor moves the bones back together with their hands. There’s no surgery involved. You may get a cast if the bone pieces don’t stay in place.

Continued

If you have a wound, you may also get antibiotics and a tetanus shot.

If you have blood trapped under your toenail, your doctor will try to drain it but may have to remove the nail completely.

For very serious breaks, you may need surgery to put in pins or screws that hold the bones in place.

Broken Toe Home Remedies

For the first few days or weeks after you break your toe, you can:

• Keep your foot raised while sitting or lying down (above your heart is best) to keep the swelling and pain down.
• Put ice on your toe for 20 minutes every hour while you’re awake. That’s for the first 24 hours. After that, you can ice it two to three times a day. Don’t put ice right on your skin. Wrap it in a towel instead.
• Rest. Ease up on activity that causes pain.
• Take pain medicine with ibuprofen, acetaminophen, or naproxen, if you need it.
• Wear shoes with stiff soles.

Broken Toe Recovery

Most of the time, your toe will heal in about 4-6 weeks. But it could take as long as 8 weeks for more serious breaks.

You’ll need to hold off on sports and other physical activities until your doctor gives you the green light. If you start those too soon, you might re-injure your toe.

As you heal, it’s also best to avoid high heels or any shoes that squeeze your toes.

When you can wear shoes and walk without pain, you can ease back into your normal activities. You can expect some stiffness or soreness when you first get going again, but that will fade as you get back to normal.

Toe Fracture | UVA Health

What Is a Toe Fracture?

A toe fracture is a break in a toe bone. The bones in the toes are called phalanges.

How Can You Fracture Your Toe?

A toe fracture is caused by trauma to the bone. Trauma can result from:

• Dropping something on your toe
• Stubbing your toe
• Falling down
• Direct blow to the toe

Copyright © Nucleus Medical Media, Inc.

Risks of Getting a Fractured Toe

Factors that may increase your risk of a toe fracture include:

• Advanced age
• Osteoporosis
• Poor nutrition
• Participating in contact sports
• Not wearing shoes

Toe Fracture Symptoms

A toe fracture may cause:

• Pain
• Swelling and tenderness
• Stiffness in the injured area
• Inability to move toe
• Bruising in injured area
• Numbness or tingling in the toes
• Visible deformity in the toe area
• Difficulty walking (sometimes)

Diagnosing Toe Fractures

The doctor will ask about your symptoms, level of physical activity, how the injury occurred, and will examine the injured area. Your doctor may take an x-ray of the foot, but this is not always needed.

Treating Toe Fractures at UVA

Proper treatment can prevent long-term complications or problems with your toe, such as immobility or misalignment. Treatment will depend on how serious the fracture is, but may include:

Initial Care

Extra support may be needed to protect, support, and keep your toe in line while it heals. Supportive steps may include buddy taping (your injured toe is taped to healthy toes next to it), a walking cast, or stiff bottom shoe.

Some fractures cause pieces of bone to separate. Your doctor will need to put these pieces back into their proper place. This may be done:

• Without surgery — you will have anesthesia to decrease pain while the doctor moves the pieces back into place
• With surgery — pins or screws may be needed to reconnect the pieces and hold them in place

Children’s bones are still growing at an area of the bone called the growth plate. If the fracture affected the growth plate, your child may need to see a specialist. Injuries to the growth plate will need to be monitored to make sure the bone can continue to grow as expected.

Medication

Prescription or over-the-counter medications may be given to help reduce inflammation and pain.

Medications may include acetaminophen or ibuprofen.

Check with your doctor before taking nonsteroidal anti-inflammatory medications, such as ibuprofen or aspirin.

Note: Aspirin is not recommended for children with a current or recent viral infection. Check with your doctor before giving your child aspirin.

Rest and Recovery

Healing time varies by age and your overall health. Children and people in better overall health heal faster. In general, it takes up to 6-8 weeks for a fractured toe to heal.

You will need to adjust your activities while your toe heals, but complete rest is rarely required. Ice and elevating the leg at rest may also be recommended to help with discomfort and swelling.

Do not return to activities or sports until your doctor gives you permission to do so.

If you have a fractured toe, follow your doctor’s instructions .

Preventing Toe Fractures

To help reduce your chance of toe fractures, take these steps:

• Do not put yourself at risk for trauma to the bone.
• Wear proper fitting and appropriate shoes for any activity.
• Wear proper padding and safety equipment when participating in sports or activities.
• Do weight-bearing and strengthening exercises regularly to build strong bones.

To help reduce falling hazards at work and home, take these steps:

• Clean spills and slippery areas right away.
• Remove tripping hazards such as loose cords, rugs, and clutter.
• Use non-slip mats in the bathtub and shower.
• Install grab bars next to the toilet and in the shower or tub.
• Put in handrails on both sides of stairways.
• Walk only in well-lit rooms, stairs, and halls.
• Keep flashlights on hand in case of a power outage.

 

Content was created using EBSCO’s Health Library. Edits to original content made by Rector and Visitors of the University of Virginia. This information is not a substitute for professional medical advice.

Broken Foot or Toes (Forefoot & Toe Fractures)

What Is a Broken Foot or Broken Toes?

Nearly one-fourth of all the bones in your body are in your feet, which provide you with both support and movement. A broken (fractured) bone in your forefoot (metatarsals) or in one of your toes (phalanges) often is painful but rarely disabling. Most
of the time, these injuries heal without surgery. Since a dislocation can be mistaken for a toe fracture, it is important to obtain X-rays to ensure a correct diagnosis.

Symptoms

Pain, swelling, and bruising are the most common signs of a fracture in the foot. If you have a broken toe, you may be able to walk but this usually aggravates the pain. If the pain, swelling, and discoloration continue for more than 2-3 days, or if pain
interferes with walking, something could be seriously wrong; see your foot and ankle orthopaedic surgeon as soon as possible. If you delay getting treatment, you could develop persistent foot pain and arthritis.
Pain also can change the way you walk (your gait), which could lead to painful calluses on the bottom of your foot or other issues. 

Causes

Stress fractures frequently occur in the bones that extend from your toes to the middle of
your foot (metatarsals). Stress fractures are like tiny cracks in the bone surface. They can occur with sudden increases in physical activity, such as running or walking for longer distances or times, improper training techniques, or changes in training
surfaces. They may be related to the shape of the foot, an overly tight calf muscle or heel cord (Achilles), or metabolic or nutritional factors. 

Traumatic fractures result from a sudden force, such as a fall, dropping a heavy object on your foot, or a twisting injury. If the fractured bone does not break through the skin, it is called a closed fracture. These fractures may be stable with no shift
in bone alignment or displaced with bone ends that no longer line up.

Several types of fractures can occur to the forefoot bone on the side of the little toe (fifth metatarsal). Ballet dancers may break this bone during a misstep or fall from a pointe position. An ankle-twisting injury may tear the tendon that attaches
to this bone and pull a small piece of the bone away. A more serious injury in the same area is a Jones fracture,
which occurs near the base of the bone and disrupts the blood supply to the bone. This injury may take longer to heal or require surgery.

Diagnosis

Your foot and ankle orthopaedic surgeon will examine your foot to pinpoint the central area of tenderness and compare the injured foot to the normal foot. You should tell your surgeon when the pain started, what you were doing at the time, and if there
was any injury to the foot. X-rays will show most fractures of the forefoot and should be obtained standing if possible to improve diagnostic accuracy. A CT scan or MRI may be needed if the fracture enters a joint, or if X-rays fail to reveal an injury.

Treatment

See your foot and ankle orthopaedic surgeon as soon as possible if you think that you have a broken bone in your foot or toe. Until your appointment, keep weight off the painful area and apply ice to reduce swelling. Use an ice pack or wrap the ice in
a towel so it does not come into direct contact with the skin. Apply the ice for no more than 20 minutes at a time. Take acetaminophen or ibuprofen to help relieve the pain. Wear a wider shoe with a stiff sole to remove stress from the injury site.

Rest is the primary treatment for stress fractures in the foot. Stay away from the activity that triggered the injury, or any activity that causes pain at the fracture site, for 3-4 weeks. Substitute another activity that puts less pressure on the foot,
such as swimming. Gradually, you will be able to return to activity. Your surgeon, physical therapist, or coach may be able to help you pinpoint the training errors that caused the initial problem so you can avoid a recurrence.

If you have a displaced fracture, the bone ends must be realigned and the bone kept immobile until healed. If you have a broken toe, the doctor will “buddy tape” the broken toe to an adjacent toe, with a gauze pad between the toes to absorb moisture.
You should replace the gauze and tape as often as needed. Remove or replace the tape if swelling increases and the toes feel numb or look pale. If you have diabetes with neuropathy or peripheral neuropathy (loss of sensation in the toes), do not tape
the toes together. You may need to wear a rigid, flat-bottom orthopaedic shoe for several weeks.

If you have a broken bone in your forefoot, you may have to wear a short-leg walking cast, a brace or a rigid, flat-bottom shoe. It could take 6-8 weeks for the bone to heal, depending on the location and extent of the injury. After a week or so, your
foot and ankle orthopaedic surgeon may request another set of X-rays to ensure that the bones remain properly aligned. Many of these fractures are treated successfully without surgery, although in severe injuries, pins or screws may be required to
hold the bones in place while they heal. Surgery often is not needed to treat fractures in the toes or forefoot. However, when it is necessary, it has a high degree of success.

Recovery

The forefoot and toes tend to heal slowly, so it can take months for a fracture to heal. In the toes, swelling can continue for a long time even when patients are not having other symptoms. 

Risks and Complications

Risks associated with these fractures are specific to the injury. If the fracture goes into a joint, it could lead to arthritis. If the skin is broken at the time of the injury, you could develop an infection. 

On occasion, the bone does not heal. In other cases, pain or swelling can remain. For these reasons, it is important to have further follow up with your surgeon if you continue to have symptoms.

 

Last reviewed by Jeff Feinblatt, MD, 2018

The American Orthopaedic Foot & Ankle Society (AOFAS) offers information on this site as an educational service. The content of FootCareMD, including text, images, and graphics, is for informational purposes only. The content is not intended to substitute
for professional medical advice, diagnoses or treatments. If you need medical advice, use the “Find a Surgeon” search to locate a foot and ankle orthopaedic surgeon in your area.

Think You Have a Fractured Toe? Here’s What Could Happen If You Don’t Get It Checked Out: Podiatry Hotline Foot & Ankle: Foot and Ankle Specialists

If you stubbed your toe and felt a snap, you may wonder if it’s broken, and you might think that the “wait and see” approach is the best course of action. However, a fracture that goes undetected and untreated can lead to complications.

While not an emergency, it is vital that you get your toe checked out. Dr. Thomas Rambacher and the team at Podiatry Hotline Inc. recommend seeking treatment of your toe injury to ensure a swift recovery and to prevent those potential problems.

When to suspect that your toe is fractured

Whether you’ve stubbed your toe or injured it playing sports, there are a few obvious signs that you’ve suffered a fracture. Look for discoloration, pain, and swelling. While it’s likely to hurt immediately, it can take a few days for the color to change and swelling to appear.

If you’re certain your toe is fractured or you simply want peace of mind, your Dr. Rambacher can provide a full assessment and order X-rays to make the right diagnosis.

A fractured toe that’s left untreated can lead to infection

When it comes to broken toes, infection risk usually happens if the skin on the affected toe is cut or punctured at the time of the injury. You’re at increased risk of developing a bone infection if you have diabetes, rheumatoid arthritis, or a compromised or weakened immune system.

Symptoms that suggest your toe has developed a bone infection include:

• Fatigue
• Fever
• Pain
• Warmth and redness of the toe

When dealt with quickly, a bone infection can be treated with antibiotics. If left too long, the infection can restrict blood circulation, leading to bone death of that toe, septic arthritis, and an increased risk of developing skin cancer.

Osteoarthritis can develop from an untreated toe fracture

Osteoarthritis typically develops from wear and tear of your joints over time, but walking on a fractured toe can speed up this process — although it may still take months, or even years, for arthritis to develop.

Symptoms of osteoarthritis — pain, and stiffness in the toe, swelling in the joint and problems walking or playing sports — can be difficult to live with. It’s not unusual for a bone spur to develop at the affected toe. This is a bony protrusion that can be painful, particularly when wearing shoes.

Treatment prevents complications

Once Dr. Rambacher has diagnosed your toe fracture, you have a few treatment options depending on the severity of the injury. Over-the-counter pain medication and immobilization of the toe is often sufficient for small toe breaks and simple fractures. Dr. Rambacher can immobilize the toe by carefully buddy taping it to the toe next to it. A cast usually is not required.

With more complex fractures, Dr. Rambacher may have to manipulate the pieces of bone back together again in a technique called reduction. This procedure is done under local anesthetic, so your toe is numb. In rare cases, surgery may be necessary to fix a severe fracture using pins and plates to repair the bone and position the toe with the correct alignment for healing.

If you suspect that you have a broken toe, or if you’ve fractured a toe previously and didn’t get it checked out, don’t hesitate to book a consultation with Dr. Rambacher today.

Broken Toes – Fractured Toe Pain | Foot Health Facts

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Broken toes and broken metatarsal bones can be painful, significant injuries. The structure of the foot is complex, consisting of bones, muscles, tendons and other soft tissues. Of the 28 bones in the foot, 19 are toe bones (phalanges) and metatarsal bones (the long bones in the midfoot). Fractures of the toe and metatarsal bones are common and require evaluation by a specialist. A foot and ankle surgeon should be seen for proper diagnosis and treatment, even if initial treatment has been received in an emergency room.

What are Toe and Metatarsal Fractures?

A fracture is a break in the bone. Fractures can be divided into two categories: traumatic fractures and stress fractures.

Traumatic fractures (also called acute fractures) are caused by a direct blow or impact, such as seriously stubbing your toe. Traumatic fractures can be displaced or nondisplaced. If the fracture is displaced, the bone is broken in such a way that it has changed in position (malpositioned).

Signs and symptoms of a traumatic fracture include:

• You may hear a sound at the time of the break.
• Pinpoint pain (pain at the place of impact) at the time the fracture occurs and perhaps for a few hours later, but often the pain goes away after several hours.
• Crooked or abnormal appearance of the toe.
• Bruising and swelling the next day.
  
   

It is not true that “if you can walk on it, it’s not broken.” Evaluation by a foot and ankle surgeon is always recommended.

Stress fractures are tiny hairline breaks usually caused by repetitive stress. Stress fractures often afflict athletes who, for example, too rapidly increase their running mileage. They can also be caused by an abnormal foot structure, deformities or osteoporosis. Improper footwear may also lead to stress fractures. Stress fractures should not be ignored. They require proper medical attention to heal correctly.

Symptoms of stress fractures include:

• Pain with or after normal activity
• Pain that goes away when resting and then returns when standing or during activity
• Pinpoint pain (pain at the site of the fracture) when touched
• Swelling but no bruising
  
   

Consequences of Improper Broken Toe Treatment

Some people say that “the doctor can’t do anything for a broken bone in the foot.” This is usually not true. In fact, if a fractured toe or metatarsal bone is not treated correctly, serious complications may develop. For example:

• A deformity in the bony architecture, which may limit the ability to move the foot or cause difficulty in fitting shoes.
• Arthritis, which may be caused by a fracture in a joint (the juncture where two bones meet), or may be a result of angular deformities that develop when a displaced fracture is severe or has not been properly corrected.
• Chronic pain and deformity.
• Nonunion, or failure to heal, can lead to subsequent surgery or chronic pain.
  
   

Treatment of Toe Fractures

Fractures of the toe bones are almost always traumatic fractures. Treatment for traumatic fractures depends on the break itself and may include these options:

• Rest. Sometimes rest is all that is needed to treat a traumatic fracture of the toe.
• Splinting. The toe may be fitted with a splint to keep it in a fixed position.
• Rigid or stiff-soled shoe. Wearing a stiff-soled shoe protects the toe and helps keep it properly positioned. Use of a postoperative shoe or bootwalker is also helpful.
• Buddy taping the fractured toe to another toe is sometimes appropriate, but in other cases, it may be harmful.
• Surgery. If the break is badly displaced or if the joint is affected, surgery may be necessary. Surgery often involves the use of fixation devices, such as pins.
  
   

Treatment of Metatarsal Fractures

Breaks in the metatarsal bones may be either stress or traumatic fractures. Certain kinds of fractures of the metatarsal bones present unique challenges.

For example, sometimes a fracture of the first metatarsal bone (behind the big toe) can lead to arthritis. Since the big toe is used so frequently and bears more weight than other toes, arthritis in that area can make it painful to walk, bend or even stand.

Another type of break, called a Jones fracture, occurs at the base of the fifth metatarsal bone (behind the little toe). It is often misdiagnosed as an ankle sprain, and misdiagnosis can have serious consequences since sprains and fractures require different treatments. Your foot and ankle surgeon is an expert in correctly identifying these conditions as well as other problems of the foot.

Treatment of metatarsal fractures depends on the type and extent of the fracture and may include:

• Rest. Sometimes rest is the only treatment needed to promote healing of a stress or traumatic fracture of a metatarsal bone.
• Avoid the offending activity. Because stress fractures result from repetitive stress, it is important to avoid the activity that led to the fracture. Crutches or a wheelchair are sometimes required to offload weight from the foot to give it time to heal.
• Immobilization, casting or rigid shoe. A stiff-soled shoe or other form of immobilization may be used to protect the fractured bone while it is healing. Use of a postoperative shoe or bootwalker is also helpful.
• Surgery. Some traumatic fractures of the metatarsal bones require surgery, especially if the break is badly displaced.
• Follow-up care. Your foot and ankle surgeon will provide instructions for care following surgical or nonsurgical treatment. Physical therapy, exercises and rehabilitation may be included in a schedule for return to normal activities.

90,000 Five myths about fractures: what is really worth fearing

• Claudia Hammond
• BBC Future

October 20, 2018

Photo by Getty Images

Terrible, piercing pain? Not always. Since you can move a limb, then there is no fracture? It happens so, but it also happens in another way. Columnist BBC Future breaks down what is true and what is not in the most common views on fractures.

Myth 1. If you can move the affected limb, then there is no fracture

Usually the first thing you hear when writhing in pain, hitting something with your toe: “Can you move it? Well, then this not a fracture. ”

In fact, you can move your broken limb or toe at times, so this should not be considered a fracture check.

The three main symptoms of a broken bone are pain, swelling and deformity.

If the bone is rotated 90 degrees from its normal position, or even sticks out through the skin, it is understandably a bad sign.

Another indication of a fracture is if you heard a click when it happened to you.

Myth 2. If it’s a fracture, it hurts terribly

Not at all necessary. Many talk about how they fell on the ski slope, and after that they still skated for the rest of the day, walked and even danced, not suspecting that they had broken their leg.

Of course, broken bones hurt much more often, but if the fracture is minor, you may not even notice it.

When you find that you have a fracture, you should immediately see a doctor who will position and fix your bones so that they heal correctly, without deformation, without the risk of infection.

Photo author, Getty Images

Photo caption,

As soon as you realize that you have broken your arm, see a doctor immediately

Fractures have one peculiarity.A broken limb may not hurt all the time. But here’s what researchers at the University of Southampton, who studied data from half a million British adults, found out in 2015: those who have ever broken an arm, leg, hip or spine, decades later, often suffered from pain throughout the body – much more often than those who never broke anything for myself. Fortunately, this does not happen to everyone.

Myth 3. Older white women should be wary of osteoporotic fractures

Let’s start with age.It’s true that older women break bones more often than younger women. The hormonal changes in the body that occur during menopause can lead to rapid bone loss and frequent fractures in osteoporosis.

As for race, for example, in the United States, a hip fracture occurs more than twice as often in white women than in black women.

It has been suggested that there are a number of factors that make black women stronger bones, such as the higher bone mass gained in childhood and the slower process of bone turnover, which leads to a slower release of minerals from it in old age …

All this is true, but black women also suffer from osteoporosis, it is just that there are fewer of them among them than among whites. Why?

It was believed that only 5% of black women over the age of 50 have osteoporosis, but there have already been calls for more serious health scrutiny.

In the United States, for example, African American women are less likely than whites to be sent for screening to detect osteoporosis. And if they are still diagnosed with this, they are less likely to be prescribed the necessary medicine.

Myth 4. There is no point in going to a doctor with a broken toe, because nothing will help you anyway.

Indeed, in this case, a plaster cast is unlikely to be applied to you, but a broken toe still needs to be examined. Doctors will determine the type of fracture, help in the future to avoid pain and deformities (which will make it uncomfortable to wear shoes or lead to arthritis in old age if the bone is not healed correctly).

If the finger is fractured at a strange angle, then more complex treatment will be required, perhaps even an operation.

Most toes can be simply locked with adjacent toes. You will also be given special shoes. These fractures heal within 4-6 weeks.

Big toe fractures are more serious, and some even have a plaster cast up to calf level for two to three weeks and then bandage the broken toe to the adjacent toe.

Fortunately, big toe fractures are twice as common as other toes.

Photo author, Getty Images

Photo caption,

Doctors will be able to ease your suffering and make your injured leg as safe as possible

If the metatarsal bone (next to the toe bone) is broken, the fracture can heal without any plaster cast – provided that the leg is at rest.

The point is that the bones on either side of the victim support each other naturally, acting as a natural splint, and in 80% of cases the bones remain in the correct position even when they are broken.

Of course, if there are wounds that indicate an open fracture, or the bone is clearly in the wrong position, special treatment is needed. This happens most often with broken bones of the big toe, because it is on the edge of the foot and does not have the necessary support of other bones.

The same goes for broken pinky fingers. In such cases, surgery is sometimes necessary, or the foot is placed in a cast.

But even if you don’t need a cast, a toe fracture must be treated. After the doctor has ruled out more serious fracture options, a splint and soft protective dressing will be applied.

You will be told if you need to use crutches for one or two weeks until you can more or less calmly step on the injured leg.

Myth 5. Once a broken bone is healed, it is stronger than it was before the fracture

Sounds too good to be true, and in the long run it is not. However, there is something in this statement, if we talk about the short term.

As the healing and healing process takes place, a kind of protective cuff of new bone forms around the fracture site.

So in the first weeks of healing, the bone at the fracture site really becomes stronger than normal for a while.

But gradually the “cuff” disappears, and after a few years you have a bone that is, perhaps, no worse than the other unbroken ones, but also not stronger than them.

Legal information. This article is for general information only and should not be construed as a substitute for the advice of a physician or other healthcare professional. The BBC is not responsible for any diagnosis made by the reader based on the materials of the site. The BBC is not responsible for the content of other sites linked to on this page, nor does it recommend commercial products or services mentioned on these sites.If you are concerned about your health, see your doctor.

To read the original of this article in English, visit BBC Future.

Fracture of the little finger on the hand: symptoms and treatment, healing time and rehabilitation period

This injury is not uncommon, as fingers are one of the main helpers throughout our lives. They are used in all the same actions as whole hands.

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In the most difficult cases, it is necessary to wear plaster for a longer period of time, from 6 weeks, and restoration of work is achieved in 8-10 weeks.

Separately, it is worth mentioning the recovery time after surgery. It all depends on whether various complications arise, for example, purulent ones, they will become a reason for additional intervention. Sometimes you need to wear a retainer.

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1. Sharp pain that worsens with movement. A person who has broken a little finger will not be able to move, and over time, edema forms on the affected area.
2. Soft tissues around them change color to a darker one, hemorrhage under the nail is possible.
3. Shortening or curvature of the finger, excessive mobility or even crunching of fragments when squeezed.

In children, marginal tears of the nail phalanx may appear (more common for open fractures).In rare cases, a characteristic soft tissue defect is formed.

When examining children, doctors have to be especially careful. The most important and indicative sign is severe pain when loading the finger axis.

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It is important not to bother the affected finger once again and you should not try to combine the fracture yourself – as a result, you can cause much more harm, which doctors will have to deal with.

It is better to give the patient an anesthetic from the home medicine cabinet – ketarol, analgin or these, and then accompany him to a doctor or call an ambulance.

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Treatment

1. The doctor will immobilize the phalanx with plaster or splint. In the event of an open fracture, surgery is sometimes necessary.
2. After fixation is complete, physiotherapy is followed to promote early wound healing.
3. In the most difficult cases, displaced fractures, doctors reposition the fragments. This allows you to give them a natural position.
4. One method is to insert the pins to fix the site.

Treatment is selected depending on the type of fracture.

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One-stage closed reduction

It is used for the simplest fractures.

Produced in several stages:

1. The patient is first tested for tolerance to local anesthetic with lidocaine or procaine concentrates.
2. If successful, extend the finger and flex the joints somewhat.
3. Upon completion, the bone is returned to its original position and fixed.

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Skeletal traction

A copy of the previous technique, differs in the method of pulling – here a thread or wire is used, which is passed through soft tissues or under the nail.

This method allows you to cope with more severe injuries, and subsequent treatment includes anti-inflammatory and antibacterial drugs.

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Open reduction

In fact, the last method of treatment, it involves surgery on the open bone and is rarely used due to the obvious associated risks and complications.Sometimes this technique is the only one possible.

It is used if the bones have already managed to heal incorrectly, there is a multi-splintered fracture with displacement of these. The debris is fixed with knitting needles or screws. There are pluses in it – the application of plaster is not required.

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Useful video

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Applying plaster

For this, a classic bandage soaked in solution is used. Over time, the dressing dries out, taking the shape of the hand, subsequently retaining it.

On the other hand, there is an alternative in the form of polymeric materials with similar properties, but lighter in weight. But they are more expensive, and the patient himself has to pay for them more often.

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Therapeutic massage

Doctors prescribe massage – patients can do it.

The procedure is performed like this:

1. Hands are laid out with palms on the table – patients try to tear their fingers away from its surface, one by one or all together.
2. The next exercise will be pinching and spreading the fingers, circular movements of the pads.
3. Gathering your palm into a pinch and then relaxing is a good option.

Interestingly, more interesting methods are used for rehabilitation.

These include:

• Keyboard work;
• Using a wrist expander;
• Simple warm-up of the little finger with the fingers of the other hand.

In general, there are many options.Some even advise to sort out cereals when fingers are broken.

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Numbness of fingers

The reason in all cases is the same – poor nerve conduction. It is possible that the numbness arose due to the prolonged presence of the hand in a cast, but more serious reasons should not be ruled out.

In some cases, especially in the presence of other symptoms, numbness of the fingers may indicate a serious neurological disease, with the treatment of which it is better not to delay.

What is the result? Fracture of the little finger – the injury is quite painful and do not try to self-medicate. The consequences of these experiments are unpleasant.

The key to a quick recovery is an appeal to doctors, careful observance of their instructions and rehabilitation, which can be delayed. If complications are found, you should contact the nearest hospital.

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Exercises for accelerated rehabilitation

Consider a few:

1. Compression of the expander in different positions of the arm: extended forward, sideways, up, bent at the elbow.
2. Transferring grain from container to container.
3. Direct placement of the hand on the table. Try to raise the little finger as high as possible without lifting your palms from the surface.
4. Compression of plasticine in the phalanges.
5. Roll out the plasticine to the shape of a cylinder, the palm should be bent.

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Dangerous changes

The consequences depend on the correctness of the emergency care and the method of treatment.

Pathologies present:

1. Slow bone fusion.There is only one way out – to leave the plaster or splint for a long time.
2. Incorrectly healed fracture. Mobility is impaired, aching pains are present. The pathology is corrected by repeated reduction.
3. Lack of splicing process. If the bones have not started to join after a few weeks, surgery is performed.
4. Infection. Osteomyelitis is difficult to cure, but surgery or a long course of antibiotics helps a gradual recovery.
5. Stiffness.It occurs due to regular fractures in the same place. After a long treatment, the finger may not grow together. Physiotherapy will ease the situation.
6. Pain syndrome. After full recovery, pain occurs in winter and with an average load on the hand.
7. In advanced forms of injury, disability or amputation of the finger is possible.

Source: https://GidPain.ru/perelom/mizinca-ruke-simptomy.html

Symptoms and treatment of fracture of the little finger on the hand

Fractures often occur in everyday life.Some of the most vulnerable areas prone to such injury are hands and fingers. The most common fracture occurs in the little finger of the hand.

In the above case, it is very important to timely determine the presence of such an injury and seek help from a specialist. Otherwise, the finger may be deformed and remain so for life, which will bring not only aesthetic discomfort to the person, but also affect the normal, full functioning of the hand.

Types of injury

Fracture of the little finger on the hand can occur in several ways:

• Fracture – the bone of the injured phalanx is partially broken (the size of the fracture does not exceed ½ of the bone diameter).
• Fissure – A fracture occupies a significant area of ​​the bone, but a larger area remains intact.
• Cracking – The entire surface of the bone (both along and across) is subject to a large number of cracks.

Fracture of a finger can be both traumatic and pathological in nature.

A traumatic fracture occurs as a result of any injury to a person (falling on the fingers of a heavy object, falling of the person on his hand, etc.)e).

Pathological trauma can occur due to the presence of any pathological disease in a person that affects bone health (for example, tuberculosis, osteoporosis, and others).

Fracture of a finger can be open (the integrity of soft tissues is broken), and closed (the integrity of soft tissues is broken).

The phalanx of the finger can be susceptible to the following types of fractures:

• oblique – fracture occurs at an acute angle with respect to the longitudinal axis of the bone;
• transverse – the fracture occurs in the direction perpendicular to the longitudinal axis of the bone;
• comminuted – the broken bone is divided into several fragments that can remain inside the soft tissues or tear the latter;
• longitudinal – the fracture occurs in a direction parallel to the axis of the bone;
• helical – fragments of the damaged bone unfold in a direction parallel to their natural location.

Fracture of the little finger can occur with or without displacement. In the first case, the displacement of the fragments can occur both inside the soft tissues present inside the finger, and tear them, while the broken bone looks out.

Displacements of fragments of the injured bone can occur along the width of the finger, along its length, can be displaced at an angle or be rotational. Also, the fracture can be combined, and then the fragments of the bone can be displaced in several directions.

Symptoms

The main signs of a fracture of the specified toe and symptoms of bone cracking can be as follows:

• the emergence of a strong tumor directly over the entire area of ​​damage;
• the presence of subcutaneous hemorrhage visible to the naked eye;
• limitation of the functional activity of the little finger;
• Severe pain when trying to perform motor movements with an injured finger;
• the appearance of severe edema in the injured area of ​​the little finger;
• if the fracture is open, bleeding may occur;
• deformation of the damaged phalanx of the little finger;
• in cases of fracture of the upper phalanx of the finger, hemorrhage under the nail plate is visible;
• the victim feels the movement of the fragments that have appeared in the finger as a result of the fracture, and hears their crunch when pressed on the damaged little finger;
• The injured little finger is much shorter than before the injury;
• , a bony protrusion became strongly visible on the injured finger.

If a fracture of the little finger occurred in the area of ​​the joint, it can be determined independently only by one sign – the impossibility of performing any motor movements with the injured finger. Only radiography will help to determine such an injury.

First aid to the victim

It may seem that getting a broken phalanx of the little finger is quite difficult, but it is not. Breaking this finger is easier than ever, since its bones are the thinnest, relative to the rest of the fingers.

If a person has signs of a broken finger, he needs competent first aid. The affected limb must be immobilized. But this must be done with the utmost care, since in case of comminuted fractures or the indicated injuries with displacement, with inaccurate actions, it is possible to displace bone fragments and damage the nerve endings, as well as tear soft tissues more strongly.

It is possible to immobilize an injured little finger using any improvised items that are suitable for a homemade tire.These can be ballpoint pens, pencils, rulers, branches, etc. The resulting splint is fastened with a bandage or any available fabric, which is torn to pieces for this purpose.

Treatment

Usually, such a fracture is treated conservatively without the use of surgery, then the little finger is only immobilized and the necessary time is expected for complete bone healing.

Osteosynthesis of finger phalanx with screw

But an open fracture of the little finger, which occurs due to the emergence of displaced broken bones relative to each other, requires a surgical intervention, in which surgeons fasten the scattered parts of the bone together using surgical devices: screws and bolts.After the operation, a plaster cast is applied to the finger and immobilized with a special splint (called the Beler splint) to prevent the possibility of deformation of the broken bone.

After such an injury, all patients are concerned about how much plaster should be on the finger and how quickly the finger heals in such cases? The gypsum is removed approximately 5-6 weeks after the patient’s injury and physiotherapeutic procedures are prescribed to the patient, which contribute to the accelerated restoration of the full functioning of the damaged finger and the complete healing of the bone itself.

If a child is injured

The detection of a fracture of the little finger in children is complicated. The reason for this is the presence of unclosed growth zones in them. As a result, it is quite difficult to determine the specific location of the fracture. Even an X-ray procedure will not bring the desired results.

In such cases, the doctor has no choice but to make a diagnosis according to the available symptoms and his own observations. Usually, a healthy finger is compared with an injured one, and the presence of a fracture is determined by the available differences (difference in length, the presence of bumps on the finger, which are bony protrusions, etc.).etc.).

A special immobilizing splint or plaster cast is applied to the patient on the affected little finger in a certain position: the finger should be slightly bent.

Both the plaster cast and the immobilizing splint must necessarily cover the entire finger: from the upper phalanx to the base of the little finger.

It takes a child less time to completely heal an injured finger than an adult. This period can be as little as 2-3 weeks.

Rehabilitation

1.5-2 months after receiving the fracture, you can start rehabilitation measures aimed at accelerated bone healing and full functional recovery of the injured little finger.

Usually the patient is prescribed to undergo physiotherapy procedures. But in addition to them, you can restore the motor capabilities of the injured little finger at home.

The following methods can be used for this:

• Use the fingers of the injured hand to touch the cereals and put them on different plates, while trying to get as much of the cereal into your hand as possible.
• Get an expander and squeeze it in your hand 20-25 times several times a day.
• Sit on the chair by the table. Place your hand on the table, palm down. Raise and lower the injured little finger so that the rest of the palm does not come off the table;
• Place your injured hand in the sea salt bath. The implementation of such a manipulation at least 2-3 times a week will contribute to the accelerated growth of the broken phalanx of the little finger.

Such simple, but regularly performed manipulations will help to quickly restore the motor activity of the limb.

What to pay special attention to

After removing the plaster or splint, the injured little finger should gradually return to its normal state and gradually fully perform its functions. But there are situations when, after removing the cast or immobilizing bandage, there are bruises or bruises on the little finger, and the finger also delivers aching pain and has a swollen appearance.

Such symptoms may be a sign of improper fusion or prolonged stay of the little finger in a stationary position.Therefore, if there are any, it is necessary to immediately contact a specialist who will prescribe an X-ray to the patient and identify any existing deviations.

Source: https://PerelomaNet.ru/perelomy/simptomy-pereloma-mizintsa-na-ruke.html

How to identify a fracture of the little finger on the hand and how to treat it?

When fingers are injured, a person experiences a lot of inconvenience, since he cannot perform important movements, which occurs when the little finger is broken on the hand. When the phalanx is damaged, it is necessary to take a responsible approach to treatment, because the negative consequences will remain for life.For this reason, self-medication is not recommended.

Types and typical symptoms of trauma

Bone integrity can be compromised for 2 reasons. In the first case, the fracture is caused by mechanical action on the phalanx, and in the second, the strength of the skeleton and joint deteriorates due to the development of any disease. A fracture is called the following changes in the organ of the musculoskeletal system:

• a crack in which the volume of damage is more than half the diameter of the bone, but no tears are present in the connective tissue;
• cracking resulting from a powerful and targeted impact on the little finger with the formation of transverse, oblique, comminuted, helical or longitudinal cracks;
• fracture, when the size of the fracture is equal to half or more than the diameter of the bone tube.

The fault can be open or closed. In the first case, infection can occur, and surgical intervention is required. A person needs to know how to determine the presence of a fracture:

• edema develops in the damaged area;
• in case of damage with displacement, deformation of the phalanx is visible;
• with an open violation of the integrity of the bone, the outer cover is damaged;
• due to rupture or injury of blood vessels, blood begins to accumulate;
• physical pain intensifies at the moment when the victim begins to move the finger or mechanically acts on it;
• immobilization of the little finger is observed with damage with dorsal subluxation or dislocation.

The clinical picture can be different, but the diagnosis and treatment should be carried out by a specialist, otherwise the result of improper actions may result in the loss of functions of the damaged finger.

First aid

First aid for fracture consists of the following activities:

1. Pain relief. A person must take non-steroidal anti-inflammatory drugs, which include Ketorol, Ibuprofen and Analgin. To relieve pain, take 2 tablets.
2. Immobilization. The hand is placed on a hard surface in the position that it acquired after injury. The splint on the little finger should be applied by a specialist. With an incorrect immobilization technique, additional displacement of bone fragments may occur.
3. Transport to hospital. If there is an open fracture with bleeding, then an aseptic bandage is applied to the damaged area. The finger is bandaged, bypassing the fragment that sticks out of the wound.The place of injury is treated with an alcohol solution so that it does not enter open subcutaneous tissues.

Treatment measures

For the treatment of a fracture, in most cases, conservative methods of treatment without plaster are used, including anesthesia, immobilization and immobilization of the phalanx with a fixator. With an open form of damage, when the skin and soft tissues are disturbed, an operation is performed.

When the fracture is fixed, a physiotherapy course is prescribed, which is carried out in order to restore the functions of the phalanx and bone fusion in a short time.In case of shear damage, the debris will need to be repositioned to get it in the correct position. For this, knitting needles can be used so that the location is accurate, and the area is fixed qualitatively.

An important step is the application of the bandage. The finger should be in a bent position. The maximum fixation of the plaster splint or splint is achieved when applied from the nail phalanx to the base of the hand. How long the finger heals depends on how long the plaster is on it.

It may take 3-4 weeks to heal. In children, bones grow together faster.

A plaster cast should be worn for about 14 days and should not be applied on its own, as this can cause the debris to heal improperly and cause deformations. The procedure is carried out in a medical institution after diagnosis.

Rehabilitation period

The recovery time is influenced by therapeutic methods and the severity of the injury. With its closed form without displacement, healing occurs in 2-3 weeks.Thanks to competent and timely treatment, the little finger will be restored in 30 days. If the plaster is removed after 45 days, then the rehabilitation may take 2.5–3 months.

At the same time, an increase in the terms of rehabilitation is observed after the operation or in the presence of complications. Various methods are used to speed up healing:

1. Therapeutic massage helps to eliminate painful sensations, normalize blood and lymph circulation, relieve tension and restore damaged tissues.
2. The use of antiseptic and anti-inflammatory ointments is individual in each case. The recommended remedy should be rubbed into the area of ​​the injured finger 2-3 times a day with light movements.
3. Exercise therapy is appointed by a specialist. In addition to physical therapy, which was prescribed by the doctor, the patient can sort out rice grains, roll out plasticine or develop a damaged organ using an expander.
4. Salt baths will improve bone health. After removing the plaster, the procedure will relieve swelling, pain and signs of inflammation, and will also help to activate the regeneration processes.
5. Nutrition for fracture needs to be changed. The patient’s diet should contain foods high in vitamins, calcium and amino acids, which are rich in cereals, dairy products, fish, vegetables, fruits, seafood and nuts.

Professional treatment and rehabilitation can prevent the development of deformities of the finger, and if all recommendations are followed, the functions of the little finger will recover in 1–1.5 months.

Source: https://OrtoCure.ru/travma/perelom/mizintsa-na-ruke.html

Treatment of fracture of the little finger on the hand

Fracture of the little finger of the hand is a traumatic injury to the joint with concomitant damage to the integrity of the bone. This injury is widespread, accompanied by severe painful sensations and swelling. What are the reasons for this fracture and what kind of treatment does the victim need?

Where does it come from?

A fracture of the little finger injures the bone and connective tissues of the joint. It is possible to break the little finger upon impact, fall, as a result of an emergency.Fractures often occur in everyday life, with careless handling of various instruments. The little finger, due to its anatomical position, is much more susceptible to injury than other fingers!

Pathological fractures are also encountered in medical practice, when the finger is damaged even with the smallest loads. Lack of calcium in the body, osteoporosis and other bone diseases can provoke injury.

According to the established classification, the following types of fractures are distinguished:

1. Closed – no damage to the skin.
2. Open – with the exit of a bone fragment through an open wound surface.
3. No displacement – characterized by the absence of damage to the periosteum and the preservation of the anatomical position of the bone fragments.
4. With displacement – with concomitant damage to the periosteum and displacement of bone fragments.
5. Intra-articular.
6. Extra-articular – fracture of the body of the bone, without concomitant damage to the joint.

In case of a fracture of the little finger, it is necessary to seek medical help promptly in order to avoid possible deformation of the injured finger and disturbances in the functioning of the limb!

How is it manifested?

The main symptom of fractures of the little finger is a strong, pronounced painful sensation that occurs at the time of injury.

Pain worse when touched or attempted to perform any movements.

In addition, trauma doctors distinguish the following signs of this type of fracture:

• Puffiness, swelling;
• Violation of motor activity;
• Pathological joint mobility in the area of ​​injury;
• Hematomas, subcutaneous hemorrhages;
• Deformity of a finger;
• Hemorrhage under the nail plate;
• Shortening, curvature of the little finger.

A broken little finger cannot bend or unbend completely; when trying to move, a characteristic, specific crunch is heard. Open lesions are usually accompanied by bleeding. Bone fragments can be seen in the wound. In the case of a closed fracture, in places where the displaced bone fragments abut against soft tissues, peculiar, specific protrusions are noticeable.

In case of intra-articular injury, the victim complains of a pronounced pain syndrome, which is gradually weakening.A person who breaks his little finger remains able to work for a while. Strong swelling should be alerted, increasing over several hours, due to the accumulation of blood in the area of ​​the articular bag. During the day, the little finger becomes motionless.

In some cases (for example, with intra-articular injuries), it is quite difficult to identify a fracture, but meanwhile, this injury requires competent and timely treatment. Therefore, if at least some of the characteristic symptoms appear, it is necessary to contact the trauma department and take an X-ray.

What is the danger?

Fractures of the little finger, if not properly treated, can cause the following complications:

• Articular deformity;
• Growth of skin tissue to cartilaginous tissue;
• Callus formation;
• Inflammatory processes;
• Joint deformity;
• Processes of a purulent nature;
• Impaired mobility and basic functions of the joint.

First aid prehospital

If this injury is suspected, measures should be taken to immobilize the injured toe.For the purpose of immobilization, a splint made from any available means is applied. To reduce swelling and prevent the formation of extensive hematoma, ice and cold compresses are applied to the little finger.

If we are talking about a closed type of injury, then, first of all, you need to stop the bleeding, treat the wound surface with an antiseptic and apply a sterile bandage. After the provision of first aid, the patient must be taken to a medical institution and transferred to the care of professionals.

Treatment methods

Treatment for a broken little finger depends on the type of injury. In case of injuries without concomitant displacement, the specialist performs immobilization by applying a splint and plaster cast to the area of ​​the broken finger.

If an injury with concomitant displacement is diagnosed, surgical intervention is required to prevent violations of joint functions and motor activity. Reduction – juxtaposition and reduction of bone fragments, carried out under the action of local anesthesia, after which a fixing plaster cast is applied.

Rehabilitation period

Patients are interested in the question – how long does a fracture of this type heal? Recovery time largely depends on the severity of the injury and the applied therapeutic methods. Closed lesions, without accompanying displacement, heal within 2-3 weeks.

Subject to proper treatment and adherence to all medical recommendations, the mobility and functionality of the little finger is usually restored within a month. In more complex clinical cases, the plaster cast is removed only 1.5 months after the injury.And full rehabilitation lasts up to 2.5-3 months.

If a surgical intervention was performed, then the recovery time may increase in the presence of concomitant postoperative complications!

In order to speed up the healing process and prevent possible complications, a full rehabilitation course is required. Patients are prescribed a therapeutic massage that helps to eliminate painful sensations, normalize the processes of lymph circulation and blood circulation, relieve tension and restore the finger tissues as soon as possible.

Anti-inflammatory and antiseptic ointments recommended by the attending physician on an individual basis are used. Medicines are rubbed into the area of ​​the injured little finger with light, massage movements 2-3 times throughout the day.

The main rehabilitation measures are physiotherapy exercises. In addition to special exercises prescribed by an exercise therapy specialist, patients are advised to sort out rice grains, transferring them from one container to another, squeeze and roll plasticine, and work with an expander.

After removing the plaster cast, baths for hands with sea salt give a good effect. This procedure activates regeneration processes, relieves pain, swelling and signs of inflammation. You will also have to pay attention to food.

For a full recovery and accelerated fusion of bone tissue, the patient’s menu should include foods rich in calcium, amino acids, and vitamins.

It is recommended to include cereals, vegetables and fruits, dairy products, legumes, nuts, seafood, fish in the diet.

With fractures of the little finger, there are serious risks of deformity of the finger, dysfunctions of the basic functions of the joint and upper limb. However, professional, timely treatment, combined with a full-fledged comprehensive rehabilitation, allows you to avoid such undesirable consequences, to achieve complete recovery of the damaged little finger in just 1–1.5 months!

Source: https://lechimtravmy.ru/perelomy/perelom-mizinca-na-ruke

Signs of a broken finger on the hand – treat or leave as is

Among all injuries of the hand, the proportion of intra-articular injuries of the fingers is about 30%.Due to the complex biomechanics of the flexor-extensor apparatus of the hand, signs of a finger fracture on the hand should not be ignored. The article describes the symptoms of a fracture, how you can distinguish a bruise from a fracture, and treatment options.

Features

Fractures of the fingers of the hand occur from impacts and falls when external violence exceeds the strength of the bone. They are often treated as minor damage. But inadequate treatment can lead to lifelong disability. Bone tissue defects are multiple, combined with damage to tendons, nerves, ligamentous apparatus and other functional structures of the hand.

Symptoms of a broken finger on the hand:

• spilled swelling of the injured finger;
• subcutaneous hematoma;
• abnormal mobility along the phalanx;
• local soreness;
• crepitus;
• restriction of movement due to pain.

The patient tries to spare the injured finger, tries not to move it. Complains of a decrease or lack of grasping ability of the hand.

Fracture with offset

A displaced finger fracture usually occurs under the influence of a traumatic agent and with contraction of the vermiform and interosseous muscles. Determined the deformation, shortening of the finger. Palpation on the palmar surface reveals a bony protrusion in the form of a step. The mobility of fragments is diagnosed.

The photo shows a closed intra-articular fracture of the middle and ring fingers.

Special Features:

• it is impossible to fully straighten the damaged finger;
• clench the brush into a fist;
• pressure on the distal phalanx along the long axis provokes pain in the area of ​​the alleged fracture;
• when placing the palms on the table, it is not possible to achieve the adherence of the injured finger to the plane.

Fracture displacements are divided into relatively favorable and unconditionally unfavorable. In the first version, the angle is determined between the fragments, open to the palmar side, in the second – to the back. Much more often the displacements are unfavorable.

Fracture of the finger without displacement

Usually, the nail phalanx is injured, less often the proximal and middle. Injury to the distal phalanx (tip) is often accompanied by subungual hematomas, which cause severe pain.With cracks and fractures without displacement, there is no pronounced deformation.

Symptoms of a finger fracture can be traced back to a bruise or sprain. Damage is often masked by hemorrhage and increasing edema. Due to the bruise, the finger becomes bluish in color. If a broken finger is suspected, an x-ray is always done.

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Mechanisms of injuries to the fingers of the hand

More often the main phalanges of 1, 3 fingers are injured.For the 3rd toe, fractures of the middle phalanges are considered typical. Nail injuries are characteristic of the 1st and 5th toes.

Oblique, oblique and helical fractures are formed. There are multi-splinter fractures with fragments crawling over each other.

This is facilitated by the special anatomical structure of the hand with a high degree of mobility of its formations.

Depending on the location of the damage, diagnose:

• fingertip injuries;
• nail phalanges;
• phalanges of the fingers and structures included in the finger.

Mechanism of injury in case of fracture of the nail, middle and main phalanges of the straight line. The reason is compression, crushing, bruising.

When struck on a straightened finger, a sharp and excessive bending of its tip occurs. The curled finger becomes like a hammer. Hence the name of the damage “hammer finger”.

He remains in this position and can only straighten with the help of the other arm. This is the result of an injury to the extensor tendon. Most of these injuries heal without problems with proper treatment.

How to distinguish between fracture and contusion

A fracture of the phalanges of the hand must be differentiated from a contusion, which has a similar clinical picture. The differences are clearly demonstrated in the table below. One of the criteria for bruising is the absence of displaced fragments in the form of a step.

Sign

Fracture

Contusion

Onset of the disease	Direct mechanism of injury	As a consequence of the blow
Axial load symptom	Often	Not
Limited movement	Often	Often
Palpation of debris, presence of crepitus	Fragments are felt that have shifted in the form of a step	Not
X-ray changes	The presence of a fracture line	No fracture line

The table makes it easier to distinguish between fractures and bruises, but only a traumatologist can make the final diagnosis.Violation of the integrity of the bone of each finger is characterized by distinctive features that should be taken into account.

A thumb fracture is considered the most dangerous. A person with such an injury is practically completely incapacitated. Severe pain interferes with movement in the joint immediately after the fracture.

Feeling can cause shock. With a bruise, pain sensations increase over several days or hours. It depends on the strength of the blow.

A fracture is characterized by visible bone deformity and crepitus, not just pain and redness.

Symptoms of a broken index finger are similar to those of other fingers. The finger can move independently of the others and is very often injured. With a fracture, it does not bend, the aching pain extends to the entire hand.

Fracture of the middle finger is similar in symptomatology to others. The ring finger is rarely injured, but with such damage there is a risk of contracture development. The fourth toe carries the least amount of stress on the hand. A fracture of the little finger is also classic.Neurological symptoms in the form of numbness, “creeping creeps” may be added.

Since it is difficult to distinguish a fracture from a severe bruise, it is better to leave this option to a doctor. Violation of the integrity of the bone is evidenced by signs: a characteristic crunch, pathological mobility in the place where it should not be and shortening of the diseased finger in comparison with the healthy one.

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How long does it heal

The fingers of the hand are actively used in the learning process, self-service, in production.The functional outcome of treatment depends on how timely and complete assistance is provided.

Violation of the anatomical shape of bones in fractures leads to complex pathomechanical abnormalities.

They manifest themselves not only in dysfunction of the joints, but also in morphological changes in the hand, which affect the ligamentous-muscular apparatus.

The average duration of disability for fractures of the bones of the phalanges of the fingers of the hand is 26 days for both women and men.

How long an injury heals is significantly influenced by its severity and the degree of movement restriction due to the injury.

Severe multi-splinter fractures with an open wound require osteosynthesis. In this case, the restoration of working capacity occurs within 6-8 weeks. The healing time is influenced by the patient’s age, concomitant diseases, and the development of a purulent inflammatory process. The presence of the latter delays recovery by another 1-2 weeks.

Treatment

Existing methods of treating finger injuries have positive and negative sides.The choice of technique often depends on the experience and preferences of surgeons and rehabilitation therapists.

Conservative treatment is used for fractures of the phalanges without displacement. Indications for it are limited.

Surgical methods include open or closed reduction with plastic of the ligamentous apparatus, resection arthroplasty, endoprosthetics, arthrodesis of the joint in an advantageous position.

Complicated fractures are considered therapeutically difficult. The main task is to restore the length and axis of the damaged phalanx.It is resolved by performing a closed manual reduction (reduction) and immobilization of the segment in a position that is considered functionally beneficial. Fixation methods in the photo below.

In some cases, it is not possible to keep the debris in the desired position. This circumstance is considered an indication for surgical intervention with further fixation of the fragments with external or immersed structures. The operation is recommended for fractures of the phalanges, which tend to be displaced.

External fixation

External fixators allow the doctor to quickly and easily fix the fragments in the correct position. They use splints made of plastic and combined materials, gypsum, use metal tires. Kirschner wires help immobilize bones in periarticular fractures. Their implementation does not require special tools, except for an electric mini drill. This is what it looks like.

To provide the desired stabilization option, the wires are inserted parallel, at an angle and perpendicular.The fragments are collated and fixed percutaneously. The needles are removed after 3-4 weeks. The disadvantages of osteosynthesis include a tendency to loosening, irritation of soft tissues with sharp ends, and a small strength of the fixator itself.

Modifications to fixation devices allow movement in the joints. In addition to knitting needles, these devices can be rod and mixed.

Submerged structures

Plates of various shapes and screws are referred to submerged structures. They are used to stabilize comminuted bone fractures, with old injuries with unrepaired debris displacement.Occasionally used to fix the main phalanges. The disadvantage of this method is the need for a second operation to remove structures, as well as the risk of damage to the arterial trunks and nerves.

How long plaster is worn when fixed with a splint

In case of fractures with displacement of the edge fragments, the duration of immobilization is on average 15-20 days. Immobility is provided with two plaster splints. They are applied from the tip of the finger to the upper third of the forearm.

Damage is periarticular, intraarticular and diaphyseal.

Terms of immobilization:

• intra-articular disorders require wearing plaster for up to 2 weeks;
• periarticular injuries – up to 3 weeks;
• with diaphyseal fractures, count on 4-5 weeks.

In case of a fracture of the main phalanx, immobilization is carried out with a plaster splint, bending the main phalanx at an angle of 45 °. The middle one is bent by 60 °, the nail phalanx – up to 15 °. In this position, the limb is up to 3 weeks.

Treatment for damage to the middle phalanx is the same as for a fracture of the main one.The angle at which the finger is fixed during immobilization depends on the passage of the fracture plane relative to the attachment of the finger flexor. The duration of wearing plaster in case of violation of the integrity of the middle phalanx is 3 weeks.

Immobilization of the little finger with a plaster cast

In case of a fracture of the distal phalanx, a circular plaster cast is applied to the finger or immobilized with an adhesive plaster in the mid-physiological position of the phalanx. The bandage is worn for 10-15 days. Ability to work fully returns after 3 weeks, but you can start working before the end of immobilization.

Complication of a fracture or why fingers become numb

Often, after removing the cast, the fingers become numb in patients. This symptom may be a consequence of trauma, its neurological manifestation. Over time, it passes after massage, therapeutic exercises and physiotherapy.

A parallel injury to the fracture of the nerve that innervates the injured fingers is not excluded. Numbness of 1-4 fingers is considered a sign of interest in the median nerve process.

Sensory impairment is limited to the palmar surface of the 1st finger, the back and palmar surfaces of the II-IV fingers.

Causes – compression by edema, thickened flexor tendons of the fingers, callus or gypsum, and many others.

If compression of the nerve fiber occurs due to postoperative tissue edema, then this is a transient phenomenon.

It is also associated with the accumulation of biological fluid (blood) in the internal hidden cavities. It is better to inform the specialist who performed the operation about numbness.

He will determine the provoking factor and decide whether an intervention is necessary or whether it is necessary to wait for a spontaneous cure.

How to develop a toe after a fracture

Injuries to the fingers of the hand provoke the development of persistent pain syndrome, dysfunction of the hand, and the formation of post-traumatic arthrosis. Therefore, rehabilitation after injury is a very important event. They use methods of physiotherapy, physiotherapy exercises, and local medicines.

Particular attention is paid to the restoration of the function of the first finger of the hand. Its importance is equal to all others put together.

Basic physical treatments:

• kinesiotherapy;
• underwater gymnastics;
• splinting with elastic traction;
• ultrasound;
• paraffin therapy;
• iontophoresis with lidase;
• mild thermal procedures.

Cryotherapy in the form of local ice massage has a good effect after a fracture.

Remedial gymnastics

The course of therapeutic exercises for the fingers of the hand is carried out in parallel with physiotherapy.Exercise therapy is recommended to prevent edema, the development of contractures.

The best period for the start of dosed movements in people with intra-articular fractures, fracture-dislocations of the phalanges is considered 7-10 days after surgical treatment.

The purpose of the exercises is to have a tonic effect on the body, improve tissue trophism and blood circulation, and prevent muscle atrophy.

How to develop – what does the therapeutic gymnastics of the first immobilization period include:

• active movements of each phalanx of intact fingers;
• exercises for the elbow and shoulder joint;
• isometric strains of the shoulder and forearm.

Gymnastics for the joints includes: flexion, extension, radial and elbow deviation of the hand, as well as rotation of the forearm. Physical exercises are carried out in the form of training sessions with a methodologist, later – independent individual sessions. Thus, at the first stage, most of the exercises are aimed at other segments of the musculoskeletal system.

Active movements of the injured fingers help to develop fingers in the second recovery period.Exercise therapy provides for flexion and extension in the interphalangeal and metacarpophalangeal joints, abduction of the fingers to the sides. The set of exercises is completed by clenching the injured hand into a fist.

In the third period, exercises for strength and endurance, coordination of movements are shown. To fully restore the function of the brush, it is recommended to perform simple manipulations – rolling cotton balls, knitting, and also to practice different types of gripping.

If the finger does not bend

Biomechanically, the fingers of the hand are a system of levers controlled by the flexors and extensors.Multiple open fractures, crushing and crushing of soft tissues can damage the tendons of the hand. Injury to the deep flexor tendon results in cessation of flexion at the distal interphalangeal joint.

If the finger does not flex at the proximal interphalangeal joint, then this may indicate a violation of the tendon of the superficial flexor of the fingers. This is possible at any level except the distal phalanx.

Injured deep flexors are sutured on the hand, superficial ones are excised.It is extremely difficult to restore the function of the tendons of the hand. From the 2nd day after surgery on the finger, exercise therapy is prescribed. Within 3 weeks, passive movements are performed, later – active ones. After wound healing, electrophoresis with lidase, potassium iodine is prescribed.

Very often the opinion that it is not necessary to see a doctor with a broken finger leads to unpleasant consequences. A fracture of the thumb phalanx is confused with a dislocation or contusion.

Since only a traumatologist can determine the nature of the damage, his consultation is considered mandatory.

Complex fractures with displacement of fragments, deformity of the finger, and destroyed articular surfaces require surgical correction to restore the structure of the hand and preserve its function. The success of treatment is possible under the condition of joint efforts of the doctor and the patient.

Source: https://plannt.ru/perelom-palca-na-ruke

90,000 Fractures of the phalanges of the fingers – symptoms, diagnosis, treatment at the Central Clinical Hospital of the Russian Academy of Sciences

Fractures of the phalanges of the fingers occur both with a direct mechanism of injury – a fall, blow to the finger, and with an indirect mechanism – for example, as a result of forced rotational movements (twisting) of the finger.Depending on this, the types of fractures of the phalanges of the fingers are distinguished – oblique, comminuted, transverse, helical. The approaches to the treatment of these fractures are somewhat different from each other.

With a fracture, acute pain is felt, deformity of the finger may occur, and edema appears.

The average period of fusion of the phalanges of the fingers is about 3-4 weeks.

Treatment of fractures of the phalanges of the fingers

Fractures of the phalanges of the fingers with little or no displacement are treated with a plaster cast for 3-4 weeks.When displaced, to ensure movement in the joints of the fingers, surgical treatment is performed – osteosynthesis (fixation of fragments). This helps to avoid the formation of joint stiffness (contractures), which in the most advanced cases can lead to the formation of ankylosis (complete absence of movement in the joint).

In case of fractures with displacement of fragments, their fixation is usually required – possible options: fixation with wires through skin punctures (the wires remain protruding above the skin), a plate and / or screws that are installed through the incision.When the braces are installed, movements in the joints of the finger can be developed a few days after the operation.

In case of fractures of the base or head of the phalanx, fixation is usually carried out with pins or screws, for fractures of the diaphysis – with screws or a plate. For multiple fractures of the phalanges of the fingers, an external fixation device can be installed.

A plaster cast after surgery, as a rule, is not applied. The exception is severe unstable comminuted fractures.

The average hospital stay is about 5 days.

The final choice of the method of osteosynthesis remains with the attending physician, based on medical indications, the nature of displacement of fragments, functional requirements for the hand.

90,000 Treatment of fractures of fingers in the clinic “Miracle Doctor”: Department of Traumatology

Very often, as a result of direct injury to the hand, a finger fracture occurs on the hand.

This injury is most often caused by fingers getting caught in moving machinery or heavy objects falling directly onto the fingers themselves.After an injury, patients most often complain of sharp pain in the injured finger, the occurrence of swelling and bruising over the fracture site, the appearance of excessive mobility of the injured finger, or limitation of the range of motion in the fingers. On examination, the traumatologist can determine the presence of moving bone fragments, deformation of the injured area of ​​the finger, and the curvature of its usual shape. To clarify the diagnosis and develop tactics for treating a fracture of the fingers, an X-ray of the injured limb and the injured finger must be performed, and not only the site of the alleged fracture, but also the two nearest joints must be included in the picture.When taking pictures in elderly patients, they must also take a picture of a healthy hand in order to correctly understand what is in the picture – age-related changes after suffering arthritis or the consequences of a fresh injury.

According to the mechanism of action of the injury, a fracture of the fingers can be transverse – it develops as a result of a fall of a heavy object, or oblique and comminuted – such a fracture occurs when a finger gets into moving mechanisms. Depending on the location of the immediate location, the fracture of the finger can be intra- and extra-articular.After taking X-rays of the hands and fingers, the traumatologist can choose the right treatment tactics for each specific case.

If the image shows a fracture without displacement, then the treatment tactics are usually chosen conservatively – a plaster splint is applied to the injured finger for 18-21 days. In the event that a phalanx fracture with displacement is detected in the image, then it is necessary to perform a closed or open (during the surgical operation) comparison of the fragments.

Careful treatment of even minor fractures (cracks) of the fingers is necessary precisely so that the injured hand does not lose its normal functions.

Closed reduction is carried out after performing local anesthesia, after which the injured finger is applied with a plaster splint for up to 21 days, and after 20-23 days, a control X-ray is required, which allows you to make sure that the bone fragments are correctly matched.

If this did not happen, then for further treatment, skeletal traction is carried out with the help of pins held through the articular muscles of the phalanges of the damaged fingers for a period of 14-18 days, after which control images of the injured limb are taken and, if signs of healing are detected, a plaster cast is applied for 5-6 weeks …Then, to restore the function of the fingers, the patient is prescribed a course of physiotherapy and exercise therapy. If there are no signs of callus formation or the divergence of the fragments could not be eliminated, surgical treatment is prescribed for open reduction of the fragments. In this case, the pieces of the phalanx are fastened together using special plates.

Despite the fact that a splint is applied to the injured finger or the fragments are repositioned, the patient must independently develop the adjacent intact fingers.This is done in order to prevent atrophy of the muscles of the fingers and hand, which will inevitably lead to disruption of the main working functions of the injured hand.

Author

orthopedic traumatologist, surgeon

Experience 16 years

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90,000 Symptoms and principles of treatment of limb fractures using traditional medicine

Fractures of the arms and legs – general principles for the treatment of fractures of the extremities

In the statistics of serious injuries, fractures of the arms and legs rank first.And this is not surprising, because these parts are more mobile and are more used in a given situation. Falls are the most common cause of injury in winter. The tactics of treating limb fractures directly depends on many factors, and the consequences of this type of injury depend on the fulfillment of medical prescriptions.

Signs of limb fracture

Most of these injuries manifest themselves in the same way:

• pain;
• edema;
• deformation;
• pathological mobility;
• impaired function.

Pain and dysfunction occur immediately at the time of injury. Pain may be mild at first, even with significant damage. This is due to the release of endorphins – natural analgesic substances. After a short time, their number decreases and the pain becomes maximum.

The edema grows gradually. Initially, it is localized only at the point of impact (if it was inflicted), but later spreads above and below the site of injury.

Pathological mobility appears with a complete fracture of the bone body.In this case, the bone fragments are displaced relative to each other at the fracture site.

Deformation is noted in cases of displacement of parts of the broken bone from the normal axis.

Signs of fracture of the bones of the hands

The hands are composed of 27 bones. Among the carpal bones, the scaphoid is most often affected, less often the lunate. The symptoms of a hand fracture are pain, swelling, and dysfunction.

With injuries to the metacarpal bones and fingers, which account for 2.5% and 5% of all fractures, all these signs are noted.

Symptoms of fracture of the bones of the shoulder and forearm

The most common is the so-called fracture of the radius of the typical localization. This bone has one place that most often breaks when falling onto an outstretched arm. The shoulder bones can also be damaged when falling on a hand, even if it is pressed against the body. All the described signs of a fracture are inherent in this localization.

Fractures of the thigh, lower leg

These fractures occur as a result of excessive axial load, blows to the thigh and lower leg, car accidents, and in old people – from falling to the side (this is how the femoral neck breaks).Symptoms of damage to this localization are quite diverse. For cervical hip fractures, the turn of the foot outward and the inability to lift the extended leg upward is characteristic. With fractures of the fibula, the main symptom is pain (the supporting function is not impaired), with trauma to the tibia, displacement often occurs due to the peculiarities of the attachment of muscles to it. Swelling of the leg after a fracture of the lower leg is also very common. Moreover, due to the compression of the vessels, it can persist for a rather long time even after the veins are released from the bone fragment pressing on them.

The most common of all fractures of the bones of the lower extremities are various fractures of the ankles. They usually occur when the leg is tucked and the entire weight is transferred to it. Less commonly, the ankles suffer from a direct blow. Composing the ankle joint, they perform a supporting function, therefore, when they are fractured, a person’s ability to step on the injured leg drops sharply. The pain of a fracture of the ankle is very strong, it is she who makes the victim to spare the site of injury.

Fractures of the bones of the foot

Pain is the most common symptom for this type of injury. In case of damage to the bones of the tarsus (calcaneus, talus, etc.), the support function of the foot is also impaired. With injuries to other bones, a person can step on the foot, but spares it.

Fracture of the little toe, which is a symptom of pain, does not impair the support function of the limb. Even if two or more fingers are injured, a person can walk, however, very carefully.

Treatment of limb fractures

Treatment tactics depend on whether the victim’s fracture is open or closed. There are also community principles.

In case of a closed fracture, ensure the rest of the injured limb and immediately apply an immobilizing splint from any available means – a stick, a board, a piece of plywood or plastic, even from glossy magazines rolled into a tube! You should not try to straighten a broken arm or leg; immobilization is performed in the position in which the limb is located immediately after the injury.After immobilization, the victim is taken to the hospital.

First aid for open fractures of the extremities should begin not with immobilization, but with stopping bleeding. To do this, apply a pressure bandage to the wounds, and if it is ineffective, a hemostatic tourniquet, also made from scrap materials – a tie, belt, cord, rope, etc. Only after a reliable stop of bleeding is the limb immobilized according to the rules described above and the victim is taken to the hospital.

Further treatment of closed fractures is the application of a plaster cast or splints in order to ensure complete immobility of the limb and allow the bones to heal. The immobilization period depends on the severity and location of the fracture. Removal of the cast after ankle fracture is performed after 4-6 weeks, and in case of injuries to the wrist bones – even after 3 months from the moment of injury.

Surgical intervention is performed in the following cases:

• ineffectiveness of conservative treatment;
• open fractures;
• any fractures with damage to blood vessels and nerves at the site of injury.

Sometimes surgery for fractures of the extremities (upper and lower) may be required regardless of the presence of complicating factors. For example, most injuries of the femoral neck or oblique fractures of the tibia with displacement of the fragments are treated only operatively.

Rehabilitation after limb fractures

The terms of rehabilitation and its tactics after limb fractures depend on the severity of the injury, the method of fracture treatment, and its localization. The timing of the healing of a fracture of the radius of the hand with a displacement usually does not exceed 4 weeks, since the treatment of this type of injury is almost always conservative.A fracture of the femoral neck may generally be incurable due to the peculiarities of the blood supply to the femoral head.

Before removing the cast, a good doctor will take a control X-ray. This is to make sure that the bones are well together. Only after this can the specialist say, for example, when it is possible to step on the leg after a fracture of the bones of the lower limb.

After the removal of the immobilizing agents, the stage of final rehabilitation begins.This word means a set of procedures aimed at restoring the functions of the injured limb – motor, support (for legs), grasping (for hands), etc. However, some exercises begin to be done in the first days after the injury. For example, bedridden patients should perform breathing exercises, and those affected by a fracture of the leg bones should work with a healthy limb so as not to lose mobility in it. Even a sore arm and leg should be moved in dosage – this improves blood supply in it, enhances recovery processes and accelerates bone fusion.Rehabilitation after a fracture in a child is especially important – his arms have not yet fully formed, his legs are still growing. The slightest mistake in treatment will lead to permanent disability.

How to develop an arm after a fracture of the wrist bones, how to get rid of contracture in the ankle joint, how to start walking again, stepping on the leg after a hip fracture – all these questions can be answered by a rehabilitation doctor. To return a person to normal life, physiotherapy exercises, massage, physiotherapy are used.For each type of fracture, special sets of exercises have been developed, which can be read about on the website dobrobut.com.

It is exercise therapy and massage that help when the leg swells after a fracture of the heel bone. These methods help to improve the elasticity of the ligamentous apparatus of the joints, and only thanks to them, the muscles, weaned from the loads during the forced “downtime”, will begin to develop again and perform their functions.

The winter season is a “harvest time” for traumatologists.Trauma is an extremely unpleasant condition that can unsettle any person for a long time, and prevention is the best way to protect yourself from injury. Be prudent, do not go out into the ice without extreme need, look under your feet – and then you do not have to find out how much a fracture of the big toe heals.

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Orthopedics and Traumatology
Calling the emergency team

Fracture of the little toe: how to determine what to do

November 12, 2018, 13:58 It is worth knowing that the bones of the little finger are much thinner in comparison with the rest of the bones of the skeleton.Therefore, it is easy to break it, and many have faced a similar situation at least once in their lives. For a more detailed article on the fracture of the little toe, read here: https://chtoikak.ru/perelom-mizinca-na-noge.html Due to the fact that the bone of this finger is not particularly strong, damage to the finger as a result of trauma is not uncommon, and sometimes it can lead to a fracture. For example, you can hit a hard corner and get a fracture. Various diseases can also affect bone strength, including: tuberculosis; osteoporosis; presence of tumors; osteomelitis. As a result of the impact of the disease on the body, the bones become weaker, and therefore they can be easily damaged. How to determine the presence of a fracture, symptoms This can be done if symptoms are noticed in time. They are pronounced, therefore, it turns out to determine the fracture almost immediately. Among the main symptoms of damage are: unbearable pain in the little toe or foot; edema. The little finger immediately swells due to the flow of blood and fluid as a result of damage to internal tissues; bruising.The phalanges of the fingers have their own network of blood vessels. As a result of damage to the limb, the destruction of blood vessels occurs. Thus, some of the incoming blood cells are sent to the fracture, forming a bruise; Deformity of the toe in the event of a displaced fracture. This can be noticed immediately, as the little finger will be deflected from its usual position. Wounds or skin lesions may also be noted in the event of an open fracture. It looks pretty scary. First aid Before going to the emergency room, it is worth providing the victim with first aid. To begin with, the wound needs to be disinfected so that the infection process does not spread to healthy tissues and cells. If a toe was broken when a shoe was on the foot, it must be carefully removed. This must be done with your foot in such a position to exclude the slightest impact on the little finger. Also, the victim is advised to take an analgesic to numb the pain for a while. In the event that the finger has been displaced from its normal position, immobilization is required: fixation of the injured finger. Fixation is performed using a bandage: the injured finger is wrapped with a cloth to the adjacent one. Additionally, you can apply ice to the limb. Diagnostics When first aid is provided, the victim is taken to the hospital to diagnose the damage. It is performed using an X-ray. Thus, after the procedure and viewing the results, the doctor will make a final diagnosis and determine the type of fracture.There are three main types: fracture without displacement; displaced fracture; fracture with shattered bone. It is sometimes called comminuted. The last type of fracture is considered the most severe. Treatment There are two main treatment options: Traditional. The patient will be put in a plaster cast, with which he passes for a certain amount of time. It is used mainly for the first two types of fracture; Surgical.Surgical intervention is required for a comminuted fracture, when it is necessary to pull out the fragments of the little finger bone from the limb. After such an operation, the patient is recommended to drink a course of painkillers and anti-inflammatory drugs. As for the plaster, it is mainly necessary in order to fix the position of the little finger and not to injure the finger again. The patient can independently decide whether he needs a plaster cast or not and, if desired, refuse. Materials for publication were prepared on the basis of information from the site What and How? Source: Pharmindex.ru for the newspaper “Pharmacy”

Fracture of the little finger on the hand: symptoms, how long does it heal

Last Updated on 06/23/2017 by Perelomanet

Fractures often occur in everyday life. Some of the most vulnerable areas prone to such injury are hands and fingers. The most common fracture occurs in the little finger of the hand.

In the above case, it is very important to timely determine the presence of such an injury and seek help from a specialist.Otherwise, the finger may be deformed and remain so for life, which will bring not only aesthetic discomfort to the person, but also affect the normal, full functioning of the hand.

Types of injury

Fracture of the little finger on the hand can occur in several ways:

• Fracture – the bone of the injured phalanx is partially broken (the size of the fracture does not exceed ½ of the bone diameter).
• Fissure – A fracture occupies a significant area of ​​the bone, but a larger area remains intact.
• Cracking – The entire surface of the bone (both along and across) is subject to a large number of cracks.

Fracture of a finger can be both traumatic and pathological in nature. A traumatic fracture occurs as a result of any injury to a person (falling on the fingers of a heavy object, falling of the person on his hand, etc.). Pathological trauma can occur due to the presence of any pathological disease in a person that affects bone health (for example, tuberculosis, osteoporosis, and others).

Fracture of a finger can be open (the integrity of soft tissues is broken), and closed (the integrity of soft tissues is broken).

The phalanx of the finger can be susceptible to the following types of fractures:

• oblique – fracture occurs at an acute angle with respect to the longitudinal axis of the bone;
• transverse – the fracture occurs in the direction perpendicular to the longitudinal axis of the bone;
• comminuted – the broken bone is divided into several fragments that can remain inside the soft tissues or tear the latter;
• longitudinal – the fracture occurs in a direction parallel to the axis of the bone;
• helical – fragments of the damaged bone unfold in a direction parallel to their natural location.

Fracture of the little finger can occur with or without displacement. In the first case, the displacement of the fragments can occur both inside the soft tissues present inside the finger, and tear them, while the broken bone looks out.

Displacements of fragments of the injured bone can occur along the width of the finger, along its length, can be displaced at an angle or be rotational. Also, the fracture can be combined, and then the fragments of the bone can be displaced in several directions.

Symptoms

The main signs of a fracture of the specified toe and symptoms of bone cracking can be as follows:

• the emergence of a strong tumor directly over the entire area of ​​damage;
• the presence of subcutaneous hemorrhage visible to the naked eye;
• limitation of the functional activity of the little finger;
• Severe pain when trying to perform motor movements with an injured finger;
• the appearance of severe edema in the injured area of ​​the little finger;
• if the fracture is open, bleeding may occur;
• deformation of the damaged phalanx of the little finger;
• in cases of fracture of the upper phalanx of the finger, hemorrhage under the nail plate is visible;
• the victim feels the movement of the fragments that have appeared in the finger as a result of the fracture, and hears their crunch when pressed on the damaged little finger;
• The injured little finger is much shorter than before the injury;
• , a bony protrusion became strongly visible on the injured finger.

If a fracture of the little finger occurred in the area of ​​the joint, it can be determined independently only by one sign – the impossibility of performing any motor movements with the injured finger. Only radiography will help to determine such an injury.

First aid to the victim

It may seem that getting a broken phalanx of the little finger is quite difficult, but it is not. Breaking this finger is easier than ever, since its bones are the thinnest, relative to the rest of the fingers.

If a person has signs of a broken finger, he needs competent first aid. The affected limb must be immobilized. But this must be done with the utmost care, since in case of comminuted fractures or the indicated injuries with displacement, with inaccurate actions, it is possible to displace bone fragments and damage the nerve endings, as well as tear soft tissues more strongly.

It is possible to immobilize an injured little finger using any improvised items that are suitable for a homemade tire.These can be ballpoint pens, pencils, rulers, branches, etc. The resulting splint is fastened with a bandage or any available fabric, which is torn to pieces for this purpose.

Treatment

Usually, such a fracture is treated conservatively without the use of surgery, then the little finger is only immobilized and the necessary time is expected for complete bone healing.

Osteosynthesis of the phalanx of the finger with a screw

But an open fracture of the little finger, which occurs as a result of the outward movement of broken bones displaced relative to each other, requires a surgical intervention, in which surgeons fasten the scattered parts of the bone together using surgical devices: screws and bolts.After the operation, a plaster cast is applied to the finger and immobilized with a special splint (called the Beler splint) to prevent the possibility of deformation of the broken bone.

After such an injury, all patients are concerned about how much plaster should be on the finger and how quickly the finger heals in such cases? The gypsum is removed approximately 5-6 weeks after the patient’s injury and physiotherapeutic procedures are prescribed to the patient, which contribute to the accelerated restoration of the full functioning of the damaged finger and the complete healing of the bone itself.

If a child is injured

The detection of a fracture of the little finger in children is complicated. The reason for this is the presence of unclosed growth zones in them. As a result, it is quite difficult to determine the specific location of the fracture. Even an X-ray procedure will not bring the desired results.

In such cases, the doctor has no choice but to make a diagnosis according to the available symptoms and his own observations. Usually, a healthy finger is compared with an injured one, and the presence of a fracture is determined by the available differences (difference in length, the presence of bumps on the finger, which are bony protrusions, etc.).etc.).

A special immobilizing splint or plaster cast is applied to the patient on the affected little finger in a certain position: the finger should be slightly bent. Both the plaster cast and the immobilizing splint must necessarily cover the entire finger: from the upper phalanx to the base of the little finger. It takes less time for a child to completely heal an injured finger than an adult. This period can be as little as 2-3 weeks.

Rehabilitation

1.5-2 months after receiving the fracture, you can start rehabilitation measures aimed at accelerated bone healing and full functional recovery of the injured little finger.Usually, the patient is assigned to undergo physiotherapy procedures. But in addition to them, you can restore the motor capabilities of the injured little finger at home. To do this, you can use the following methods:

• Use the fingers of the injured hand to touch the cereals and put them on different plates, while trying to get as much of the cereal into your hand as possible.
• Get an expander and squeeze it in your hand 20-25 times several times a day.
• Sit on the chair by the table.Place your hand on the table, palm down. Raise and lower the injured little finger so that the rest of the palm does not come off the table;
• Place your injured hand in the sea salt bath. The implementation of such a manipulation at least 2-3 times a week will contribute to the accelerated growth of the broken phalanx of the little finger.

Such simple, but regularly performed manipulations will help to quickly restore the motor activity of the limb.

What to pay special attention to

After removing the plaster or splint, the injured little finger should gradually return to its normal state and gradually fully perform its functions.But there are situations when, after removing the cast or immobilizing bandage, there are bruises or bruises on the little finger, and the finger also delivers aching pain and has a swollen appearance.