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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain Due To Water Hitting Upper Palm. No Swelling. Ligament Tear?

hello doctor..!!
i am 21 yr old when i was standing near a pond kids were playing throwing small small rocks,,
accidentally when a kid threw a small rock into t water it hit ma upper side of ma right palm and am havin a severe pain in ma palm but there is no swelling what should i do ... can i use a crepe band ..??
to ma knowledge i've heared dat swelling is a cause of fracture..??
so would it be a ligament tear ??
what should i do ??
plz give me a suggestion and help me??
Wed, 10 Jul 2013
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General & Family Physician 's  Response
Hello Good Evening,

You either have a tendon injury or fracture of any metacarpal bone, but in my opinion you might have a soft tissue injury which can cause severe pain because of compact space at that site between tendons and bones.

Swelling can not cause a fracture but fracture can cause swelling frequently but not always, like in hair line fracture and of compact site like dorsum of foot or dorsum of hand, there can be a little swelling associated with fracture.

So you should go for a x-ray of right hand to rule out any bony injury.

If it is any tendon injury then crap bandage should be used with painkiller medications for few days and if any fracture is there then POP slab should be applied for immobilization to reunite the bone, as per guidance of your orthopedic surgeon.

Regards,

Dr. Naresh Jain
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Pain Due To Water Hitting Upper Palm. No Swelling. Ligament Tear?

Hello Good Evening, You either have a tendon injury or fracture of any metacarpal bone, but in my opinion you might have a soft tissue injury which can cause severe pain because of compact space at that site between tendons and bones. Swelling can not cause a fracture but fracture can cause swelling frequently but not always, like in hair line fracture and of compact site like dorsum of foot or dorsum of hand, there can be a little swelling associated with fracture. So you should go for a x-ray of right hand to rule out any bony injury. If it is any tendon injury then crap bandage should be used with painkiller medications for few days and if any fracture is there then POP slab should be applied for immobilization to reunite the bone, as per guidance of your orthopedic surgeon. Regards, Dr. Naresh Jain