Fracture Proximal Phalanx, 4th Finger, Left Hand. Surgery Or Not?


Aug 5, 2014

I broke the ring finger from the left hand and have consulted with two trauma specialists in hands, yet one recommended surgery and the other not. 

Can someone tell/confirm me if my case really requires surgery or not and if it´s not required, will the sensitivity and finger mobility affected?

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I have washed my hands just to see if it was dirt or something when I did yard work last night. The top of my finger is orange/bronze looking and I've researched it and it could be gangrene but I seriously doubt it, but never know. I came here to ask others what it could be.

I realized it about 2 1/2 hours ago at school during breakfast. I thought it was strange cause I have not ever seen it before. It doesn't hurt that I know of yet. Its just like below my nail not like underneath it but below it.

That's all I can really say about it right now. If anything comes up or affects any other places on me will let ya know

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Proximal Humerus Fracture And Dislocation Of Shoulder

On the 30th November I was crossing a road and was struck by a car.

I was knocked unconscious, but after getting taken to a&e and CT scans and xrays they found I had a proximal humerus fracture

The hospital I was admitted to were terrible at giving me information, but I was told I needed it fixed with an operation. Turns out the shoulder was dislocated and the humerus broken right by it.

Eventually they took me down to surgery on the 4th December (was in hospital the whole time)

The next day I was sent home, being told just to flex and move fingers and straighten my arm from the elbow.

2 weeks later I had a check up, doctor was happy but told me very little. I asked if I should be doing anything else, he said nothing.

After 4 weeks, when no NHS physiotherapy appointment had been scheduled, I went private and started doing pendulum exercises. A week later, I was told to assist my injured arm in moving while lying down and the arm being bent at the elbow.

Today I received a very last minute NHS physiotherapy appointment, I went and it appears if I lie down and move my injured arm (assisted or not) the shoulder moves fine, but if I'm standing it is as if the shoulder isn't moving inside, like the ball isn't moving and the shoulder physically moves up.

I haven't got another appointment with the hospital until the 16th

The NHS physiotherapist was worried about my range of motion and said it needs to be weekly appointments.

I'm 24 years old, not over or under weight, fairly good diet, smoke (have cut down) rarely drink

I normally ride a motorbike and drive a car and I really miss being able to!

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Should I keep taking therapy or wait till healing of fracture?

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The swelling in my hand has gone away after about two months of not moving it a lot and keeping it wrapped up. But each time I completely straighten (like I am stretching my hand) out, my ring finger makes a clicking noise and kind of pops up. Moving it certain ways, making a fist, putting pressure, pulling, or grasping something wrong hurts extremely bad. I can feel it move down at the base of my finger (like my last knuckle). It has caused a problem for me because it hurts with most normal things that I do. Even typing this is irritating.

So I finally went to an orthopedic and he looked at my hand and X-rays and said he isn't sure what it is and he recommends me to see a hand surgeon.

I did. I drove almost 2 hours each way to see this doctor and here's what happened in a span of 3 different visits.

He suspected trigger finger even though he said certain symptoms were odd. He gave me a cortisone injection into my left ring finger and OMG that was painful. But to be honest that pain from the swelling of the injection was about as bad as my hand felt right after it happened. But sadly that didn't help. So my doctor sent me to get an MRI. With the results of the MRI, he told me that he saw swelling in my finger and that he thinks is in the sheath but said he doesn't know what is causing that. So he told me he was stumped and should see someone who is more of a specialist and gave me a few names. None of them take my insurance.

So I decided to put all of my info out here and see if someone has had something similar happen or knows what might be going on with my finger.

I will also post below the "findings" on my MRI report.

"There is a focus of marrow edema involving the dorsal aspect at the base of proximal phalanx fourth digit and adjacent dorsal aspect head of fourth metacarpal with a focal small cortical invagination of the metacarpal which may be post traumatic in etiology from previous impaction. No discrete fracture or dislocation is appreciated at the fourth digit IP joints pr MCP joint. The flexor and extensor mechanisms and tendons appear intact. No significant sized joint effusions. No significant degenerative or arthritic bony changes are appreciated. Visualized musculature has normal signal. Subcutaneous tissues are intact."

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a while ago my friend cut his hand and some of his blood got onto my hand and under my fingernail.  I noticed dried blood under my fingernail the next morning.  

1. would the virus be dead before it touched my hand ?
2. can the virus get through under the finger nail ?
3. does dry skin and paper cuts allow entry into the bloodstream?
4. is this a no risk situation?
5. no need to test? .

i just need clarification as I'm not 100% sure.

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1. may i know the risk of hiv and std from the incident?
2. can the hiv risk occur if the vaginal fluids contain of the surface of condom?
3. can the hiv risk occur from object? is the condom consider an object?
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My splint is tight so I do loosen this and try to do exercise with my hand.

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I had similar symptoms a few months back, and the doctor said there was nothing wrong with my heart, and that it was anxiety. I mean i work out 3 times a week, and never have any problems, so why can't i sleep?

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Also : feeling very unsafe with crutches, in particular when home alone. Using a portable wheelchair instead for the trips to the bathroom, getting food from the kitchen, etc.

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