Help children avoid dangerous situations and protect them from falls. Sometimes injuries can be prevented, and sometimes not. Fractures that are rotated or twisted, or angled out to the side also need to be realigned more precisely as they have less potential to remodel (see Figure 1a). Fractures that disrupt the surface of a joint usually need to be realigned as precisely as possible, though, and may need surgery to do so (see Figure 2a). Fractures with angulation in the same direction as joint motion (bending and straightening) also have greater potential to remodel. Younger children have greater potential for remodeling with growth. Certain breaks may not have to be re-aligned perfectly because of this ability to remodel with growth.
In children with a growth plate fracture, immediate diagnosis is important so that if the bone is displaced and needs to be realigned, it can be reset while the fracture is still pliable before it starts to heal.Ĭhildren are able to “remodel” (the specific process of bone resorption and formation) a broken bone after it heals and as the child grows. Many fractures in children heal in as little as one month. In more severe fractures, surgery may be needed to reset the fracture and a metal plate, screws, pins, or rods placed in order to keep the bone in proper position while it is healing (see Figure 2b).Ĭhildren heal quickly.
#COMPRESSION FRACTURE TREATMENT FINGER MANUAL#
If the broken bone is not lined up, the bone may need to be “set” or “reduced” with a manual manipulation by a physician. Although injury to the growth plate could affect that bone’s growth, many of these fractures in the hand and wrist heal well without later deformity.īroken fingers, wrists, and hands are mostly commonly treated in children with casting or splinting. Since the bone is softer in the area of the growth plate, it is common to see fractures in this zone. Since the cartilage does not have calcium, it appears as a clear band on an X-ray (see Figure 1b). Fractures may occur in the shaft of the bone, or near the end, or in the joint.Ĭhildren’s bones also have growth plates, which are bands of softer cartilage near the end of the bone that allow the bone to elongate as it grows. Other fractures may be displaced, which means that it is a complete fracture that has broken into two or more pieces with some shift in position so that the ends of the broken bone are not in alignment (see Figure 1a). If pain, swelling, or loss of movement persists, an evaluation by a physician is needed.įractures in children may be non-displaced, which means that it is a “hairline” fracture, or a fracture that has not broken into two separate pieces. If there is a significant nail-bed injury, an x-ray may be needed as the bone may be broken too. If there is significant bruising or swelling, an x-ray is the only way to know for sure if a bone is broken. Not all fractures in children will look crooked or have major loss of mobility. If the finger or wrist or forearm is in normal alignment and the child can move it, ice can be applied and the child can be looked at again later.
#COMPRESSION FRACTURE TREATMENT FINGER SKIN#
If the finger, wrist, or forearm is not in normal alignment, or if there is a skin wound leading to the fracture, the child should be brought immediately to an emergency room. Find a hand surgeon near you.Any time an injury is sustained in a child, an adult should provide attention to the injured child. This content is written, edited and updated by hand surgeon members of the American Society for Surgery of the Hand.
© 2016 American Society for Surgery of the Hand Talk to your doctor about the best treatment option for you. The quality and texture of the skin may be different, and your finger will likely look different. Sometimes, you’ll have limited feeling in the finger tip. Your finger may be sensitive for many months. If the nail bed is more seriously injured, you may need a splint or even surgery. Nail bed injuries: If blood is collecting under the nail, it may be drained by making a small hole in the nail.If the damage is too severe, amputation of the finger tip may be necessary. This can be treated with a splint or temporary metal pins to hold the bone fragments in proper position. Broken finger tip: This is very common.If the injury is more serious, surgery may be needed. Severe crushing of the finger tip: If just skin is removed from the finger tip or if there is just a little bit of bone exposed at the finger tip, this injury can be treated with a simple dressing.Here are examples of some injuries and how they may be treated: Dressing (gauze, tape, sterile pad, etc.).Treatment of a finger tip injury depends on the severity. An x-ray may be taken to see if you've suffered a broken finger tip. He or she will check for good blood supply and make sure you can still bend and straighten the finger.
Your doctor will ask you how the injury occurred.
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