العربية 
Hand Fractures – Diagnosis & Treatment
Hand Fractures – Diagnosis & Treatment
Our hands allow us to perform countless tasks with remarkable skill. However, these complex structures are also susceptible to injuries, and hand fractures are relatively common.
A broken hand can significantly impact your daily life, whether caused by a fall, sports injury, or direct blow. This blog delves into hand fractures, exploring different types, diagnosis methods, treatment options, and the road to recovery.
Types of Hand Fractures: Understanding the Break
Hand fractures can occur in various bones, each with its own characteristics. Here’s a breakdown of some common types:
Distal Radius Fracture: This fracture occurs at the end of the forearm bone (radius) closest to the wrist. It’s also known as a “Colles’ fracture” and is a frequent outcome of falls on outstretched hands.
Metacarpal Fractures: Metacarpal Fractures involve breaks in the five long bones between the wrist and the fingers. They can be caused by direct blows or falls.
Phalangeal Fractures: These fractures occur in the bones of the fingers (phalanges) and can occur for various reasons, including crushing injuries or jamming fingers in tight spaces.
Bennett’s Fracture: This specific type of fracture involves the base of the thumb metacarpal bone, often accompanied by ligament damage. It typically occurs due to falls on the outstretched thumb.
Symptoms of a Hand Fracture
A broken hand can present with various symptoms, including:
Pain: Pain in the affected area is the most common symptom, often worsening with movement.
Swelling: Swelling and bruising around the fracture site can occur.
Deformity: Sometimes, the hand might appear visibly deformed or crooked.
Tenderness: The area around the break will be tender to the touch.
Loss of function: Difficulty grasping objects, decreased grip strength, and limited movement are shared.
Diagnosis of Hand Fractures
If you suspect a hand fracture, seeking medical attention promptly is crucial. Doctors typically diagnose hand fractures through:
Physical examination: The doctor will examine your hand for tenderness, swelling, and deformity and assess your range of motion.
X-rays: X-rays are the primary imaging tool to visualise the fracture location and severity.
For fractures with many breaks or near joints, detailed scans (CT or MRI) can provide a clearer picture to help doctors determine the best treatment.
Treatment Options for Hand Fractures
Treatment for hand fractures depends on the severity and location of the break. Here are some common approaches:
1- Immobilisation: To promote proper healing, doctors will often use a cast or splint. This immobilises the fractured bone and surrounding structures, allowing them to fuse back together correctly. The length of time you’ll need the cast or splint depends on the specific fracture.
2- Reduction: In some cases, the doctor might need to manipulate the broken bones back into their proper position (reduction) before applying a cast or splint. This may be performed under local anaesthesia or sedation.
3- Surgery: Fractures that extend into the joints and cause displacement of the joint and articular surfaces typically require surgical intervention.
This surgery is performed in an operating room under anaesthesia, using sterile techniques and X-ray guidance to achieve the best possible alignment of the fracture, articular surface, or dislocation. Various fixation devices, such as pins, screws, and plates, are used to stabilise the fracture.
Post-surgery, the hand is usually immobilised with a compressive dressing. Whether treated surgically or non-surgically, it is crucial to keep the arm elevated to manage swelling. Following the surgeon’s instructions on activity levels is essential. Controlling swelling through elevation and promoting early motion are key goals in the recovery process.
Healing and Rehabilitation: The Road to Recovery
The healing process for hand fractures can take several weeks or even months, depending on the severity of the break. Here’s what to expect during recovery:
1- Follow-up appointments: Regular doctor visits are essential to monitor healing progress and ensure proper alignment of the bones.
2- Physical therapy: Once your cast or splint comes off, physical therapy exercises can jumpstart your hand’s journey back to feeling strong, flexible, and having a full range of motion.
3- Pain management: Over-the-counter pain relievers can be a good option for managing pain while your fracture heals.
Preventing Hand Fractures
While some hand fractures are unavoidable accidents, there are ways to minimise your risk:
1- Strengthening exercises: Regularly exercising your hands and wrists can improve bone density and strength, making them less susceptible to fractures.
2- Fall prevention: Implementing measures to prevent falls, such as using appropriate footwear and enhancing home safety, can greatly decrease the likelihood of hand fractures.
3- Proper technique in sports: Using appropriate equipment and practising safe techniques during sports activities can lessen the chance of hand injuries.
Hand fractures can disrupt daily life, but with proper diagnosis, treatment, and rehabilitation, a full recovery is usually achievable. Understanding the types of fractures, recognising the symptoms, and seeking prompt medical attention can ensure optimal healing and a return to your daily routine.
Choose Dr Robert Hierner for Hand Surgery in Dubai
Prof. Dr Robert Hierner is an internationally renowned hand surgeon in Dubai and Muscat. With over 30 years of experience and extensive training in Germany, the UK, the US, and Belgium, he offers cutting-edge procedures.
Dr Robert Hierner is also the editor and author of a prominent German textbook on hand surgery, reflecting his expertise and knowledge in the field.
