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Why didn't doc set broken hand?

Blue42

Blue42

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Funny question for the arboristsite but someone I hope will know. I broke my hand it today punching something. The fourth metacarpal broke all the way through. I went to Urgent Care and they put a makeshift cast on it but the nurse practitioner didn't even try to get the bones aligned. The X-ray showed that the bone was not aligned at all. I asked if it was worth trying to align the bones and he said it was not worth it and that the tendons and muscles would pull the bones back into place. Does anyone have any experience with this? I could freaking pull the bone out myself and get it straighter than it was on the X-ray. When I first broke it I actually moved it into a better place than it was originally.
It concerns me just letting the thing sit and maybe heal up all crooked when a simple pull and set might have gotten it much better.
I have to go to an orthopedist next week and I'm sure he'll do what needs to be done. But I just wonder why the heck in the meantime we would just let it sit crooked. I'm kind of suspecting the Urgent Care place just wanted to patch it up and pass the buck on to the orthopedist.
 
blades

blades

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yes possible- Years ago in an auto accident all my collar bones were broken ( as well as a host of other bones. They just kinda taped things up. A number of years later a doc was asking about it. Was really teed off that they didn't pin them as that should have been the proper procedure. Small town Hosp. out in the sticks, Late on a Fri night. Starting about 9:30pm. Doc didn't show up until about midnight. laying on a table strapped to a back board for 2+ hrs before he showed up wasn't particularly pleasant.
 
Blue42

Blue42

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Thanks for sharing your experience. Yours was a whole lot worse than mine.
I can bite the bullet and take a little bit of pain to get things straight. Maybe I should have asked about that further. And of course I can't get a straight answer from searching the internet.
 
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ChoppyChoppy

ChoppyChoppy

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Broke my back and it was only months later a different Dr asked what sort of brace I was using.

Never had one. Back has bothered me badly for 10 yrs now. Would a brace have helped, dunno.
 
Marine-piper

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I broke the thumb bone in a fight when I was a kid. Had it casted and several weeks passed before they found out that they had to re-break my thumb and set it properly. Would've never knew if I hadn't gone swimming with the old plaster cast.
I like many others think you need a 2nd opinion and have it set properly now.

Sent from my SM-G986U using Tapatalk
 
holeycow

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You can get away with some crooked stuff.

A hand is not one of those things.

I broke the bone in my hand that joins to the pinky finger. When the doc set it as the plaster was setting up he said "is that good?". I knew it was close, but not perfect but I said "yes" cause it hurt so damn much. I should have gone with my gut, endured the pain and allowed him to set it perfectly, which he could have because his hands were perfectly positioned in the plaster.
And I shouldn't have gone right back to work a couple of days later as the site sawyer (rather than a climb-all-over-the-place carpenter), cause that didn't help either. I could run the stationary saws, but messed up the cast doing so.
Now that bone has been crooked for about 25 years; it hurts sometimes, and my hand "locks-up/cramps-up/seizes-up" occasionally.
I can't imagine that your hand will heal properly without being "set". I doubt that very, very much.

I guess mine is the 5th metacarpal bone. I had to search that. Ha!
 
buzz sawyer

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Get to a hand specialist. It needs set and pinned or screwed and therapy. Recovery will take awhile - not the bones so much but scar tissue and atrophy from not using it. My wife had two spiral breaks in right hand. A plastic surgeon screwed them back together but wasn't able to help with long term recovery so she found a hand specialist. Much better but still not 100%.
 
Jhenderson

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SIL broke her pinky. They just taped it up at the walk in and told her to see a specialist. 4 days later the specialist recommended operating and pinning it because it was her “ dominant “ hand and it was slightly crooked . Now, it’s 2 weeks later and the site is infected, the doctor is on vacation, and she’s in pain and on antibiotics. The other side of the coin.
 
PA. Woodsman

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I also broke my hand punching something stupidly when I was about 18 years old and the doctor put a "removable" cast on it. I knew no better back then, but I wish they would've done a better job of it, the lump is still there in the bone top of the hand down from the pinky; it used to hurt but never gave me any real problems but I wish it would've been tended to better back then.

Good luck with it!
 
TNTreeHugger

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Funny question for the arboristsite but someone I hope will know. I broke my hand it today punching something. The fourth metacarpal broke all the way through. I went to Urgent Care and they put a makeshift cast on it but the nurse practitioner didn't even try to get the bones aligned. The X-ray showed that the bone was not aligned at all. I asked if it was worth trying to align the bones and he said it was not worth it and that the tendons and muscles would pull the bones back into place. Does anyone have any experience with this? I could freaking pull the bone out myself and get it straighter than it was on the X-ray. When I first broke it I actually moved it into a better place than it was originally.
It concerns me just letting the thing sit and maybe heal up all crooked when a simple pull and set might have gotten it much better.
I have to go to an orthopedist next week and I'm sure he'll do what needs to be done. But I just wonder why the heck in the meantime we would just let it sit crooked. I'm kind of suspecting the Urgent Care place just wanted to patch it up and pass the buck on to the orthopedist.
Urgent Care is just that - they're not specialists. I think they should have referred you to a specialist though rather than saying "it's not worth it."
Go see a specialist.
 
TheBrushSlasher

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Funny question for the arboristsite but someone I hope will know. I broke my hand it today punching something. The fourth metacarpal broke all the way through. I went to Urgent Care and they put a makeshift cast on it but the nurse practitioner didn't even try to get the bones aligned. The X-ray showed that the bone was not aligned at all. I asked if it was worth trying to align the bones and he said it was not worth it and that the tendons and muscles would pull the bones back into place. Does anyone have any experience with this? I could freaking pull the bone out myself and get it straighter than it was on the X-ray. When I first broke it I actually moved it into a better place than it was originally.
It concerns me just letting the thing sit and maybe heal up all crooked when a simple pull and set might have gotten it much better.
I have to go to an orthopedist next week and I'm sure he'll do what needs to be done. But I just wonder why the heck in the meantime we would just let it sit crooked. I'm kind of suspecting the Urgent Care place just wanted to patch it up and pass the buck on to the orthopedist.

That's what it sounds like to me, I would get a second opinion because if it doesn't heal right you will have to go through it again if you want your hand to look and function properly.
 
Blue42

Blue42

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Thank you guys. I found out that it's not uncommon not to set a bone for a few days. Somebody said you have up to four weeks before they have to re-break it to get it set straight. ...Like happened to poor Marine-piper. I think that's pushing it and at 2-3 weeks it wouldn't be pleasant yanking apart what had already knitted together. And you'd just waste three weeks of healing.
I still think they could have set it there rather than hustling me out the door. But I should have some time to get it done right.
I broke my foot at age 15 playing soccer. Missed one game but played on it 2 days later since it was a tournament out of state that I didn't want to miss. It hurt. And it healed with a big knot of bone.
 
Bwildered

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I broke the 2nd , 3rd and 4th metacarpal bones in my hand in a fight as a teenager, the doctor just wrapped the hand, no cast, I have never had a problem with it in 45 years, the back of my hand was bumpy for a year or so & I could feel & see where the breaks were, they dissappeared.
 
Dave Hadden

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That's what it sounds like to me, I would get a second opinion because if it doesn't heal right you will have to go through it again if you want your hand to look and function properly.

I agree, but sometimes a "second opinion" can be somewhat unkind.

Two days ago I had my annual visit with my eye specialist down in Comox.

After going through all the usual pokes, prods, field of vision tests and the like it was time for me to go.

As I was leaving I asked for a prognosis as to how things were looking.

"Well", he replied. "Every year that I see you it appears you're a bit closer to being a beady eyed old bugger."

Somewhat taken aback, I asked: "Can I have a second opinion?"

"Sure," he replied. "You're kind of homely too." :laugh::laugh:



Take care.
 
olyman

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I agree, but sometimes a "second opinion" can be somewhat unkind.

Two days ago I had my annual visit with my eye specialist down in Comox.

After going through all the usual pokes, prods, field of vision tests and the like it was time for me to go.

As I was leaving I asked for a prognosis as to how things were looking.

"Well", he replied. "Every year that I see you it appears you're a bit closer to being a beady eyed old bugger."

Somewhat taken aback, I asked: "Can I have a second opinion?"

"Sure," he replied. "You're kind of homely too." :laugh::laugh:



Take care.
and he was dead accurate!!!!!!!!!!!
 
kyle1!

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Go see a specialist and if your gut tells you to not trust the specialist go get a 2nd opinion from another specialist. This cost my oldest son the use of his right shoulder because we trusted the doctor and didn't go with our gut.

Also, my youngest son took a football to his pinky finger. Badly dislocated and after the specialist reset it he recommended PT. The PT said the doctor's PT orders were wrong and for sure my son had ruptured his tendon in that finger. We went and saw another hand specialist about the possibility of a ruptured tendon. The new specialist recommended a different PT and today my son has full use of that finger. Probably wouldn't have full use if we followed the first specialists instructions.
 
LogSawyer74

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I had a dirt bike crash about 20 years ago and broke all the bones in my left foot that run from your ankle out to your toes (not sure what they're called; the bones responsible for the arch of your foot). They X-ray showed them broken and not lined up perfectly. But the Dr. said they would heal properly in a boot/crutches. So that's what I did. I started having back problems about 10 years ago. After many visits to a specialist, they figured out my left leg is 18mm longer than my right. And after discussion with the Dr., he said it was the foot healing incorrectly from the break that caused it to be longer. So long story short, if I were you I'd really chase this down and make sure it's right. I just assumed back in the day, that if a Dr. told you something it was totally trustworthy. Wish I had gotten a 2nd opinion....
 
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