3 doctors weighed in:

Should i get a second opinion on my hand? Should i get a second opinion on my hand when i already had an ex-ray on tuesday of last week? They told me i had just a bruise on my knuckle and it has gotten worse when i try to make a fist it hurts really bad?

3 doctors weighed in
Dr. Jeffrey Wint
Surgery - Hand Surgery
1 doctor agrees

In brief: A

A bruise can hurt.
A soft tissue injury with swelling in a knucle or the back of the hand can cause stiffness. However a nondisplaced fracture or a small avuslion type fracture can go unseen, even negative on the original xray but the chage of a few days or a slightly different view might reveal an injury. More important than whether it is a minimal fracture or a severe bruise or a ligmanet injury is care for your injury. Id see someone who can offer that care regardless of whether the injury is a, b or c. A hand surgeon is a good resource.

In brief: A

A bruise can hurt.
A soft tissue injury with swelling in a knucle or the back of the hand can cause stiffness. However a nondisplaced fracture or a small avuslion type fracture can go unseen, even negative on the original xray but the chage of a few days or a slightly different view might reveal an injury. More important than whether it is a minimal fracture or a severe bruise or a ligmanet injury is care for your injury. Id see someone who can offer that care regardless of whether the injury is a, b or c. A hand surgeon is a good resource.
Dr. Jeffrey Wint
Dr. Jeffrey Wint
Thank
Dr. Monica Wood
Surgery - Hand Surgery
1 doctor agrees

In brief: Did

Did you see a hand surgeon? Or an er physician? Or urgent care? It does make a difference who you see.
Most er's and urgent care centers are looking for emergent injuries--things that need to be splinted or casted to reduce the risks of worsening the injury. They do not have a more sophisticated understanding of the multitude of structures in the hand and their importance for function. Even without a fracture, there are significant soft tissue injuries that can happen. While a boxer's fracture might show up on x-rays a week or two later, soft tissue damage will not. Tendon ruptures and ligament tears will not show up, but can be diagnosed with a good physical exam. Just yesterday i saw a "boxer's knuckle" where the bands that help extend the finger were disrupted. We sometimes see boutonniere injuries, where the tendon is disrupted at the knuckle further up the finger. You should find a hand surgeon and make sure he/she has evaluated all the stuctures in the area. If you ever feel like you have not had a thorough evaluation, feel free to ask questions about what else could be injured or see another physician.

In brief: Did

Did you see a hand surgeon? Or an er physician? Or urgent care? It does make a difference who you see.
Most er's and urgent care centers are looking for emergent injuries--things that need to be splinted or casted to reduce the risks of worsening the injury. They do not have a more sophisticated understanding of the multitude of structures in the hand and their importance for function. Even without a fracture, there are significant soft tissue injuries that can happen. While a boxer's fracture might show up on x-rays a week or two later, soft tissue damage will not. Tendon ruptures and ligament tears will not show up, but can be diagnosed with a good physical exam. Just yesterday i saw a "boxer's knuckle" where the bands that help extend the finger were disrupted. We sometimes see boutonniere injuries, where the tendon is disrupted at the knuckle further up the finger. You should find a hand surgeon and make sure he/she has evaluated all the stuctures in the area. If you ever feel like you have not had a thorough evaluation, feel free to ask questions about what else could be injured or see another physician.
Dr. Monica Wood
Dr. Monica Wood
Thank
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