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What Causes Inability To Fold Fingers After Pyogenic Granuloma Surgery?

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Posted on Tue, 6 Oct 2015
Question: Hello Dr,

I met with an accident a month back. My middle finger and ring finer got hurt. I had a fracture on the middle finger joint(middle). Also, nails came off . Last week, i noticed a pyogenic grannuloma on the nail bed and got it removed surgically. Also, i have a scar from the healing of injury on the top of middle finger from middle joint to front joint. The Dr who performed pyogeric granuloma surgery told me, its hyper-tropic scar. Now, I still have dress on the middle finger and today, when the dressing was removed to change the new one, i tried to fold the fingers. But i could not fold the first joint. before the surgery, i was able to fold it ( last thursday)

What should i do? Should I wait till the nail bed get healed fully or should i consult with the Dr immediately since, its just 4 days i have bandaged continuously.

By the way, the accident was, car ran over my finger tips.

thanks
doctor
Answered by Dr. Dr. Praveen Tayal (1 hour later)
Brief Answer:
Can be due to swelling.

Detailed Answer:
Hello,
Thanks for posting your query.
The inability to fold the distal part of the finger after the surgery can be due to a local swelling. A scar tissue to joint stiffness is not seen within 4 days. It is best to wait and let the wound heal properly in next 4-5 days. After that get your dressing removed and try to bend the finger- both passively and actively. In case there is any difficulty in bending the finger on its own then do consult your doctor. A nerve or tendon injury needs to be ruled out.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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What Causes Inability To Fold Fingers After Pyogenic Granuloma Surgery?

Brief Answer: Can be due to swelling. Detailed Answer: Hello, Thanks for posting your query. The inability to fold the distal part of the finger after the surgery can be due to a local swelling. A scar tissue to joint stiffness is not seen within 4 days. It is best to wait and let the wound heal properly in next 4-5 days. After that get your dressing removed and try to bend the finger- both passively and actively. In case there is any difficulty in bending the finger on its own then do consult your doctor. A nerve or tendon injury needs to be ruled out. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal