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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Removed Cast, Swollen Hand, Pain In Bones. Concerned

Hi, Almost 21 days before (19th Aug 2012), due to a very misdirected left punch (in sheer anger) on the wall, I broke my 4th and 5th Metacarpal bones almost near the base ( near to wrist ). The impact was so hard that 4th metacarpal bone went a little back, as per orthopedic surgeon. The doctor didnt think i would need surgery to bring back my bones in its very own place, though they did indicate that a little mount will remain after bone healing , but it wont effect my normal working Now today i have remove the cast, and as per doctor, I can do, infact , I should resume all the previous activites I was doing before. But Now my hand has swollen , and I also feel the pain around my (semi) healed bones. The hand size has seems to have shrunk as compared to my right hand (main hand) I am concerned as I might not use my left hand powerfully as previously i used to do.
Fri, 14 Sep 2012
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello tahawar,

Thanks for posting your query

You had fracture base of 4th & 5th metacarpal 3 weeks back.

Normally metacarpal fracture heels in 3 weeks.

Now your cast has been removed & there is slight swelling, pain & shrunkness present.

Now you need physiotherapy( squeezing a soft ball ) to reducing selling, stiffness & regaining muscle strength.

Regards,
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Removed Cast, Swollen Hand, Pain In Bones. Concerned

Hello tahawar, Thanks for posting your query You had fracture base of 4th & 5th metacarpal 3 weeks back. Normally metacarpal fracture heels in 3 weeks. Now your cast has been removed & there is slight swelling, pain & shrunkness present. Now you need physiotherapy( squeezing a soft ball ) to reducing selling, stiffness & regaining muscle strength. Regards,