HomeAnswersOrthopedician and Traumatologyphalanx fractureI have a small fracture in my thumb. Is surgery necessary?

I have a small fracture in thumb. Please advise if surgery can be avoided.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At March 30, 2018
Reviewed AtJanuary 24, 2024

Patient's Query

Hello doctor,

A week back, I slipped and injured my right thumb. There was a cut just below the top side nail with lots of bleeding. The doctor had bandaged it, and the wound seems to have healed. The X-ray report says 'evidence of mildly displaced comminuted fracture is seen in the base of the distal phalanx of the right thumb. Rest of the visualized bone appears to be normal.' The doctor has advised surgery which I do not want. Please advise if surgery can be avoided.

Hi,

Welcome to icliniq.com.

The need for surgery depends on the displacement and the width of the bone fragment. Kindly upload your X-rays so that I can give you an accurate advice.

Regards.

Patient's Query

Thank you doctor,

I have attached the X-rays.

Hi,

Welcome back to icliniq.com.

I have seen the image (attachment removed to protect patient identity). Yes, this is a big fragment which is displaced. This requires surgery to fix the bony fragment by K-wires of thick suture material.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sharoff Lokesh Mohan
Dr. Sharoff Lokesh Mohan

Orthopedician and Traumatology

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