Finger Ligament Tear: Comprehensive Guide to Symptoms, Causes, Diagnosis, and Treatment
What are the common causes of finger sprains. How can you identify the symptoms of a sprained finger. What diagnostic methods are used for finger ligament tears. What are the most effective treatment options for finger sprains.
Understanding Finger Ligament Tears: An In-Depth Look
Finger ligament tears, commonly known as finger sprains, occur when the ligaments connecting the bones in your fingers are stretched or torn. These injuries can range from mild to severe and often result from sudden impacts or excessive force applied to the finger joints. Understanding the nature of these injuries is crucial for proper management and recovery.
What exactly is a finger ligament?
A ligament is a band of strong, flexible connective tissue that connects bones to other bones. In the fingers, ligaments play a vital role in stabilizing the joints and allowing for controlled movement. When these ligaments are damaged, it can lead to pain, instability, and reduced function of the affected finger.
Common Causes of Finger Sprains: From Sports Injuries to Everyday Accidents
Finger sprains can occur in various situations, often catching people off guard. Understanding the common causes can help in prevention and prompt treatment.
- Sports-related injuries, especially in ball games like basketball
- Accidental bending of the finger in an unnatural direction
- Falling on an outstretched hand
- Jamming the finger against a hard object or surface
- Repetitive stress on the finger joints
How does hyperextension contribute to finger sprains?
Hyperextension occurs when a finger is bent backward beyond its normal range of motion. This can cause the ligaments to stretch or tear, resulting in a sprain. Activities that increase the risk of hyperextension include catching balls, blocking in sports, or accidentally hitting the fingertip against a hard surface.
Recognizing the Symptoms: Key Indicators of a Finger Sprain
Identifying the symptoms of a finger sprain is crucial for seeking appropriate treatment. While the severity may vary, certain signs are common across most cases of finger ligament tears.
What are the telltale signs of a sprained finger?
The most common symptoms of a finger sprain include:
- Pain in the affected finger joint, especially when moving or using the finger
- Stiffness and difficulty in straightening or bending the finger
- Tenderness when touching the joint area
- Swelling around the affected joint
- Bruising or discoloration in severe cases
- A feeling of instability in the finger
It’s important to note that the severity of symptoms can vary depending on the grade of the sprain. Ignoring these symptoms, particularly in athletes, can lead to worsening of the injury and prolonged recovery time.
Diagnosing Finger Sprains: Professional Assessment and Imaging Techniques
Proper diagnosis of a finger sprain is essential for determining the appropriate treatment plan. Healthcare professionals employ various methods to accurately assess the extent of the ligament damage.
How do doctors diagnose a finger sprain?
The diagnostic process typically involves:
- Physical examination: A doctor will carefully examine the affected finger, checking for pain, swelling, and range of motion.
- Medical history: Information about how the injury occurred and any previous finger injuries is crucial.
- Imaging tests: X-rays are commonly used to rule out fractures. In some cases, an MRI might be necessary to assess soft tissue damage more thoroughly.
What are the different grades of finger sprains?
Finger sprains are classified into three grades based on severity:
- Grade 1: Mild stretching or micro-tearing of the ligament with stable joint function
- Grade 2: Partial tearing of the ligament with some joint instability
- Grade 3: Severe or complete ligament tear with significant joint instability
Understanding the grade of the sprain helps in determining the most appropriate treatment approach and expected recovery time.
Effective Treatment Strategies for Finger Sprains
Treatment for finger sprains aims to reduce pain, promote healing, and restore function. The approach varies depending on the severity of the injury and individual factors.
What is the RICE method, and how does it help in treating finger sprains?
The RICE method is a widely recommended initial treatment approach for finger sprains:
- Rest: Avoid activities that cause pain or stress to the injured finger.
- Ice: Apply ice packs for 15-20 minutes at a time to reduce swelling and pain.
- Compression: Use an elastic bandage to provide support and minimize swelling.
- Elevation: Keep the hand elevated above heart level to reduce blood flow and swelling.
This method is particularly effective within the first 24-48 hours after the injury occurs.
Are there other treatment options for finger sprains?
Additional treatment strategies may include:
- Anti-inflammatory medications: Over-the-counter drugs like ibuprofen or naproxen can help manage pain and reduce inflammation.
- Splinting: A finger splint can provide support and protect the injured ligament during healing.
- Buddy taping: Taping the injured finger to an adjacent healthy finger can provide stability.
- Physical therapy: Exercises to improve range of motion and strength may be recommended as healing progresses.
- Surgery: In severe cases, particularly Grade 3 sprains, surgical intervention might be necessary to repair the ligament.
Recovery and Rehabilitation: Restoring Function After a Finger Sprain
The recovery process for a finger sprain varies depending on the severity of the injury. Proper rehabilitation is crucial for regaining full functionality and preventing future injuries.
How long does it typically take to recover from a finger sprain?
Recovery times can range from a few weeks to several months:
- Grade 1 sprains: Usually heal within 2-4 weeks with proper care
- Grade 2 sprains: May take 4-6 weeks for full recovery
- Grade 3 sprains: Can require 6-8 weeks or more, especially if surgery is needed
It’s important to follow your healthcare provider’s recommendations and not rush the healing process to avoid re-injury.
What rehabilitation exercises are beneficial for finger sprains?
As healing progresses, your doctor or physical therapist may recommend exercises to improve flexibility and strength:
- Gentle finger bends and straightening exercises
- Grip strengthening exercises using stress balls or putty
- Range of motion exercises to improve flexibility
- Resistance band exercises for finger and hand strength
These exercises should be performed under guidance and gradually increased in intensity as healing allows.
Preventing Finger Sprains: Strategies for Protecting Your Digits
While not all finger sprains can be prevented, there are measures you can take to reduce your risk of injury, especially during sports and physical activities.
How can athletes protect their fingers from sprains?
Athletes can take several precautions to minimize the risk of finger sprains:
- Proper technique: Learn and practice correct hand positioning and ball-handling techniques
- Protective gear: Use finger tape or guards in sports with high risk of finger injuries
- Strength training: Incorporate hand and finger exercises to improve overall strength and stability
- Warm-up: Always warm up properly before engaging in sports activities
- Awareness: Be mindful of your surroundings and potential hazards during play
Are there general precautions for everyday activities?
Even in daily life, you can take steps to protect your fingers:
- Use caution when handling heavy objects
- Be mindful of finger placement when closing doors or drawers
- Wear appropriate gloves for tasks that may put stress on your fingers
- Maintain good overall hand health through regular exercise and stretching
When to Seek Medical Attention for a Finger Sprain
While many finger sprains can be treated at home, some situations require professional medical evaluation and care.
What are the signs that a finger sprain needs medical attention?
Seek medical care if you experience:
- Severe pain that doesn’t improve with home treatment
- Significant swelling or bruising
- Inability to move the finger
- Visible deformity of the finger
- Numbness or tingling in the finger
- Symptoms that persist for more than a few days despite home care
Early intervention can prevent complications and ensure proper healing of the ligament.
Understanding finger ligament tears, their causes, symptoms, and treatment options is crucial for anyone who experiences this common injury. By recognizing the signs early and seeking appropriate care, you can ensure a faster recovery and minimize the risk of long-term complications. Remember, while finger sprains are often considered minor injuries, they can significantly impact daily activities and should be taken seriously. With proper care and rehabilitation, most people can fully recover from finger sprains and return to their normal activities.
Finger Sprains: Symptoms, Causes, Diagnosis, Treatment
Written by WebMD Editorial Contributors
Medically Reviewed by Jabeen Begum, MD on September 21, 2022
- Sprained Finger Causes
- Sprained Finger Symptoms
- Sprained Finger Diagnosis
- Sprained Finger Treatment
A sprained finger is when you either stretch or tear one of the ligaments in your finger. A ligament is a band of soft tissue. Most connect the outside surface of one bone to another bone.
A sprain is different from a strain, which is an injury to one of your muscles or tendons, the cords of tissue that connect your muscles to your bones.
Common causes of finger sprains include:
- An injury that causes your finger either to bend too far or bend in the wrong direction. If your finger bends backwards, it’s called “hyperextension.” For example, you might accidentally bend your finger in these ways during physical activities — especially in sports that involve using your hands, like basketball. You might accidentally jam your finger into a piece of equipment like the ball, or into another player, causing a sprain.
- Falling on your hand. You’re more likely to get a sprain if you have problems with balance or coordination, which makes you more likely to fall, or if you have weak ligaments.
If your finger is sprained, you might have:
- Pain in one of your finger joints when you try to move or use it
- Stiffness in your finger or having a hard time straightening or bending it
- Tenderness in your joint when you touch the area
- Swelling in one of your finger joints
Sometimes athletes who get sprained fingers ignore the injury. But the pain can be severe, and left untreated, it could get worse.
Your doctor will do a physical exam of your finger. You may also get imaging tests like an X-ray, and, in less common cases, an MRI.
If you do have a finger sprain, your doctor will assign it a grade based on how severe it is:
Grade 1: Your joint is stable but you have some stretching or microtearing in your ligament.
Grade 2: You have some mild instability in your joint and partial tearing in your ligament.
Grade 3: There’s significant instability in your joint and you’ve either severely or completely torn your ligament.
There are different treatments to help you feel better.
RICE therapy
Your doctor may recommend RICE therapy to manage your symptoms. RICE stands for Rest, Ice, Compression, and Elevation:
Rest: If a specific sport or activity caused your sprain, take a break from it for a while to help your finger heal.
Ice: Within the first 24 hours of your injury, you should apply ice to the area for 15 minutes at a time. If your symptoms last longer than that, you can do this for several days after the injury, too. This will ease any swelling or inflammation in your joint, and help ease the pain. Don’t put the ice directly on your skin. Instead, put it in a plastic bag or a cloth.
Compression: Your doctor may recommend that you wear an elastic compression bandage around your finger to provide support and prevent swelling.
Elevation: During the first 24 hours after your injury, try to keep your injured hand elevated to reduce swelling.
Your doctor may also suggest:
- Anti-inflammatory medication (such as aspirin, ibuprofen, or naproxen) to help with your pain.
- A finger splint.
- Buddy taping, which is when you tape it to the finger next to it If you do buddy taping, make sure to tape your middle finger to your index finger and your ring finger to your pinky.
- Surgery, if your injury is severe, meaning your ligament is completely torn or a piece of your bone has broken off.
Top Picks
Finger Collateral Ligament Injury | Steven Lee, MD
Description:
In each of the fingers (index, middle, ring and pinky) there are three joints called the distal interphalangeal (DIP), proximal interphalangeal (PIP), and metacarpophalangeal (MCP) joint. The thumb has two joints, the interphalangeal (IP) and MCP joint. Collateral ligaments are like leather bands of strong tissue connecting the bones in each of those joints that help to stabilize the joint throughout movement.
Injury to the collateral ligament occurs when there is a force in a direction different from the normal motion of the joint that is large enough to tear the ligament. This is most commonly caused by a fall onto an outstretched hand, a finger getting caught on something, or a dog leash wrapped around a finger that gets pulled. Patients often self-diagnose themselves with a “jammed finger.” Extreme trauma can actually cause the joint to dislocate.
Symptoms:
Patients with collateral ligament injuries of the finger may experience pain and tenderness on the side of the finger joint. A feeling of instability may be present when opening and closing the fingers and pinching objects. In addition, patients may notice swelling or bruising at the affected area.
Testing:
Initial evaluation of the injury starts with a physical exam of the fingers in order to assess for ligament instability or laxity. Provocative testing of the ligament will be performed by applying stress to the ligament at the involved joint(s) of the affected finger and comparing it to the unaffected finger. An assessment is made to determine whether the ligament is sprained (stretched or partially torn) or if it’s completely torn. This is based on the degree of gapping or instability.
An x-ray will typically be ordered to rule out a fracture.
Treatment Options:
When determining treatment for this type of injury, a variety of important factors are considered. These include the classification of the injury, the degree of the tear, the specific joint and finger of the injured ligament, and the presence of a fracture.
Most collateral ligament injuries may be treated with nonsurgical management. Patients who have relatively stable joints are typically treated with consistent buddy taping of the finger to provide support and stabilization while maintaining joint mobility. Buddy taping involves taping or strapping the injured finger above and below the affected ligament to an adjacent finger, thereby providing a “buddy system.” Unstable joints may be treated with splinting followed by buddy taping.
Hand/physical therapy is often gradually initiated in order to allow the ligament to properly heal. Hand/physical therapy is vitals towards reducing stiffness and regaining mobility and strength. Unfortunately, collateral ligament injuries tend to take an extended period of time to heal, usually no less than 6 weeks, and often up to several months.
Surgical Treatment:
Surgery may be recommended depending on the location of the ligament tear, the presence of a displaced avulsion fracture, or if nonsurgical management is unsuccessful. Surgery is often indicated for complete tears to the collateral ligament of the index finger given the ligament plays an important role in finger pinch. Repair of the ligament involves making a small incision over the affected ligament and using suture and anchors to secure the ligament into a proper position. If there is a displaced avulsion fracture, surgery may be considered to realign the avulsed fragment of bone and fix it back into proper position with a small screw.
Dr. Steven Lee has revolutionized the treatment of ligament tears and collateral ligament tears specifically with his pioneering of Internal Bracing of the Hand. Internal bracing utilizes an innovative strong suture tape construct with new bone anchors in order to increase the strength of the repair or reconstruction, thereby significantly quickening the rehabilitation process, and allow earlier return to sports and daily function. Please feel free to ask Dr. Lee about his specific expertise with this method. Learn more about Internal Bracing here.
As in the non-operative treatment of these injuries, the recovery period after surgery can be unusually prolonged, and can take at least 3 months to heal. Swelling may be present for much longer, and to a certain extent, may always be there whether surgery was performed or not.
Learn more about scheduling surgery.
Recovery Expectations:
After surgery, patients will usually be placed into a finger splint on the affected finger, with an adjacent finger included, for additional support. Patients usually follow up in office 7-10 days after surgery for a wound check and if there are stitches, to check if they are ready for removal.
Depending on the extent of surgery performed, patients will continue to be splinted for up to 3 – 6 weeks. After this period of immobilization, to allow for healing, patients are usually transitioned to buddy taping and initiated on a course of gradual hand/occupational therapy to restore mobility to the fingers.
Immediate Post-Operative Instructions
Please refer to the following pages for more information:
What should I expect after surgery?
What foods or supplements should I have after surgery?
*It is important to note that all of the information above is not specific to anyone and is subject to change based on many different factors including but not limited to individual patient, diagnosis, and treatment specific variables. It is provided as an educational service and is not intended to serve as medical advice. Anyone seeking specific orthopedic advice or assistance should consult Dr. Steven Lee or an orthopedic specialist of your choice.
*Dr. Steven Lee is a board certified orthopedic surgeon and is double fellowship trained in the areas of Hand and Upper Extremity Surgery, and Sports Medicine. He has offices in New York City and Scarsdale.
First Aid and Treatment
Content
- 1 Finger Tendon Rupture: First Aid and Recovery
- 1.1 Finger Tendon Rupture: First Aid and Treatment
- 1.1.1 First Aid
9 0005 1.1.2 Treatment
- 1.1 Finger Tendon Rupture: First Aid and Treatment
- 1.2 What is a tendon rupture?
- 1.3 Symptoms of a tendon rupture
- 1.4 First aid for a tendon rupture in the finger
- 1.4.1 Stop the bleeding
- 1.4.2 Fix the finger
- 1.4.3 Apply ice to the damaged area
- 1.4.4 Perform repair procedures
- 1. 5 How and where to treat a tendon rupture on the finger?
- 1.5.1 First aid
- 1.5.2 Treatment
- 1.6 Rehabilitation after tendon rupture treatment
- 1.6.1 Individual approach
- 1.6.2 Physiotherapy
- 1.6.3 Exercise
- 1.6.4 Restriction of work
- 1.6.5 Diet
- 1.7 Exercise regimens after tendon rupture treatment
- 1.7.1 Restorative physiotherapy techniques
- 1.7.2 Stretching and strengthening exercises
- 1.7.3 Important tips
- 1.8 How to prevent tendon rupture ?
- 1.9 Factors affecting recovery after tendon rupture treatment
- 1.10 How long does it take for a tendon rupture to heal?
- 1.11 Alternative Treatments for Tendon Rupture
- 1.12 Q&A:
- 1.12.0.1 What is a finger tendon tear and how does it happen?
- 1.12.0.2 What are the symptoms associated with a tendon rupture in the finger?
- 1. 12.0.3 How to give first aid in case of tendon rupture on the finger?
- 1.12.0.4 What are the treatments for a tendon rupture in the finger?
- 1.12.0.5 How long does it take to recover after surgery for a tendon rupture in a finger?
- 1.12.0.6 What complications can arise from a tendon rupture in the finger?
- 1.13 Need for surgery for a torn tendon in the finger
- 1.14 Related videos:
Learn how to deal with a torn tendon in the finger Tse hands, what could be the consequences and how to speed up the process of recovery. Tips and recommendations from experienced professionals in the article on our website.
An accident in which a tendon rupture occurs in the finger, often occurs in professional athletes, people engaged in physical labor, and also when falling on the hand. It is characterized by acute pain, swelling and impaired motor functions of the finger.
In such a situation, it is necessary to quickly and competently provide first aid, and then contact a specialist who will determine the extent of the injury and prescribe treatment.
There are several methods of treatment: conservative, in which measures are taken to strengthen the tissues and restore function of the finger, and surgical, which includes cutting the wound and connecting the torn sections of the tendon.
It is important to remember that self-medication can lead to complications and aggravate the condition. Contact the professionals!
Finger tendon rupture: first aid and treatment
First aid
If there is a tendon rupture in the finger, the first thing to do is to stop the bleeding, if any. To do this, it is necessary to bandage the injured finger or apply a pressure bandage. No ointment, other than an antiseptic, should be applied so as not to disrupt the body’s natural healing response.
Ice or any other cold object can then be used to reduce swelling and pain. Note that cooling should be carried out for 20 minutes every 2-3 hours during the first day. Also, with a rupture of the tendon on the finger, you can use pain medications in the form of analgesics, of course, on the recommendation of a doctor.
No
100%
Treatment
After giving first aid, the patient should see a doctor. Sometimes a doctor can do without surgery if the injury is not too serious. For this, kinesio taping, laser treatment, massage, physiotherapy are used. If the rupture of the tendon is too serious, surgical intervention is required, during which the affected area of the tendon will be stitched.
After the operation, the patient is given a course of rehabilitation, which may include antibiotics, a cast or splint, therapeutic exercises, massage, and physiotherapy. Everything is individual, based on the severity of the injury and the patient’s condition. It is important to follow all the doctor’s prescriptions and not to exercise without his permission.
What is a tendon rupture?
Tendon rupture is an injury to the tendon that occurs as a result of sudden physical exertion or injury. Such injury can occur during jumps, falls, bumps, and other accidents.
Tendon is an elastic connective tissue that connects muscles to bones. It is responsible for the transfer of force from the muscles to the bones when performing movements. When a tendon ruptures in the area of the finger, movements become difficult and painful, as the muscles cannot transfer force to the bones.
Symptoms of a tendon rupture in the finger may include, but are not limited to, a sharp pain, swelling, bruising, difficulty moving the finger, and crackling sounds when moving.
Symptoms of a tendon rupture
A tendon rupture in the finger is a serious injury and presents with several characteristic symptoms.
- Pain syndrome: pain at the site of a tendon rupture can be very severe, especially when moving a finger. The pain worsens during exercise on the arm and can lead to painful muscle spasms.
- Edema: tendon rupture is accompanied by swelling of the tissue at the site of injury, which can lead to limited movement of the finger.
- Bruising: Bruising may occur at the site of tendon rupture. It indicates the presence of internal hemorrhage and requires immediate medical attention.
- Mobility restriction: tendon rupture in the finger can lead to limited finger movement and difficulty performing daily tasks.
If you notice these symptoms, you should contact a specialist for a thorough examination and determine further treatment.
First aid for tendon rupture in the finger
Stop the bleeding
If there is bleeding, apply pressure to the wound. To avoid squeezing the arteries and blood vessels, the dressing should be applied above the level of the wound. If the bleeding is severe, you should immediately call an ambulance.
Lock the finger
Lock the finger in order for the tendon to heal. For the first time, you can use an impromptu splint made of matches and a bandage. In the presence of special clamps, the finger must be fixed by them.
Apply cold to the injured area
Cold can be applied to the injured area to reduce tissue swelling and pain. Cold can be used as a compress or ice massage. Do not apply cold for more than 15-20 minutes at a time.
Perform recovery procedures
After first aid, a series of procedures should be performed to restore motor functions. These include various exercises for the hand and finger, physiotherapy.
It is important to remember that tendon rupture is a serious injury that requires comprehensive treatment. It is necessary to contact specialists and follow their recommendations for treatment and rehabilitation after injury.
How and where to treat a tendon rupture in the finger?
First Aid
If a tendon ruptures in the finger, contact a surgeon immediately. Prior to the arrival of medical help, first aid should be given:
- Stop bleeding if it occurs;
- Applying cold to the injured area will help reduce swelling and pain;
- Fix the finger with a special bandage.
Treatment
Treatment of a tendon rupture in the finger begins with diagnosis and examination. After this procedure, a decision is made on further treatment, which may include:
- Immobilization of the injured finger with a cast or special support;
- Intensive care of the patient’s body condition;
- Surgery to repair the tendon.
In most cases, the treatment of a tendon rupture in the finger is successful and restores the function of the finger.
Method of treatment Advantages Disadvantages
Immobilization | Quick recovery of the finger after repair of damage; | May cause discomfort in everyday life and also does not provide full finger mobility. |
Surgery | Provides full recovery of the finger and its functions; | May be unsafe for the patient, does not guarantee full recovery in some cases. |
Rehabilitation after tendon rupture treatment
Individual approach
Recovery after tendon rupture requires an individual approach to each patient. The rehabilitation doctor develops a program of rehabilitation classes that takes into account the type of gap, age and general condition of the patient.
Physical Therapy
A key component of the rehabilitation program is physical therapy to help restore function to the torn tendon and speed up the healing process. This may be laser therapy, electrical stimulation and other methods prescribed by a doctor.
Exercises
Exercises to strengthen the muscles around the tendon become part of the rehabilitation program. They help restore range of motion and restore strength to a torn tendon.
- Exercises for the development of fingers at least from the palmar part.
- Stretching the muscles of the finger with a bandage, expander and other devices containing means for developing the muscles of the fingers.
- Squeezing various objects such as a ball or kettlebell to strengthen the muscles.
Restriction of work
It is possible that for some time after treatment, patients will have to reduce the load on the hand with a torn tendon. It can be certain movements, as well as work with super-heavy objects. The purpose of this limitation is to prevent re-rupture and speed up the recovery process.
Diet
Some foods help accelerate tissue healing, including tendons. It is important to learn how to eat right so that you can get the necessary nutrients for quick healing. For example, you need to consume enough protein, vitamin C and zinc.
Exercise charts after tendon rupture treatment
Rehabilitation physiotherapy techniques
After tendon rupture treatment on the finger, it is necessary to start rehabilitative physical therapy. The main objective of this procedure is to restore and strengthen the functionality of the damaged tendon.
There are several types of rehabilitation physiotherapy. One of them is the Felder technique, which includes a set of stretching and strengthening exercises. Another popular method is the Cox technique, which is based on a variety of stretching exercises and the slow development of an injured tendon.
Stretching and strengthening exercises
Each technique includes stretching and strengthening exercises for the injured tendon. One such exercise is hand massage. This massage helps to strengthen the muscles, improve blood circulation in the injured limb and return the tendon to its normal state.
Another effective exercise is hand gymnastics. Simple movements, such as squeezing and expanding the hand, help restore hand mobility and strengthen the injured tendon.
Important Tips
- Start with light exercises. Although stretching and strengthening exercises can help repair a damaged tendon, you should start with light exercises. Do not try to immediately move on to more complex ones.
- Don’t overdo it. Active physical therapy will help speed up recovery, but don’t overdo it – it can be harmful. Don’t forget the measure.
How to prevent tendon rupture?
A tendon rupture in the finger is an unpleasant and painful phenomenon, so it is best to prevent it in advance.
Keep your hands in good shape. Do exercises and workouts regularly to strengthen the muscles in your hand and fingers. This helps increase the level of tendon flexibility and strength.
Be careful. Wear gloves while doing manual labor. This can protect your hands from injuries and bruises that can lead to tendon rupture in your fingers.
Watch your health. Alcohol abuse and smoking impair blood circulation in the body, which can reduce the strength of the tendons and make them less elastic.
Be attentive to your body. If you have any pain or discomfort in your hand, then consult a doctor and undergo a preventive examination. Tendon problems detected early can be successfully treated and a possible rupture can be avoided.
Factors affecting recovery after tendon rupture treatment
Proper treatment and first aid in case of tendon rupture is only the first step towards recovery. The results of treatment and the speed of recovery may depend on several factors:
- Location and nature of the rupture – it is important to determine how serious the tendon rupture was, as this determines the possibility of functional load on the arm after its treatment;
- Depth and length of the tear – this can affect the difficulties during the rehabilitation process;
- Age of victim – for older patients, recovery from treatment may be slower and more difficult;
- General health – Associated health problems such as diabetes, heart disease, or obesity can slow down the healing process;
- Time elapsed before treatment – the longer you stay inactive, the more difficult it will be to repair the tendon and return the hand to normal.
Most often, after going through all the stages of treatment and rehabilitation, recovery after a rupture of the tendon of the finger occurs completely, subjected to normal functional load.
How long does it take for a tendon rupture to heal?
The time it takes for a torn tendon to heal depends on many factors, such as the location of the injury, the age and general health of the patient, and the treatment chosen.
A tendon rupture usually takes weeks to months to heal. In the first few days after the injury, the patient must remain calm and wear a plaster cast or other fixative. During this period, the doctor may prescribe pain medication and apply ice to the affected area.
Once healing begins, regular exercise and manipulation is important to maintain tissue flexibility and strength. In some cases, a rehabilitation course may be required, which can last several months.
If the pain worsens, seek immediate medical attention. Prolonged lack of treatment or the wrong treatment method can lead to loss of mobility and a decrease in the patient’s quality of life.
Alternative Treatments for Tendon Rupture
In addition to conventional medicine, there are alternative treatments for tendon rupture that can help speed healing and reduce pain.
- Acupuncture – injections of needles into certain points can improve blood circulation and stimulate the process of tissue regeneration.
- Massage – Special massage techniques can improve blood flow and reduce swelling, which will reduce pain and speed healing.
- Homeopathy – Some homeopathic remedies can help reduce pain, speed up healing, and improve the mobility of the affected finger.
- Phytotherapy – Herbal treatment can help speed healing and reduce tissue inflammation.
In any case, before using any alternative treatment for tendon rupture, it is imperative to consult a specialist and clarify possible contraindications.
Q&A:
What is a finger tendon rupture and how does it happen?
A torn tendon in the finger is an injury to the connective tissue that connects muscles to bones. Usually, a tendon rupture in the finger occurs when the hand moves sharply or falls on the fingers.
What are the symptoms associated with a tendon rupture in the finger?
The main symptoms of a tendon rupture in the finger are: pain when moving the finger, swelling, bruising, feeling of weakness in the finger, limited movement.
How to give first aid for a tendon rupture in the finger?
In case of a tendon rupture on the finger, it is necessary to: stop the bleeding (if any), apply a fixing bandage to the finger on which the tendon is damaged, apply cold compression, call an ambulance.
What are the treatments for a tendon rupture in the finger?
Treatment of a tendon rupture in the finger may include: conservative therapy (treatment without surgery), surgical therapy (surgery), rehabilitation measures, physiotherapy, massage, therapeutic exercises.
How long does it take to recover after surgery for a tendon rupture in a finger?
The duration of rehabilitation after surgery for tendon rupture on the finger depends on the complexity of the operation, the general physical condition of the patient, the timing of the start of treatment and other factors. On average, rehabilitation can last from several weeks to several months.
What complications can arise from a tendon rupture in the finger?
Complications of a tendon rupture in the finger can be different: impaired finger movement, reduced hand function, impaired sensation in the finger, infections, arthritis, and others.
Need for surgery for a torn tendon in the finger
A torn tendon in the finger is a serious injury that can lead to partial or complete immobility of the finger. In some cases, surgery may be required to restore the functionality of the finger.
Surgery may be needed if the tendon is torn halfway or completely and cannot heal on its own. Also, surgery is necessary if the vessels or nerves in the area of damage are damaged.
If the damage to the tendon is not too serious and the treatment was carried out in time, then surgery may not be required. In this case, the restoration of the functionality of the finger can be achieved with the help of a period of rehabilitation and the use of special painkillers.
In any case, the decision on the need for surgery is made by the surgeon, who examines and diagnoses the injury. The causes and features of the injury may be different, so each case requires an individual approach to treatment and a decision on the need for surgery.
Related videos:
Finger tendon rupture: treatment and symptoms
Why is a finger tendon rupture dangerous? The mobility of the hand is provided by the coordinated work of the flexors and extensors. The first are on the palmar surface of the hand, the second – on its back side. Fingers do not have muscles, so their movements are carried out through connective tissues. Flexors can be superficial or deep. Some of them are on the middle phalanges, others are on the nails. Tendon injuries occupy the first place among the injuries of the hands and fingers. About 30% of them are accompanied by complete or partial tendon ruptures. This is due to the special arrangement of tissues, which makes them easy to damage.
Classification
Injuries to the ligaments of the thumb reduce the functionality of the hand by 50%, the index and middle – by 20%. They are most common among people who prefer amateur sports activities. Depending on the presence of skin damage, tendon ruptures are divided into open and closed. The first occur when injured with piercing-cutting objects. The latter are diagnosed in athletes. The tendon is damaged when it is overstretched.
Tears are divided into partial and complete, the severity of the injury is assigned depending on the number of torn fibers. Total damage is more difficult to cure. Rupture of one ligament is considered isolated, several – multiple. We are talking about a combined injury in case of damage to muscle tissues, blood vessels and nerve endings.
When prescribing treatment, it is important to determine the age of the injury. A subcutaneous rupture that occurred less than 3 days ago is considered fresh. Injuries that occurred more than 3 days ago are called stale. Those that happened 21 or more days ago are old.
Common causes of injury
Tendon and joint capsule injuries can be traumatic or degenerative in origin. The latter type is the result of tissue thinning, the first occurs with a sharp rise in weight. Sports injury can have a mixed origin.
Provoking factors are:
- a short break between workouts;
- lack of warm-up during class;
- reassessment of one’s capabilities;
- non-compliance with safety regulations.
The risk group includes people who are overweight and the elderly.
Characteristic signs
The symptoms of a finger ligament tear are determined by its location. Damage to the tissues located on the anterior surface of the hand is accompanied by a violation of flexion functions. In this case, the fingers acquire an overbent position. When the tendons of the back of the hand are injured, extensor abilities suffer. Damage to the nerve endings can lead to numbness and paresthesia. If at least one of the symptoms listed above appears, you should consult a doctor. Fresh injuries heal faster than old ones.
If a person notices that the function of the hand is seriously impaired, they should apply a sterile dressing and a cold compress. This prevents hemorrhage and the development of swelling. The limb must be raised above the head, this will slow down the speed of blood flow.
In the emergency room, the initial treatment of the wound is carried out, including the application of antiseptic solutions to the skin, stopping bleeding and suturing. After that, a tetanus toxoid vaccine is given and antibacterial drugs are administered. If a rupture of the extensor tendon of the finger is detected, the patient is sent to the surgeon. Without the operation, the brush may lose its function.
Therapeutic measures
Treatment of extensor tendon injuries can be carried out not only surgically, but also conservatively. However, this does not apply to flexor injury. In case of finger injuries, long-term wearing of a cast or other fixing device is indicated.
Injuries occurring in the area of the wrist are treated exclusively with surgery. The ends of the torn ligament are sewn together. If the damaged tissues are located in the area of the distal interphalangeal joint, the splint is applied for 5-6 weeks.
Faster recovery of finger functions is observed after the extensor tendon suture operation.
A post-surgery fixation device is required to keep the joint in an extended position. You will have to wear it for at least 3 weeks. The splint must be worn on the finger at all times. Its early removal can contribute to the rupture of the scar that has begun to form, as a result of which the nail phalanx will again assume a bent position. In such cases, repeated splinting is indicated. During the treatment period, it is recommended to be under medical supervision.
In boutonniere-type deformity, the joint is fixed in a straight position until the damaged tissues are completely healed. The suture is necessary for reduction and complete rupture of the tendon. In the absence of treatment or improper splinting, the finger assumes a bent state and freezes in this position. It is necessary to follow all the instructions of the traumatologist and wear a splint for at least 2 months. The doctor will tell you exactly when it will be possible to remove it.
An extensor tendon rupture at the level of the metacarpal, carpal joint, and forearm requires surgery. Spontaneous muscle contraction leads to a tightening of the tendons and a significant divergence of the damaged fibers.
The operation is performed under local anesthesia. First, the bleeding is stopped, after which the torn ligament is sutured to the distal phalanx. If the injury is accompanied by a fracture, the bone fragment is fixed with a screw. The needle in the finger plays the role of a retainer.
Sutures and a tight cast or plastic splint are then applied. Postoperative immobilization helps avoid rupture of the repaired tendon.
Surgical intervention is performed on an outpatient basis, after its completion the patient can recover home.
Recovery period
Rehabilitation for finger flexor tendon rupture includes:
- massage;
- exercise therapy;
- taking medications.
Rubbing accelerates the process of repairing damaged tissues, increases their strength. The ligament must be worked out with the fingertips, the load must be increased gradually. Movements are carried out along the damaged section of the tendon.