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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Knuckles Along With Scrapes Post Self Injury?

Hi. My son punched a hole in his wall a few hours ago. He didn t tell me about it until a few minutes ago. Two buckles are very swollen and he has cuts/scrapes on his fingers too. I ve given him an ice pack for it, but he is refusing to go to the ER. Should I try to force him to go to the hospital, or not?
Tue, 29 Mar 2016
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Dentist,  's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain swollen knuckles along with scrape on the fingers due to punching seems to be due to traumatic injury to the soft tissues leading to accumulation of inflammatory exudate as well as there can be hematoma formation due to rupture of small blood vessels post injury.

Icing will help in reducing the inflammation and swelling but in case if there is any restriction in movement of the fingers or the movement is very painful there can be bony fracture and you need to consult an Orthopedician and get him evaluated and an x ray can be diagnostic..

In case if there is bony fracture then reduction of the bony segments followed by immobilization using a cast or splint will help..
In case of only soft tissue injury then you can continue with ice packs, give him Ibuprofen to reduce pain and swelling..
Apply Analgesic ointment over the swollen area..

Hope this information helps..

Thanks and regards..
Dr.Honey Nandwani Arora.
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What Causes Swollen Knuckles Along With Scrapes Post Self Injury?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain swollen knuckles along with scrape on the fingers due to punching seems to be due to traumatic injury to the soft tissues leading to accumulation of inflammatory exudate as well as there can be hematoma formation due to rupture of small blood vessels post injury. Icing will help in reducing the inflammation and swelling but in case if there is any restriction in movement of the fingers or the movement is very painful there can be bony fracture and you need to consult an Orthopedician and get him evaluated and an x ray can be diagnostic.. In case if there is bony fracture then reduction of the bony segments followed by immobilization using a cast or splint will help.. In case of only soft tissue injury then you can continue with ice packs, give him Ibuprofen to reduce pain and swelling.. Apply Analgesic ointment over the swollen area.. Hope this information helps.. Thanks and regards.. Dr.Honey Nandwani Arora.