Doctor insights on:
X Ray Of A Broken Hand
Sure is: Fractures in the hand can be subtle. Generally 3 views of the hand are needed to accurately assess the presence or absence of a fracture. Some fractures that are not displaced might only become apparent on xray after 7-10 days. Features of hand fractures include swelling, deformity, and point tenderness. If a question exists, see a hand surgeon. ...Read more
Hi, I injured my hand in a contact sport. Wanted to check if it’s just a muscle injury from contact or could be broken hand bones, which would need an X-ray?
If any doubt...: ...go get checked, and get the x-ray. Sorry, but we can't examine you from here. Nor are the absences of bruising, diminished range of motion, or severe pain definitive for a non-fracture. ...Read more
Broken hand: First get a specific diagnosis, i.e. Fracture of the ___________. Then find out how it needs to be treated, ioe a cast, splint, surgery, pins, plates scows, or can it just be observed? X-rays help woth diagnosis and to make treatment decisions. Don't wait as often what happens in the first few weeks make s a huge diffenrece in how long it takes to feel better and what the options are for treating. ...Read more
Depends on fracture: Depends on fracture. Treatment can be anywhere from taping; to closed reduction and putting in a splint; to surgery with internal fixation. The treatment options should be discussed with your surgeon. And fyi, there are orthopedic surgeons who just do hand surgery if you are looking for an appropriate physician for consultation and treatment. ...Read more
Movies are wrong:
Hands can not stand up to punching things, unprotected!
pain, swelling, bruising, new angles. Get to your doc. These are your most valuable tools in your tool box. Waiting worsens outcome. ...Read more
Difficult question: To answer without knowing more about your fracture, as in how old, in a cast, exactly what type/severity of fracture. In general, you should be able to utilize an exercise/stationary bicycle (more so a recumbent rather than an upright). If you are looking for input about how much upper extremity function you have, review this with the surgeon. ...Read more
Xray: A history, physical exam, and xray could help determine if you have a broken hand. Typically after an injury you may experience significant pain to the broken region, swelling, and inability to move that part of the body. Xray's have been the best diagnostic tool to confirm a fracture (usually 2-3 views), however there are other modalities. ...Read more
See a hand surgeon.: Assuming you have already had an x-ray of your hand, the next step is to see an orthopaedic hand surgeon for further evaluation. Non-displaced fractures usually need immobilization, where as displaced fractures may need surgery. Hand fractures usually take about 6 weeks to heal. Therapy is often needed to improve range of motion and strength after treatment. ...Read more
Carefully!: It depends on what was done during surgery. If the broken bone was fixed rigidly with plates and screws, you should be able to begin early motion and functional use. On the other hand, if only pins where used to fix the fracture, you might have to wait 6 weeks for full bony healing before you can move the hand. Talk to your surgeon about, immobilization, activity restrictions and exercise. ...Read more
Ice and elevation: Swelling can persist for a long time. Elevate high up (like the statue of liberty) and use ice. ...Read more
Depends: Depends on exactly what the surgery or bone is. Metacarpal fractures and surgeries seem to heal very quickly -- 4 weeks even. It also depends on what you're planning to do with your hand. Using a computer or driving is relatively quick to get back to doing. Swinging a sledge hammer, of course, will require more time. ...Read more