Fractures of the fingers can occur due to the action of direct trauma (it can include the impact of moving mechanisms, impact, falling of a heavy object, and so on). In order to recognize a fracture, you need to rely on the presence of the following symptoms: pain at any point when clenching the hand into a fist, crunching of bone fragments, swelling of the back of the hand or fingers, deformity (curvature of the fingers), and restriction of movement.
Give the affected person first aid before starting treatment for the fracture. It consists in transport immobilization. In case of fracture of the phalanges of the fingers, perform it in the following sequence: first, give the injured hand a position that is characteristic of a fracture of the bones of the upper extremities, then make a splint (it should be in the form of a groove). Apply it starting from the elbow joint and ending with your fingertips (it is best if the splint even extends beyond their limits). You should put a cotton pad in the gutter, a dense ball made of gauze or cotton is clamped into the hand. Next, bandage the tire firmly and hang it on the kerchief. In the event that the fracture is open, treat the wound before transport immobilization, apply a sterile bandage.
Before starting treatment for a fracture, the doctor must establish an accurate diagnosis using an X-ray (usually at least two pictures are taken). It will not only clarify the location of the fracture, its nature, but also show the direction of displacement of bone fragments. After performing surgical treatment or comparing the debris, a control X-ray is assigned. This is done in order to check if the treatment is correct, and if so, how much. The next picture will need to be taken ten to twelve days after the injury. The fact is that it is during this period that a decrease in tissue edema is observed, but there is a danger that bone fragments may be displaced. The specialist also determines the results of the entire treatment (that is, the union of the fracture) using an X-ray, but after removing the plaster cast.
By the way, it is better to compare the debris as soon as possible, because the result of the entire treatment depends on this (no later than the second day after the injury). The matching procedure is usually performed under local anesthesia (that is, only the damaged area is anesthetized). After this manipulation (if everything went well), a plaster cast is applied to the patient. As a rule, the existing bone fragments are fixed with special wires (one or two) for three weeks. After this period, the needles will be removed, but the plaster cast will be left for another two weeks. As soon as he is removed, physiotherapy, physiotherapy exercises will be prescribed.