Thumb fractures are easy to recognize, but there may be some joint fractures that require surgery. Because thumb injuries can have lifelong consequences and affect all activities from eating to work, they should not be taken lightly. X Research sources Brian Carlson MD and Stephen Moran MD. American Society for Surgery of the Hand May June 2009 Volume 34 Issue 5 945-952  X Research Sources Skinner, H., Current Diagnosis and Treatment of Orthopedics, 5th Edition, Chapter 9, Hand Surgery, 2008 You should know the symptoms mother broken finger and what your treatment will look like.
Symptoms of a broken thumb
Watch for severe pain in your thumb. When your thumb is broken, you immediately feel excruciating pain. Pain occurs because the bone is surrounded by nerve endings. When your bone breaks, it can irritate or pinch nearby nerves and cause severe pain. If you don’t feel severe pain after the injury, your thumb may not be broken.
Your thumb will also hurt a lot when you touch it or when you try to bend it.
In general, the closer the joint pain is to where the thumb joins the rest of the hand (near the “membrane” between the thumb and index finger), the more serious your injury and the greater the risk of potential complications.
Pay attention to the deformation at the site of the injury. You should look at your thumb to see if it looks normal. Is it bent or bent at an unusual angle? Also, make sure there are no bones sticking out of your skin. If you see any of these symptoms, you most likely have a broken finger.
The thumb also tends to be full of bruises and bruises, which are signs of dysfunction of the blood vessels in the finger tissue.
Try moving your thumb. If you have a broken thumb, the movement will cause you severe pain. The ligaments that connect the bones are unlikely to function, so you may not be able to move your thumb.
Be careful to bend your thumb back. If you can bend your thumb back without pain, it’s probably just a dislocation and not a fracture.
Watch for numbness and cold feelings. In addition to pain, compressed nerves can also cause numbness in the thumb. You’re also more likely to catch a cold because a broken bone causes swelling that blocks the blood vessels that supply blood to your thumb and surrounding tissue.
Your thumb may also turn blue due to insufficient blood supply.
Watch for swelling around your thumb. When you break a bone, the surrounding tissue swells with inflammation. The thumb may swell within 5-10 minutes after the injury. If your thumb swells, it may also start to stiffen.
Swelling of the thumb can also affect the other fingers around it.
Check your thumb to the doctor
See your doctor or go to the emergency room. If you think you have broken your thumb, you should go to the emergency room and have it checked as soon as possible. If you wait too long, the swelling around the broken bone can prevent the bone from growing properly, meaning your thumb must be permanently bent.
In addition, a broken thumb in children can have a long-term impact on growth because it is damaged.
Even if you suspect you have just sprained your thumb (tear ligaments) and there are no fractures, you should consult a doctor to be on the safe side. In addition, some of the more serious injuries may require surgery even in the absence of a fracture. You should leave it to your doctor to diagnose and determine the right treatment for your injury.
Do a medical examination. Apart from describing all your symptoms which we mentioned in the first part of the article, you should also have a physical examination of your thumb. The doctor will test the strength and mobility of the thumb compared to a healthy, uninjured thumb. Another test is to touch the tip of the index finger with the tip of the thumb and then apply pressure to the thumb, which indicates actual weakness in the finger.
Take an X-ray of your thumb. The doctor will likely order X-rays of the thumb from multiple angles, which will not only confirm the diagnosis but also allow the doctor to examine the fractured thumb from all sides to determine the best treatment. The thumb is usually X-rayed from the following angles:
Lateral: Side view is an X-ray of the hand lying on its side with the thumb facing up.
Transverse: The transverse view is an X-ray with the hand tilted to the side and the thumb pointing up.
AP: The AP is an x-ray of a straight hand viewed from above.
Ask your doctor if you should also have a computed tomography (CT) scan. Sometimes it is also appropriate to perform axial computed tomography (CAT). This test uses X-rays and a computer program that work together to create an accurate picture of the inside of your body (in this case your thumb). With this test, your doctor can tell what your fracture looks like and the best way to treat it.
If you are a pregnant woman, tell your doctor – CT scans can affect fetal development.
Ask your doctor to diagnose the type of fracture. After the doctor has performed all the relevant tests, they will diagnose your fracture. This will determine the appropriate treatment options for your situation.
Extra-articular fractures are fractures that do not occur in the joint but occur in one or two bones in the thumb. Although very painful and require about six weeks of recovery, they do not require surgical treatment.
Intra-articular fractures occur along the joint and often require surgery to maintain maximum thumb mobility after recovery.
The most common intra-articular fractures include the Bennett fracture and the Roland fracture. In both cases there is a billing (and often dislocation) of the carpometacarpal joint (the joint closest to the palm). The main difference between the two fractures is that a Roland fracture contains two or more bone fragments that need to be aligned, and while a Bennett fracture does not always require surgery, a Roland fracture almost always requires surgery.
Broken thumb treatment
Visit an orthopedist. The orthopedist will look at X-rays of your thumb and other test results and determine the most appropriate treatment. It also takes into account the nature of your fracture (intra- or extra-articular) and focuses on its complexity (Bennet vs. Roland fracture).
Find out if your fracture can be repaired without surgery. In relatively mild cases (such as extra-articular fractures), doctors can replace the bone fragments manually without the need for surgery. Before the doctor tries to straighten your thumb, they will give you a local anesthetic so the procedure won’t hurt you.
This method (sometimes called closed reduction) usually involves pulling and applying pressure along the fracture and straightening it under fluoroscopy (continuous X-ray), which allows the doctor to see if the fragments are properly connected.
For some of Roland’s fractures, especially those whose bones had been shattered into pieces, it was possible to use this treatment method. The surgeon will try to connect the fragments as best they can.
Surgical treatment methods. For intra-articular fractures (such as a Roland or Bennett fracture), the orthopedist will usually suggest surgery. The specific type of surgery depends on the severity of your fracture. Common options include:
Wires are inserted into the skin under fluoroscopy to align the bone fragments. This option is primarily used in the treatment of Bennett fractures, where the fragments are close together.
The surgeon opens their hand and inserts small screws or pins into the bones to hold them in place.
Potential complications of thumb surgery include injury to nerve endings or ligaments, stiff thumb, and an increased risk of arthritis.
Fix your thumb. Whether it is necessary to treat your thumb fracture surgically or as an outpatient, your doctor will put a cast on your thumb so you can’t move with it and the bone fragments can grow together properly.
You will need to wear the patch for two to six weeks (usually six weeks).
During this period, you need to visit the doctor regularly.
Start rehab. Depending on how long you had the patch on your hand before your bone grew, your doctor may recommend rehabilitation. The therapist will show you a series of exercises that will help you regain full dynamism and strength in the atrophic muscles during finger immobilization.