Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
129 Doctors are Online

Fracture of proximal phalanx of ring finger - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 2685 Questions
User :   Hello?
Doctor :   hi
Doctor :   how can i help u
Doctor :   please proceed with your query
User :   I have a problem with a broken finger. I am far away in India without access to specialist care
User :   i will tell you the details
User :   I had a bike accident
Doctor :   ok
User :   broke the proximal phalanx of the ringh finger
User :   i have x-rays i could send over if it is possible
Doctor :   ok
User :   how?
Doctor :   please send it to YYYY@YYYY
User :   ok, will you be able to look at it straight away?
Doctor :   do yu have the detailed reports of X- ray
User :   I don't think I got one
User :   I just have the images
Doctor :   ok
Doctor :   when did the accident happened
User :   yesterday
Doctor :   do yu still have swelling and pain
User :   the finger is in a full plaster cast now
Doctor :   ok
User :   i am afraid it needs to be set or manipulated in some way to heal prop[erly
User :   now the doctor just put the cast on without doing anything, and the finger is not even straight inside
User :   i sent the images
Doctor :   now its difficult to do any procedure
User :   there seems, to me, to be quite a gap between the broken pieces, and the whole finger points slightly sideways from the fracture and up
Doctor :   as the swelling and pain needs to be subsided
Doctor :   is the cast applied only for the finger or to the wrist also
User :   wrist also
Doctor :   ok
User :   how long does it take until the bone sets in what possibly is a bad way?
User :   I mean, how long do I have to change it
Doctor :   cast need to applied for atleast 2-3 weeks
Doctor :   if the fracture is well united and healed well
User :   yes, but i do not want to have a cast on if my finger is healing in a bad way inside
Doctor :   then there is no need for surgery
User :   did you get the x-rays?
Doctor :   it will take time for me reach
Doctor :   once i have seen it i will comment on it
User :   ok
User :   is it normal for there to be a gap of about 1,5 millimeters between the pieces?
Doctor :   the repeat X- ray will be done in another 10 days
User :   yes, that is all fine. I just do not trust the first diagnosis and treatment and do not want to wait until it is too late to fix it
Doctor :   ok
User :   I am anxious because I am a professional mucisian who needs full mobility of that finger
Doctor :   ok
Doctor :   do yu have any tingling or numbness in the fingers
User :   no
Doctor :   ok
User :   the cast is a bit loose, if you were thinking about that aspect
Doctor :   no i thinking about the nerve injury aspect
Doctor :   was the bleeding heavy
User :   the whole hand was quite bruised
User :   but no external bleeding
Doctor :   ok
Doctor :   its injury to more muscles and blood vessels
Doctor :   how is range of motion in the fingers
Doctor :   are yu able to move the fingers
User :   i can move all of them, but the broken one only a little in the top
Doctor :   ok
User :   I do not know if the doctor checked for rotation before the cast was put on. Later a friend told me it is very important, so now I am worried
Doctor :   you are right
Doctor :   if the range of motion is reduced or not possible
User :   so should I take it off and check and later have it recast?
Doctor :   the need of surgery becomes on more side
Doctor :   no need now
User :   I mean, it hurt to move the finger, and iit was really swollen, but there is mobility
User :   ok
User :   ah, you mean later?
Doctor :   ok thats a good news
Doctor :   on what medications are yu on
User :   antibiotics for a large cut under the cast... chephalexin
Doctor :   ok
User :   and paracetamol with anti-inflammatories
Doctor :   ok
Doctor :   has chymoral forte tablets added
User :   what is that?
Doctor :   these tablets reduces the swelling
User :   ok
Doctor :   and improve the blood circulation
Doctor :   so need to take Tab. Chymoral forte 2 times a day
Doctor :   after food for 3 days
User :   ok
Doctor :   even when cast is applied
User :   I am not typing myself, by the way, if you wondered about that
User :   ok
Doctor :   minor movements of flexion and extension movements are required
Doctor :   it should not be force ful
User :   I need to go quite soon. Any chance you can look at the x-rays when you get them and write me an email with what you think about the need for setting it better,appropriate cast and so on?
Doctor :   yes still 5 more min s
Doctor :   its downloading
Doctor :   almost done
User :   ok
User :   where are you. Also in India?
Doctor :   yes
User :   or can I not ask that kind of question
User :   just curious
User :   i guessed
Doctor :   you can
User :   I am in Leh
Doctor :   ok
User :   hard to get a second opinion here
Doctor :   Do not worry
Doctor :   when was the injury?
User :   yesterday at 11 in the morning
Doctor :   Is the swelling large enough ?
User :   i think it is going down now
User :   but it was very swollen
User :   bruised and cut also
User :   with the ring and middle finger the most swollen
User :   I was wearing a ring where the finger broke, I think that is maybe why it happened
User :   but the ring is naturally off now
Doctor :   ok
User :   getting the x-rays?
Doctor :   Yes i got them
User :   sorry to stress you but I was supposed to meet a friend 20 minutes ago
Doctor :   I think the strapping is done
Doctor :   now as per the treatment protocol
User :   the strapping?
Doctor :   Usually the strapping is done with the neighboring finger
Doctor :   it is called buddy strapping
User :   it is not strapped like that
Doctor :   and you are encouraged to move the fingers so that the tendons are not fixed
User :   ok
User :   so what, you say it should or could be buddystrapped
User :   and that it looks ok as it is, no need for setting or manipulation
User :   ?
User :   will the gap between the bits close?
User :   if it just heals like it sits now, will I have full mobility?
Doctor :   when were you asked to follow up?
User :   before I leave Leh, in 5 days
User :   then again after two weeks
Doctor :   Is it strapping or plaster of paris
Doctor :   Is it done with finger straight or flexed
User :   plaster, hard on bottom side, just padded and wrapped on the other
User :   in between
User :   not superstraight
User :   but more straight than flexed
Doctor :   were you asked to do the flexion movements
Doctor :   before the cast
User :   yes
Doctor :   I think this should go fine
Doctor :   The treatment differes if it is a displaced fracture
User :   it is not displaced?
Doctor :   This is not displaced
Doctor :   hence it should heal properly
Doctor :   Buddy strapping is done too
Doctor :   and asked to do active movements
User :   should be done, because it was not?
Doctor :   so that there is no fixing of tendons during healing
User :   the strapping
Doctor :   Ok
Doctor :   Once you leave leh,
Doctor :   you can see a specialist orthopedician
User :   will it not be too late then?
Doctor :   till then
Doctor :   this is fine
User :   ok. Thank you so much
Doctor :   Or you can see the same doctor and ask for the point
Doctor :   of Buddy strapping
Doctor :   Ok, Please fill the feedback form
Doctor :   Thanks for consulting us. Bye for now
Question is related to
Lab Tests
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor