Fingers are parts of the body that are located at the ends of limbs. Each of them has tubular bones, which are phalanges. Four have three phalanxes, and the thumb has two. Near the nail is the distal phalanx, at the base – proximal, and between them – the middle. At the end of the extremity, interphalangeal joints are formed, which are strengthened by collateral ligaments.
Dislocation of the finger looks like modified phalanges, at the ends of which spherical thickenings appear.
- Types of dislocations
- Signs and symptoms
- First aid for dislocation
- Closed Reduction
- Rehabilitation period
- Description of the treatment of dislocation of the thumb on the hand
- How and why dislocation occurs
- Symptoms of a dislocation of the thumb on the hand
- First Aid Rules
- Thumb dislocation treatment
- Rehabilitation period
- Features of dislocation in a child
- Symptoms and treatment of dislocation of the thumb on the hand
- How and why dislocation occurs
- Symptoms of a dislocation of the thumb on the hand
- First Aid Rules
- Thumb dislocation treatment
- Rehabilitation period
- Dislocation of a finger in a child
- What to do if you dislocate a finger on your hand
- Dislocation of the thumb
- Damage to the main phalanges of 2-5 fingers
- Dislocation of the middle and nail phalanges
- First aid
- Closed Reduction
- Surgical intervention
- How is exercise therapy
- Useful video
- Dislocation of the finger on the hand: symptoms of dislocation, what to do with a dislocation
- Types of dislocations
- Symptoms of a dislocation of a finger on a hand
- What to do when a finger is dislocated: first aid
- Treatment for dislocation of the finger on the arm
- Rehabilitation period
- How is dislocation of the finger on the hand treated?
- Signs of dislocation
- First aid for dislocation of the finger
- Hand dislocation treatment
- Complications after a dislocation
Types of dislocations
The main cause of injury is a strong effect on the joint, which exceeds the capabilities of muscles and ligaments. It is noticed that most often there is a dislocation of the thumb. There are several types of damage:
- dislocation of the index finger is due to a strong blow to the phalanx,
- dislocation of the thumb and hand occurs with a sharp extension of the limb, or when a person tries to rest on the palm during a fall,
- dislocation of the ring finger on the hand practically does not differ from other types of fracture,
- dislocation of the middle finger leads to restrictions on movement,
- dislocation of the little finger is due to weak joints that are injured with a slight bruise.
Injuries are diagnosed as open, closed and marginal. The most difficult in traumatological practice is injury with displacement. Open dislocation is accompanied by soft tissue damage. In this case, a characteristic skin-skin defect may form. To detect a closed fracture, an x-ray is performed, since it is difficult to diagnose it. Interesting information on the topic of a fracture of a finger on a hand.
Signs and symptoms
Dislocations of the finger on the hand have characteristic symptoms that help to independently determine the type of injury. The victim in all cases feels acute pain, and the following symptoms are also observed:
- increased pain during movement,
- the appearance of edema,
- redness of the area of the bruise,
- blue skin,
- it is impossible to freely move limbs.
Due to the displacement of the bone, such symptoms of dislocation of the finger as a change in its length are manifested. Many patients, having twisted or dislocated a finger on their hand, do not know what to do. To avoid complications, it is recommended to immediately contact a trauma doctor.
The risk group includes athletes and elderly people suffering from osteoporosis, as well as small children with fragile bone tissue.
It is not difficult to diagnose when the patient dislocated a finger, relying on external signs. When establishing an independent diagnosis, you can confuse an injury with a fracture. Therefore, in order to determine the dislocation of the finger on the arm, an X-ray examination is prescribed.
The doctor conducts the procedure, feeling the finger on his hand, and decides what to do if the patient dislocated it. In the case of dorsal displacement, a rupture of the lateral ligaments occurs. Bayonet-like deformation occurs with palmar displacement. To detect it, the base of the limb is probed.
First aid for dislocation
Suspecting a dislocation of the phalanx of the finger, the patient needs to see a doctor. But if this is not possible, then with a dislocation of the finger, first aid will help:
- remove all rings compressing the phalanges,
- remove the sleeves from the clothes,
- with an open wound, treat the wound with an antiseptic,
- fix the limb for immobilization.
For fixation, it is not necessary to tie the diseased limb to the healthy one too tightly using cotton and a bandage. If the patient is very worried about pain, suggest painkillers. You can apply ice to the wound, but make sure that frostbite does not occur.
Many are worried about the question of how to correct a dislocation of the finger yourself. Doctors warn that such a procedure should be performed by a specialist. Therefore, it is necessary to hospitalize the victim as soon as possible.
Read also dislocation of the toe.
If the patient has a dislocation of the finger, doctors conduct reposition. The reduction of fragments takes place under the influence of local anesthesia. Doctors skillfully insert the phalanges until they click, which indicates that the bones fell into place. Then put on a plaster cast for several weeks.
After the doctor corrected the dislocation of the finger on the arm, treatment should be continued at home. The following methods are suitable for this:
- herbal tinctures,
- garlic compresses
- wet dressings made from salt.
Home treatment for dislocation of the finger should be carried out under the supervision of a doctor so as not to get complications. Therefore, how to treat a dislocation of the finger, it is better to ask a specialist to cure the injury to the end and without negative consequences.
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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Closed reduction is carried out under general anesthesia, as the operation is quite responsible. Intravenous anesthesia provides complete muscle relaxation. To improve the outflow of blood from the wound, raise and fix the arm. To align the joints, the doctor takes the affected limb to the side and lifts it up.
When the tendon is pinched, the limb is deployed to the elbow, bending the tip of the upper phalanx. After the procedure, the patient is given a plaster cast for three weeks. The patient’s disability returns after a month.
With open damage to the patient, it is necessary to urgently hospitalize. Surgical intervention is performed under local or conduction anesthesia. The doctor makes access to the radius and tries to disconnect the strangulated capsule of periarticular tissue. The tendon is pushed back with a surgical instrument and the phalanges are set. Then the doctor sews and drains the wound. A week later, the stitches are removed.
A surgical operation is performed when the patient walks with a problem for a long time without medical assistance. In such cases, a false joint develops, which must be removed and the ligamentous apparatus restored.
After the doctor has corrected the dislocation of the finger joint, immediately after the removal of the plaster cast, rehabilitation is prescribed. The program includes:
- physical therapy
- physiotherapeutic procedures.
After dislocation of the fingers, local antiseptic drugs are used:
- Fastum gel
- Ortofen and other ointments.
Untreated dislocation of the finger can be developed both with the help of the Volkov-Hovhannisyan orthopedic apparatus, designed to develop movements in the unloaded joint, and with the help of physiotherapy. These include:
- Microwave and UHF,
- laser irradiation,
Specific rehabilitation after dislocation of the finger is assigned individually to each patient.
After the patient has cured a dislocation of the finger, you need to conduct a series of exercises.
|main||More||Fine motor development|
|trituration,||classes with an expander,||picking up puzzles, constructor,|
work with threads
Carrying out therapeutic exercises, you can avoid many problems:
You need to develop the whole arm, since it has been motionless for a long time. Rehabilitation will take about a month.
Description of the treatment of dislocation of the thumb on the hand
Hands for a person are that part of the body that is almost impossible to do without, because it is with the hands that most of the actions that we perform every day are connected. For this reason, any hand injury has a significant impact on the quality of life. Dislocation of the thumb on the hand brings a lot of problems. This finger is involved in absolutely all brush movements. Moreover, such an injury is fraught with many negative consequences, therefore, if it occurs, it is imperative to visit a traumatologist.
Dislocation (ICD-10 code S63.1)
How and why dislocation occurs
Injuries of the thumb on the hand are not as common as dislocations of the large joints of the arms and legs. However, despite this, they still have a place to be. There are not many reasons for the occurrence of such a problem, basically, all of them are associated with the excessive load on the joint.
Factors contributing to the occurrence of such damage:
It is worth noting that there is a classification of dislocations. They are divided into types according to different criteria.
First of all, the injury is divided by the degree of deformation of the articular joint. With a complete dislocation, the joint capsule and ligament breaks. If a joint remains between the parts of the joint, the dislocation is considered incomplete. This condition is called subluxation.
Also, dislocations of the joint are classified by the age of occurrence. The first two days, the injury is considered fresh, then for a month it is considered stale. Similarly, the offset that was contacted later than a month from the date of receipt is called stale.
Predictions of its treatment and the duration of rehabilitation depend on the type of dislocation. Only a traumatologist can determine the type of injury.
Dislocation with a rupture of ligaments
Symptoms of a dislocation of the thumb on the hand
A dislocation has quite specific symptoms, so determining it is quite simple. First of all, the change in the shape of the finger at the site of injury is striking. In this case, the displacement can be directed both to the inner and back sides of the palm. However, the second option is most common.
In addition to the visual change, there are some other symptoms, and they are so pronounced that it is almost impossible not to notice them.
How to determine a dislocation:
First Aid Rules
The question of how to set the finger on the hand yourself is completely irrelevant. After all, if you independently recognize the signs of dislocation, it is almost impossible to notice a bruise, sprain or rupture of the ligaments without diagnosis. Thus, with self-regulation, even with the correct effect on the displacement, the problem can be seriously aggravated.
Despite the fact that you can’t directly set your index finger and thumb, you can and should give first aid to the victim.
First aid for dislocation:
Thumb dislocation treatment
Treatment of dislocation begins with a thorough diagnosis. The doctor’s task is not only reduction of the diseased joint, but also the elimination of possible complications. An x-ray is used to diagnose such a problem. It allows you to identify possible complications.
After diagnosing the problem, the doctor prescribes treatment. If there is only a dislocation without certain complications, the patient is given local anesthesia. Further, the traumatologist simply performs a reduction of the joint. After that, gypsum or a fixing bandage is applied to the finger.
The finger will heal for about a month and a half, but the bandage is usually removed after a couple of weeks.
During the rehabilitation period, it is important to protect your finger from excessive loads, but at the same time it is important to develop it. After all, it depends on how well the performance of the injured department is restored.
During the rehabilitation period, drug therapy is primarily prescribed. Usually these are painkillers and anti-inflammatory drugs. Mineral and vitamin complexes can also be used. In rare cases, chondroprotectors are used.
Physiological therapy can also give a good effect. When treating a finger, workouts and massages are most often prescribed. A warm-up involves performing rotational movements with a brush before the fixing bandage is removed, and with your finger after it is removed.
Such techniques allow you to develop a joint and prevent muscle weakness. They also help improve blood circulation and speed up metabolism.
Among other methods of treating such a problem, one can note the procedures aimed at exposure to the damaged area using special devices. This can be electrophoresis, laser therapy, etc. Also, patients are often offered a form of exposure such as magnetotherapy, but its effectiveness is in doubt.
Folk remedies can be used in the rehabilitation period after the dislocation. These methods include mud therapy, as well as the use of various lotions, rubbing, compresses and ointments based on herbs and beekeeping products. Their action is aimed at eliminating unpleasant symptoms and improving blood circulation in the damaged area.
It is also worth noting the importance of proper nutrition in the treatment of such a problem. The products should have enough elements that contribute to the restoration of articular tissues. We are talking about dairy products, a number of fruits, such as avocados, as well as red varieties of fish. It is important to exclude foods that interfere with the absorption of essential substances. First of all, we are talking about coffee and alcohol.
Features of dislocation in a child
Children are more prone to dislocations than adults. This is due to the fact that their joints are not yet fully formed, and the ligaments are more prone to stretching and with a more active and traumatic pastime.
In fact, the specifics of first aid for children and adults have few differences. However, due to the fear when such an injury occurs, the child may be in a state of shock, and the primary task in this case is to calm him down. It is also important to be careful about anti-inflammatory and analgesic drugs. They must be approved by children. It is important that the adults next to the child are also calm. Panic and noise can aggravate the condition of a small victim.
Treatment of dislocation usually occurs quite simply, however, due to the complexity of the reduction technology and the likelihood of concomitant problems, it is necessary to immediately contact a specialist if an injury occurs. Do not self-medicate and be healthy!
Symptoms and treatment of dislocation of the thumb on the hand
Of all the fingers on the hands, the thumb is the most vulnerable, which is fully explained by its special location. And his most frequent injury is a dislocation. Such damage is particularly discomfort and pain and causes a lot of inconvenience, because there are a lot of nerve endings on the hands.
If there is a dislocation of the thumb, then the person almost completely loses the mobility of the wrist, and even the simplest household manipulations become beyond his strength, because they cause severe pain. Therefore, in the event of such a, albeit small, but very painful injury, it is important to do everything possible so that the healing process and restoration of its working capacity go as quickly as possible.
How and why dislocation occurs
Dislocation is the displacement of a bone in a joint, during which a change in its shape occurs and pain appears when trying to perform any movement. The main cause of dislocation is the impact on the joint of such a force that exceeds the threshold strength of the ligaments and muscles, and they are unable to hold the bones in the correct position.
In which cases a dislocation usually occurs:
Depending on the degree of bone displacement, dislocation of the thumb on the hand is complete and incomplete. In the first case, there is a complete discrepancy in the bones of the joint. In case of incomplete dislocation, or subluxation of the thumb, the divergence does not occur completely and the surfaces of the bones partially touch.
In addition, dislocations are divided by the time of their occurrence, namely:
What types of dislocations of the thumb still distinguish? Another classification is based on the nature of the damage. If the dislocation does not entail damage and tearing of the tissues over the joint, then it is called closed. If, as a result of the bone leaving the joint of the thumb, a wound has formed on the skin, then the dislocation is called open.
Symptoms of a dislocation of the thumb on the hand
Usually diagnosing a dislocation of the thumb is quite easy. It is noticeably manifested both externally and in the sensations of the victim. The finger with such an injury looks unnatural, because the joint and bones are deformed and displaced from their previous places.
In addition, symptoms characteristic of a dislocation are manifested, namely:
First Aid Rules
No one is safe from the dislocation of the thumb on the hand. And in order to speed up the healing process of such an injury, it is important to provide first aid as soon as possible. Since it is not always possible to immediately go to the hospital to receive medical care from qualified specialists, everyone should know the rules of first aid for dislocation:
After first aid, you need to bring the victim to a medical facility as soon as possible for examination by a traumatologist. If necessary, you can call an ambulance crew.
You can learn more about the methods of dislocation reduction here.
Thumb dislocation treatment
Treatment of dislocation of the thumb should occur only in a medical organization and the nature of the therapy is determined by the trauma doctor. It is strictly forbidden to independently correct the dislocation, because a person who does not have the appropriate medical knowledge by such self-medication can only aggravate the situation and even injure the joint.
Thumb dislocation therapy is carried out according to the following algorithm:
Typically, the dressing needs to be worn for two weeks, after which the partial functionality of the finger is already restored. Full restoration of all functions occurs a little later, after about 1-2 months.
The rehabilitation period for a dislocation of the thumb on the hand begins immediately after the plaster or fixation bandage has been removed. All recommendations regarding this stage should be given by a doctor, and if they are carefully observed, then the rehabilitation period can last from 4 to 6 weeks.
The main procedures that are recommended to be performed to restore the working ability of the finger on the hand after removing the bandage are:
All these therapeutic measures are aimed not only at restoring the motor activity of the hand, but also at normalizing the work of the ligamentous apparatus. In addition, to improve blood circulation in the area of damage, it is necessary to make movements, when performing gymnastics, not only with the brush, but also with the wrist, since it is also fixed with plaster.
Dislocation of a finger in a child
Dislocation of the thumb in children is much more common than in adults. This is due to the fact that babies are usually overly active, while they still do not have enough control over their movements, which means they often fall. In addition, the ligamentous apparatus and joints in children are much weaker, and the bones are thinner than in adults, respectively, and they are injured more easily.
Dislocation of the thumb on the child’s hand leads to the fact that the baby has a fright and begins to panic due to pain, it is much more difficult to fix an injured limb. Therefore, the basic rule for helping the victim in this case is to reassure the child. Then you need to try to fix the damaged finger as soon as possible, apply cold and deliver the baby to the emergency room.
The rest of the therapeutic and rehabilitation measures in children with dislocation of the finger are no different from those in adults. The only thing that has a difference is the recovery time, because the children’s body is able to recover much faster.
Now you know what to do with a dislocation of the thumb on your hand and how to treat an injury.
Victor Sistemov – expert at 1Travmpunkt
What to do if you dislocate a finger on your hand
Dislocation of the finger is a painful condition during which the articular surfaces of the bones are displaced in the victim.
The finger loses mobility and functionality, it is deployed to the back or the outside of the palm, sometimes there is a lateral dislocation.
With a complete dislocation, the ligaments break and contacts between the surfaces of the joints are lost. In most cases, traumatologists encounter damage to the thumb and forefinger, in 15 – 18% of cases the remaining fingers suffer.
The clinical picture depends on which finger is damaged and the ligaments between which phalanges are torn.
Dislocation of the thumb
During sharp and gusty movements, the ligamentous apparatus may not withstand the load. Signs of damage include the following:
Also, patients have local fever, tingling or numbness of the bruised area.
Damage to the main phalanges of 2-5 fingers
Dislocations of the remaining fingers (with the exception of the thumb) are slightly different. In most cases, the lesions are dorsal. The patient feels a sharp pain in a bruised place. It is impossible to move a finger; it becomes immobilized. When you try to put it in place, spring back.
Dislocation of the middle and nail phalanges
A bruised finger begins to hurt greatly, it becomes completely motionless. The skin turns pale, and the joint enlarges and swells. Usually these are back dislocations, but sometimes side injuries also occur.
Dislocation is complicated for the victim by the fact that he does not know what he faced. After all, a dislocation can turn out to be a fracture. Damage to the skin makes it difficult.
If you suspect a dislocation, first aid should be provided:
All emergency rooms are equipped with x-rays, the patient will be taken a picture, after which the traumatologist will provide assistance. The doctor will set the joint, and if necessary, apply plaster.
The traumatologist examines the damaged joint, clarifies the details of the injury, how the bruise occurred.
Then the patient is given an x-ray, according to the image, the diagnosis is made.
The doctor prescribes treatment and sets the joint in place. In some cases, the doctor prescribes an MRI, this is necessary if the patient has a suspicion of pinching the joint.
Therapy depends on the condition of the patient and the degree of damage. Direction of the finger is accompanied by severe pain and is carried out only with anesthesia. There are several basic methods for treating a dislocated finger.
In an uncomplicated situation, the dislocation is corrected without surgery. The patient is intravenously anesthetized or given local anesthesia. This will provide muscle relaxation.
Usually, reduction takes place quickly: a hand is raised slightly to avoid swelling.
The doctor takes on the tip of the dislocated finger, gently and smoothly pulls it into place.
After a characteristic click, the joint is in place and takes the correct position.
If tendon is pinched during a dislocation, then the traumatologist turns his finger toward the elbow, along with this bends the nail phalanx.
After the doctor adjusts the joint, the patient is imposed with a longet. To relieve pain, non-steroidal anti-inflammatory drugs (Paracetomol, Diclofenac) are prescribed. To eliminate puffiness, doctors prescribe Diclofenac, Fastum Gel or Ketonal. Important! Ointments are applied to the damaged area several times a day, according to the instructions.
In parallel with the wearing of the longitude, the patient is prescribed physiotherapy: functional therapy and UHF therapy.
This procedure is also called open reduction. In difficult situations, the victim is hospitalized and undergoes surgery. This case is likely if the damage to the thumb is complicated (the tendon is injured), but it was not possible to straighten the joint in a closed way. For surgery, use a local or conductor type of anesthesia.
The traumatologist dissects the strangulated capsule using an elevator, the tendon moves in the right direction, then the surgeon adjusts the joint.
At the final stage, the wound is sutured, drainage is performed. Doctors apply a splint on the finger to immobilize the joint, ensuring normal fusion.
Sutures are removed after 10 days. Longet – in three weeks.
Open reduction is also carried out with dislocations of 2 to 5 fingers, in which tendon damage is observed.
Surgery is different from thumb treatment. Tendons are sutured to the bone with transossal sutures, then reduction is performed.
Attention! If, after injury, the joint was not repaired, then doctors prescribe an operation. The doctor has to restore the bone and ligamentous apparatus.
The course is designed for six weeks, aimed at improving mobility, relieving pain, strengthening the affected joint. Doctors prescribe:
Exercise therapy is prescribed individually, depending on the severity of the injury, the nature of the dislocation, which finger is damaged, and which phalanx is damaged.
Massage is carried out every day after the removal of the sponge. The first sessions pass within 5 minutes, then the duration is adjusted to 20 minutes. General massage course – 14 days.
As physiotherapy can be prescribed: treatment with a laser or ultrasound, magnetotherapy, exposure to weak discharges of current or infrared rays.
How is exercise therapy
Physiotherapy exercises are prescribed to achieve the following goals:
At the first stage, pour warm water into the basin, if you want, add sea salt. Steam the brushes for a few minutes. Now you can start training.
The set of exercises depends on each case, but usually the following exercises are prescribed for patients:
Each exercise is recommended to be done 10 times, three times a day.
Doctors also recommend performing exercises that improve fine motor skills. This can be embroidery or sewing, typing on the keyboard, folding puzzles or designers.
If the thumb is dislocated, then the doctors in parallel with the main complex recommend:
The video shows the direction of dislocation of the finger on the hand. The patient fell unsuccessfully, and as a result he dislocated a finger on his hand. After anesthesia, the finger was set. Watch the video in English:
Which doctor to contact
When a dislocation appears pain, deformation of the joint, immobility of a sick finger. Joint reduction is done by traumatologists. If you suspect an injury, you should call an ambulance or deliver the patient yourself to the nearest trauma center.
Anyone can dislocate a finger on his hand. This is a painful condition in which a bruised limb loses mobility. The joint swells, and the skin turns pale.
Dislocation can not be repaired independently. The patient should be given first aid and immediately taken to the emergency room. Treatment depends on the severity of the injury. In simple cases, the doctor restores the finger in place, with complications, surgery is performed.
Dislocation of the finger on the hand: symptoms of dislocation, what to do with a dislocation
Dislocation of a finger on a hand is a very common injury. It can be obtained in everyday life, at work or when practicing certain sports. This damage does not pose the slightest threat to the life of the victim, but significantly limits his actions. In the hands there are many nerve endings, so a dislocation can cause very severe pain.
When falling, the thumb is most often injured in connection with the features of its anatomical position.
Types of dislocations
Dislocation of the finger is a pathological displacement of the articular surfaces of the bones that form the metacarpophalangeal or interphalangeal joint. This damage is often accompanied by rupture of the ligamentous apparatus and articular capsule, which subsequently can lead to serious complications if qualified medical care is not provided in a timely manner. It is possible that damage to the skin, which with insufficiently thorough antiseptic treatment can cause an infectious process.
Depending on the degree of displacement, dislocations are divided into complete (there is no contact between the articular surfaces) and incomplete (subluxations).
In the direction of bone displacement, injuries are divided into back (most common) palmar и lateral.
Varieties of offsets:
Symptoms of a dislocation of a finger on a hand
It is almost impossible to differentiate independently a dislocation of a finger from a fracture. In both cases, there is a well-marked change in the appearance of the limb. To clarify whether there is a violation of the integrity of bone tissue, it is possible only during an X-ray examination.
The leading symptoms of finger dislocation include:
sharp pain (intensity increases when trying to move);
RџSЂRё palmar dislocation I finger, he moves towards the palm. During the examination, it is possible to palpate the head of the metacarpal bone. A sign back dislocation is shortening of the thumb and its extension in the interphalangeal joint. The articular surface of the main phalanx is palpated on the back surface, and the head of the metacarpal bone on the palmar surface. The tendon of the muscle of the long flexor can be trapped between displaced surfaces, which greatly complicates the process of reposition.
Dislocation of the main phalanges of the remaining fingers occurs mainly in the back direction. With a passing movement, sharp pain and resistance of a springy nature are felt.
Dislocations of the middle and nail phalanges of the II-V fingers are most often the back and side. A characteristic feature is complete immobility. Among the most serious complications is a tendon rupture of the extensor muscle (in some cases, along with a small fragment of the bone).
What to do when a finger is dislocated: first aid
At the slightest suspicion of a dislocation or fracture of the finger, you must go to the nearest trauma center. The victim will need an X-ray examination and qualified medical assistance. Ruptures of tendons and joint capsules may require hospitalization in the specialized department of the hospital. During transportation, it is advisable to immobilize a sore arm.
First of all, it is necessary to ensure complete rest and immobility of the damaged limb. To reduce the severity of edema and the intensity of the pain syndrome, it is advisable to attach ice or a bag of cold water to the injured area.
Ice should be removed every 10-15 minutes to avoid frostbite.
The injured hand should be immediately freed from jewelry and clothing that could disrupt blood flow amid growing swelling. For a better outflow of blood and lymph, it is advisable to keep the diseased limb in an elevated position. Inside, you can take a tablet of an analgesic or a non-steroidal anti-inflammatory drug.
Means to help reduce pain with dislocation of the finger:
Open wounds (even small ones) should be thoroughly washed, treated with an antiseptic solution (5% iodine, potassium permanganate, furatsilin, brilliant green) and covered with an antiseptic dressing. Damage to the skin must be reported to the doctor; in some cases, it is an indication for the administration of tetanus toxoid.
To prevent aggravation of the dislocation, it is necessary to carefully immobilize the diseased finger on its own, bandaging it to a neighboring healthy one. Care must be taken to ensure that the bandage is not overly tight, as this will interfere with normal microcirculation in the injury zone. Fixation should be abandoned if the finger is seriously deformed or swelling rapidly increases.
In no case should you try to straighten your dislocated finger yourself. This can cause complications such as rupture of the joint capsule and pain shock!
Treatment for dislocation of the finger on the arm
The patient can be taken to a medical institution on his own or call an ambulance.
Directly in the emergency room, the doctor collects an anamnesis, i.e., conducts a survey and examines the injured arm. Then, to clarify the nature of the damage, he sends it to a radiography. If there is reason to suppose a tendon infringement, resort to additional methods of hardware diagnostics – computed or magnetic resonance imaging.
With uncomplicated dislocation, they resort to the usual comparison of articular surfaces. If bones or soft tissues are damaged, then surgical intervention is necessary.
Closed reduction is performed under local or general anesthesia (anesthesia). With local anesthesia, additional administration of muscle relaxants may be required to reduce muscle tone. The limb is fixed for a while or asked to hold in an elevated position to slightly reduce puffiness. In most cases, to restore the anatomical ratio of the articular surfaces, it is enough to take your finger sideways and pull the tip (in the axial direction). When the joint returns to its normal position, a characteristic click will be heard.
When a tendon is pinched during a dislocation of the first finger, it is rotated to the elbow side with parallel bending of the nail phalanx.
After the procedure, a finger is applied to the finger and part of the brush to immobilize. It must be worn for at least 3 weeks.
In the absence of complications after a closed reduction, a full recovery of disability is required on average 4-5 weeks.
Open reduction is a surgical intervention that is resorted to with a back dislocation of the thumb of the hand with an infringement of the tendon and the inability to compare surfaces in a closed way. The operation is performed under conductor or local anesthesia. The injured capsule is dissected by the rear beam access, after which the tendon returns to its normal position using a special elevator tool. The final stage of surgical manipulation is layered suturing and drainage. Sutures are removed after 10 days, and the patient has to wear the dressing for immobility for 3 weeks.
The operation is also needed in cases when dislocations of the II-V fingers are complicated by injuries of the extensor tendon. During the intervention, he is sutured to the bone with special sutures. Then, the fragment is repositioned (in the presence of a fracture) and the joint surfaces are compared. The bandage is worn for 3 weeks.
An indication for surgical intervention is a chronic dislocation, in which more than a week has passed since the injury, and spontaneous reduction has not occurred. A possible complication in such situations is the formation of a false joint, the elimination of which requires plastic ligaments and articular surfaces. A rigid immobilizing dressing is applied for a period of 2 weeks to 1 month.
After the bandage from the injured hand has been removed, it is recommended that you perform the full recovery of its functions as soon as possible. sets of exercises for the hands. Also shown rubber expander training and performing actions to restore fine motor skills of the fingers.
In parallel, it is recommended to perform lymphatic drainage massage, passive warm-up and visit the physiotherapy room (UHF is recommended, and for pain – electrophoresis with novocaine).
To reduce the signs of inflammation (including pain and swelling), it is advisable to apply ointments and gels containing NSAIDs locally 2-4 times a day (including Diclofenac, Fastum-gel, Voltaren-emklgel, etc.).
Wearing an elastic bandage may be indicated for several weeks.
Traditional medicine recommends making baths with decoctions and infusions of walnut leaves and needles. It is useful to apply fresh leaves of plantain or white cabbage to edematous tissues.
Plisov Vladimir, doctor, medical observer
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How is dislocation of the finger on the hand treated?
Such an injury as a dislocation of a finger on a hand is particularly painful due to the large number of nerve endings. With a dislocation, a displacement or change in the shape of the articular surface of the bone occurs. The causes of dislocations can be both external – trauma, and internal – arthrosis, arthritis. Often people get this injury if safety precautions are not observed during amateur basketball, volleyball and other outdoor ball games.
In order to protect yourself or your child from injury, it is useful to wrap the brush with an elastic bandage so that it is wrapped around the thumb and enhances the receiving ability of the palm. If the game occurs after a long break, or the player has weak muscles and ligaments, you first need to stretch, having worked through each finger joint. Before playing the ball, for your own safety, remove all jewelry, especially rings. With senile fragility of joints for dislocation, you do not need any special load, you can get injured even just crunching your fingers. According to statistics, in winter during sleet, injuries of this kind occur many times more often than in summer. Dislocation of the thumb is the most common, it can occur when falling on the palm, shock or excessive extension of the thumb in the opposite direction.
The thumb has a strong ligamentous apparatus, which is used daily, however, if the allowable load is exceeded, ligament rupture and bone exit from the joint bag can occur.
The little finger, on the contrary, does not have powerful ligaments, it is the weakest finger, so it is vulnerable to falling or hitting a flat surface. Dislocation of the little finger is usually accompanied by severe bruising. Dislocations can not be repaired independently, a professional should do this. In order to determine that this is precisely a dislocation of the finger, and not an incomplete fracture, you need to contact the emergency room. If several fingers are dislocated at the same time, rehabilitation may take a little longer.
Signs of dislocation
For dislocations of the fingers of both the upper and lower extremities, the same symptoms are characteristic:
Sometimes, due to the nature of the injury and the individual characteristics of the innervation of the damaged area, a person may not feel pain. If the joint bag is not torn, there may also be no swelling. It is quite difficult to independently determine whether an injury is complicated by a fracture or a crack in a bone, so you should definitely consult a doctor.
First aid for dislocation of the finger
Sometimes people get injured at home, and before the arrival of specialists an hour and a half passes. How to correctly provide first aid before the ambulance arrives or before the victim is delivered to the emergency room? The first thing to do is to carefully remove the rings from your finger, if any. Edema will only intensify, and the left ring will seriously complicate the work of the doctor. Then you need to immobilize the damaged finger. If there is a dislocation of the middle joint, you can use a plaque or any other flat object the size of a popsicle stick. Using a bandage, rag, rag, finger, wrap the finger on the board.
At the site of injury, you can attach ice in a bag or a bottle of ice water. There should be no direct contact of ice with the skin, it is recommended to apply it through a tissue. Ice anesthetizes and helps reduce swelling. Before arriving at the emergency room, you can take any non-narcotic pain medication, which you must inform your doctor. If possible, keep your hand in a raised position so that there is no stagnation of blood. You can’t drive a vehicle yourself with a dislocated finger.
What is not recommended to be done during first aid:
With quick access to medical help, the prognosis for recovery is very favorable. If treatment and rehabilitation are carried out correctly, after a month, a person without difficulty uses a finger.
Hand dislocation treatment
Diagnosis is by x-ray, after which a decision is made on surgery. If the injury is simple and the dislocation has occurred in the middle joint, the finger is immobilized with plaster and the patient is sent home. If joint restoration is required to restore the functions of the ligamentous apparatus, this is done as soon as possible to avoid complications. When repositioned, local anesthesia is usually applied. Traumatologist pulls a damaged finger until it clicks. According to the degree of limitation, dislocations are divided into:
By the nature of the damage there are dislocations:
Dislocations older than a month are often complicated by the formation of pseudoarthrosis and incorrect functioning of the ligamentous apparatus. During treatment, old-fashioned dislocations require surgery under local anesthesia, during which the surgeon re-organizes the position of the bones relative to each other, so that the joint bag in the anatomically correct position subsequently recovers. In case of dislocations complicated by rupture of ligaments or a fracture, surgery is also performed. Recovery time depends on the characteristics of the injury. With a dislocation, a sprain or rupture of the ligaments can occur, with a break, healing will take longer.
In difficult cases, instead of gypsum, a Beler wire splint is applied, after removal of which the patient is prescribed a course of therapeutic massage, physiotherapy procedures and gymnastics. Simple dislocations heal from two weeks to a month, complicated – from a month to two. After removing the plaster cast, the patient is also advised to flex the finger using special therapeutic exercises. Exercises, selected by the orthopedist in each case, contribute to the speedy restoration of the motor functions of the finger. In order to avoid difficulties with finger mobility and subsequently to avoid chronic pain and dislocation, it is important to treat therapeutic exercises responsibly, perform all the exercises and not overload the recovering finger. At first, ointments of a wide spectrum of action are prescribed to relieve swelling and pain.
Complications after a dislocation
Why can not you correct the dislocations yourself? Because only a professional can foresee all the consequences of his actions. With illiterate reduction, pinching of soft tissues or damage to nerve endings can occur, which will lead to a temporary or complete loss of sensitivity in the area of the skin. Damage to nerves can cause impaired motor activity, the finger will not bend or bend in the right place. To prevent the development of complications, you need to visit the emergency room and follow the recommendations of the attending physician, without neglecting gymnastics.