Setting a broken thumb involves aligning the fractured bones so they can heal properly. This is typically done by a medical professional, and here's a breakdown of the process:
Initial Assessment and Diagnosis
- First, a doctor will examine the thumb and likely take X-rays to determine the type and severity of the fracture. This will help them decide on the most appropriate treatment method.
Non-Surgical Treatment (for Minor Fractures)
- For less severe fractures, the thumb might be immobilized using a cast, splint, or brace. This keeps the bones aligned while they heal naturally.
- The process might involve realigning the bones by hand, which is called a closed reduction. After realigning, a cast will be applied to keep the thumb stable.
- Regular follow-up appointments and X-rays may be needed to monitor healing progress.
Surgical Treatment (for Severe Fractures)
- If the bones are displaced (out of alignment), surgery may be needed to put them back in place.
- Internal Fixation: This involves using wires, pins, plates, or screws to hold the bone fragments together. These hardware pieces are placed inside the body and remain there to help the bones heal correctly. This is described in the provided reference.
- External Fixation: This method is used when the soft tissue around the fracture is severely damaged. A device is attached to the outside of the thumb, and pins are inserted into the bones to keep them aligned. This is also described in the provided reference.
Types of Fixation
| Fixation Type | Description | Use Case |
|---|---|---|
| Internal | Uses wires, pins, plates and screws inside the body to hold the bones together. | Displaced or unstable fractures. |
| External | Uses an external device with pins that goes through the skin and bones | Severe fractures with damaged soft tissue. |
Post-Treatment Care
- Once the thumb is stable, you might need physical therapy to regain strength and full range of motion.
- It’s important to follow all instructions provided by the healthcare team for the best recovery outcome.
