Houston OfficeFondren orthopedic group
Hand Fracture Surgery in Houston, TX
Hand Fracture
The hand is one of the most flexible and useful parts of our body. Because of overuse in various activities, the hands are more prone to injuries, such as sprains and strains, fractures and dislocations, lacerations and amputations while operating machinery, bracing against a fall and sports-related injuries.
A hand fracture is a break in one of the bones in the hand, which occurs when force greater than the bearable limit is applied against a bone.
Request An Appointment
Symptoms
The most common symptoms of a hand fracture include severe pain, swelling, bruising or bleeding, deformity and discoloration of the skin, and limited mobility of the hand.
Diagnosis
The diagnosis of a hand fracture is based on the patient’s history, physical examination and X-ray imaging to determine the type and severity of the fracture. X-rays are the most widely used diagnostic tools for the evaluation of fractures.
Treatment
The objective of early fracture management is to control bleeding, provide pain relief, prevent ischemic injury (bone death) and remove sources of infection such as foreign bodies and dead tissue. The next step in fracture management is the reduction of the fracture and its maintenance. It is important to ensure that the involved part of the body returns to its previous function after the fracture heals. To achieve this, maintenance of the fracture reduction with immobilization techniques is done by either non-operative or surgical methods.
Non-operative Therapy
The bones can be realigned by manipulating them into place in a procedure called closed reduction. Following this, splints, casts or braces made up of fiberglass or Plaster of Paris material are used to immobilize the bones until they heal. The cast is typically worn for 3 to 6 weeks.
Surgical Therapy
Hand surgery is performed to restore the structure and functionality of the fingers, wrist and hand secondary to a traumatic injury, medical condition, severe infection, or birth defect causing pain and/or deformity of the hand.
During surgery, the fracture site is adequately exposed, the bones realigned and reduction of the fracture is done internally using wires, plates, screws and intramedullary nails.
Rehabilitation
Fractures may take several weeks to months to heal completely. You should limit your activities even after the removal of the cast or brace so that the bone becomes solid enough to bear stress. A rehabilitation program involving exercises and a gradual increase in activity levels to strengthen the muscles and improve range of motion is recommended.
Hand therapy is a rehabilitation technique to improve the strength and restore functional activity of the hands in patients with upper extremity injuries. It will be initiated within a few days of the injury or surgery and continued until the patient returns to normal activities. Rehabilitative hand therapy aims at minimizing swelling and managing sensitive scars whereas preventive therapy is recommended for minimizing pain, decreasing repetitive firing of sensual impulses in injured nerves, improving motion and strength, preventing or correcting injuries using specially designed splints, teaching ways to cope with pain and new techniques for performing regular activities, and ensuring a complete recovery.
Frequently Asked Questions
What is a hand fracture and what causes it?
A hand fracture is a break in one of the bones of the hand, occurring when a force greater than the bone can bear is applied to it. Because the hands are used so heavily, they are prone to injuries from falls, machinery, and sports.
What are the symptoms of a hand fracture?
Common symptoms include severe pain, swelling, bruising or bleeding, deformity, discoloration of the skin, and limited mobility of the hand. X-ray imaging is the most widely used tool to confirm the type and severity of the fracture.
Does every hand fracture need surgery?
No. Many fractures are treated non-operatively with closed reduction, where the bones are manipulated back into place and immobilized with a splint, cast, or brace—typically worn for 3 to 6 weeks. Surgery is reserved for fractures that require internal fixation to restore structure and function.
What does hand fracture surgery involve?
During surgery, the fracture site is exposed, the bones are realigned, and the fracture is fixed internally using wires, plates, screws, or intramedullary nails. This restores the structure and function of the hand after a traumatic injury or deformity.
How long does it take to recover from a hand fracture?
Fractures may take several weeks to months to heal completely, and activities should be limited even after a cast is removed until the bone can bear stress. A rehabilitation program of exercises and hand therapy helps restore strength, motion, and function.
What is hand therapy and why is it important?
Hand therapy is a rehabilitation technique that improves strength and restores function after an upper extremity injury. It typically begins within a few days of injury or surgery and focuses on reducing swelling, managing scars, improving motion, and teaching new ways to perform daily activities.
Randy Y. Luo, MD, MBA
Board Certified Orthopedic Surgeon
Hand & Upper Extremity Specialist