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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Swelling Around The Knuckles Indicate?

Sure, i ll give it a shot... Broke my right clavicle in a biking accident 9/7/17. Had related surgery; now healing. MY QUESTION, HOWEVER, IS ABOUT MY LEFT HAND. Approx 3 days post-crash, I noticed swelling around my knuckles, and a general (light) soreness of the back of the hand (as if I d bruised it). Movement was not impaired, however. In the weeks since, that general soreness seemed to migrate to the lower digits of my fingers, and became a bit painful as I gripped items strongly. If someone shook my left hand firmly (for the right is in a sling for the clavicle), it d actually cause me to wince. I had three x-rays of the hand - all negative. Upon further investigation (self-poking, prodding, squeezing), the most painful spot seems to be in the soft tissue near/between the knuckle of the middle and pointer fingers. Is this likely acute tendonitis, or what else should I consider? The hand has grown considerably weaker over the 3.5 weeks (no improvement). THANKS.
Wed, 18 Jul 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I have seen the pictures and read the description. In my opinion this is an swelling of the tendon sheath probably due to inflammation / Infection. It can occur without any injury . I would suggest pain killers, blood investigations like Complete blood counts with ESR and Blood Sugar Fasting and post prandial. In case you don't get relief in a day or two please consult your orthopedic surgeon / ER for starting appropriate antibiotics.

Hope I have answered your query. Let me know if I can assist you further.
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What Does Swelling Around The Knuckles Indicate?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have seen the pictures and read the description. In my opinion this is an swelling of the tendon sheath probably due to inflammation / Infection. It can occur without any injury . I would suggest pain killers, blood investigations like Complete blood counts with ESR and Blood Sugar Fasting and post prandial. In case you don t get relief in a day or two please consult your orthopedic surgeon / ER for starting appropriate antibiotics. Hope I have answered your query. Let me know if I can assist you further.