We again see a symptom that shouldn’t appear, and it constitutes, therefore, a sign of negative evolution. “In most cases, the swelling of fingers in a context of wrist fracture is caused by a bandage that’s too tight. The pain mentioned, which is usually accompanied by instability in the joint, can be due to several factors: a poor practice in the use of immobilization (by allowing movement in the area or by excessive compression of the cast, for example) or because of the treatment being a wrong one for that specific case.Īlso, it should be noted that, in case of surgical intervention on the fracture, the pain must also cease after two, three days since the procedure is performed”. Something is wrong if we don’t get relief from pain with mild analgesics, since one of the central functions of immobilization is to avoid any type of disturbances to the patient. “ If a wrist fracture has been immobilized by a cast or splint, and after two or three days, the pain is there yet, we are before an anomalous situation. In the right image, two erroneous practices can be seen: the already referred plaster after surgery and the immobilization in a forced posture that can compress the middle nerve, generating pain, tingling, swelling, etc. Postoperative immobilization with plaster is a practice that does not provide any benefit and tends to point to poor surgery. The Spanish surgeon recommends a medical consultation in case of appearance, swift if several of them occur simultaneously. However, and in the words of Dr Piñal himself – considered among the best hand surgeons in the world– “ after two or three days of treatment or operation on a fractured wrist there should be no pain, mobility should improve quickly and there is no room for swollen fingers, with tingling or clicking, among other pains”.įrom this base, Dr Piñal summarizes and analyses these warning signs into five groups, from the most common consultations received in this area at his centers. Sometimes, the traumatic contusion of a nerve associated with a fracture or surgery itself, the internal pressure generated by a hematoma or, simply, the need for a brief time to elapse, these elements does not allow us to talk yet directly about sequelae or signs that something is wrong. This is the case of wrist fractures, whose preceding treatment or subsequent surgery can break that rule of ‘non-being aware’, if certain series of situations that should constitute actual warning signs for the patient are present. In several of our previous conversations, Dr Piñal has insisted that a normal wrist is the one we’re not even aware it’s there, so therefore new or persistent sensations can point to the false resolution of a previous pathology or trauma.
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