A hand fracture occurs when one or more of the bones of your hand break or shatter. Direct impact or falls can cause this damage. Common examples of hand fracture include boxer’s, distal radius, and scaphoid fracture.
If you play contact sports like boxing or rugby or have a disease that causes your bones to weaken and become more fragile (osteoporosis), you may be more prone to fracture bones of the hand.
In most situations, non-surgical therapy is sufficient to repair a hand fracture. This may entail wearing a splint, cast, or buddy tapes for a length of time, depending on the kind and location of the fracture. Surgery to realign the fragments of bone may be necessary for more severe fractures or fractures that do not line up appropriately.
Fractures are generally classified as closed and open fractures. These terms describe whether the fracture communicates (open) or does not communicate (closed) with the external environment. Hand fractures can be further classified as unstable and intra-articular:
An unstable fracture is one with an intrinsic propensity to become displaced after the involved bones have been reduced (realigned). They have a high chance of progressing and causing more damage.
Metacarpal fracture resulting in rotational deformity
A break that spreads from the bone into a neighbouring joint is known as an intra-articular fracture. For example, a radial fracture describes a break that has extended from the distal portion of the radius (the bigger of the two forearm bones) into the wrist joint. Depending on the degree and type of the fracture, these injuries might be difficult to manage.
Arthritis due to an untreated fracture
Phalangeal fractures are common hand injuries that affect the distal, middle, or proximal phalanx. Direct blows to the hand are the most common cause of phalangeal fractures. Splints are used to treat most phalangeal fractures, but unstable fractures may require surgery to avoid complications like stiffness and malunion.
Other more severe injuries, such as nail bed tears or tendon lacerations, can accompany phalangeal fractures. In those cases, the focus of treatment is on soft tissue injury.
For immediate medical treatment, please contact our 24hr hand and wrist emergency hotline at +65 6535 8833.