Fracture is the medical term for a break in a bone. In clinical terms, this is a partial or complete break in a bone that occurs when force applied to it exceeds its structural capacity. A fracture in the area of the hand can cause extreme pain and negatively impact your ability to move and use it.

Boston Hand to Shoulder treats patients from Boston, Massachusetts experiencing fractures of the hand, wrist, and fingers using a number of different treatments, depending on the severity of the injury. If you have a fracture, make an appointment with one of our Boston hand care specialists today.

How to Tell If Your Hand Is Fractured

There are some telltale signs you can use to determine if your hand is fractured. These include:

  • Severe pain, especially when gripping or moving your hand
  • Swelling of the hand
  • Severe bruising
  • Tenderness
  • Visible deformity such as a crooked finger
  • Difficulty moving your fingers
  • Numbness in your hand
  • A snapping sound at the time of injury

If you believe your hand is fractured, prompt medical attention should be a priority. Make an appointment with one of our hand specialists now.

Fractured Hand Recovery Time

The length of recovery will largely depend on the severity of the fracture. However, with treatment, most fractures will heal in 6-8 weeks. Full strength and return to strenuous activities may take up to 12 weeks depending on individual healing rates, with most people able to resume moderate activities at the 8 week mark.

Treatments

Treatment for a fracture is immobilization of the hand. This is usually done with one of two methods.

  • Splints: An easily removable medical device used to stabilize and hold the fractured hand, wrist, or finger in place. A splint can be made from materials such as plastic, metal, or fiberglass.
  • Casts: The more robust option, a cast completely immobilizes the hand and is not easily removable, only being removed after the fracture has healed. Casts can be made from plaster or fiberglass.

In cases of severe fractures, surgery may be required to set the bone back in its rightful place. This can involve the use of pins and screws. A hand doctor will be able to determine the best way to treat your fracture.

Exercises for Fractured Hand and Wrist

After featuring your hand or wrist, certain exercises can help you in regaining strength and full range of motion. These exercises include:

  • Wrist flexion and extension
  • Side-to-side wrist movements
  • Finger extensions and curls
  • Thumb rotations
  • Gentle hand squeezes with a soft ball
  • Finger spreads

All of these exercises should only be done within a pain-free range and under the instruction of a hand specialist or physical therapist.

Surgery for Hand Fractures

When it comes to hand fractures, the purpose of surgery is to realign and stabilize the bones in the hand. Surgery is usually reserved for severe, displaced, or unstable fractures. The most common surgeries for hand fractures are:

  • Percutaneous pin fixation: This is the most common technique used for hand fractures. Pins are inserted through the skin and into the bone, holding the bones in place.
  • Internal fixation: An incision is made in the skin and plates and screws are inserted into the bones to realign and stabilize them.
  • External Fixation: Rods or plates are attached to the outside of the hand and screwed into the bone through the skin, providing immobilization and stability.

Surgery for hand fractures is performed by a specialized hand surgeon.

A hand specialist will be able to determine which of these techniques is right for your specific fracture.

Frequently Asked Questions

When should I see a doctor about my hand fracture?

While fractures are usually not life threatening, you should make an appointment with a hand specialist as soon as you believe you have a fracture. If the bone punctures the skin, emergency medical attention should be sought immediately.

How long does it take a hand fracture to heal?

You can expect a hand fracture to heal in 6-8 weeks. More severe fractures, especially those which require surgery, can take up to 12 weeks to heal.

When can I return to normal activities after a hand fracture?

Generally, you can resume normal activities once the cast or splint has been removed. However, you should only resume activities once a hand specialist has advised you to.

What are the potential complications of a hand fracture?

Potential complications include malunion (bones not healing in proper alignment), nonunion (bones not healing together at all), infection, nerve damage causing numbness or tingling, and a decreased range of motion after treatment. Treatment from a qualified hand specialist will minimize the chances of experiencing these complications.