Fractures of the Hand and Wrist: What to Do and When to Be Seen
Sep 30
Authored by Dr. Ashley Cogar
The hand and wrist contain 27 bones, and I see fractures in nearly all of them. Some come from a fall on an outstretched hand. Others come from a jammed finger during a weekend game, a car door, or a moment of bad luck in the kitchen. What they have in common is that the right care early on makes a real difference in how the hand works for years to come.
What are signs that a fracture may be present? Swelling, bruising, and pain are expected after any injury, but a few things should prompt an evaluation sooner rather than later:
A visible deformity or a finger that looks crooked or rotated
Numbness or tingling in the fingers
Inability to move a finger or grip normally
Pain that does not improve after a couple of days of rest and ice
A common one I want to call out specifically is the scaphoid, a small bone near the base of the thumb. Scaphoid fractures often feel like a "sprain" and may not show up on the first X-ray. Left untreated, they can fail to heal and lead to long-term wrist problems. Persistent pain at the base of the thumb after a fall is worth a closer look.
Treatment depends on the bone and the break. Many fractures heal well with a cast or splint and careful follow-up. Others, particularly those that are displaced, involve a joint, or are unstable, may need surgery to align the bone and hold it in place while it heals. My approach is always to use the least invasive option that will give you a strong, functional result.
Healing is only half the story. Stiffness is the most common complaint I hear after a fracture, and it is largely preventable. Getting the uninjured fingers moving early and starting therapy at the right time protects your motion and strength. We will guide you through each step.
If you suspect a fracture, keep the hand elevated, apply ice, and avoid using it until you can be seen. Our offices in both North and South Oklahoma City see new injuries promptly, and we are glad to help you get back to using your hands with confidence.
To schedule an appointment, call us at 405-419-5665.