Treatment of a Broken Thumb
Treatment for a broken thumb depends on the fracture’s location and severity, and whether it affects the joint surface. The goal of treatment of a broken thumb is to restore alignment, stabilise the bone, and preserve hand function, particularly grip and pinch strength. Prompt intervention is essential to avoid long-term complications.
For stable, non-displaced fractures, treatment usually involves immobilisation. Doctors place the thumb in a splint or thumb spica cast that includes the wrist and extends beyond the tip of the thumb. Immobilisation typically lasts for three to six weeks. Doctors manage pain with over-the-counter medications, ice packs, and elevation.
Displaced or unstable fractures may require a closed reduction. This is a non-surgical procedure where the doctor realigns the bone manually before applying a cast or splint. X-rays are used afterward to ensure proper positioning during healing.
Doctors recommend surgery for fractures that involve the joint surface, are comminuted (broken into multiple pieces), or have shifted significantly. Common procedures include internal fixation using pins, screws, or plates. Surgery is particularly important in cases like Bennett’s fracture, which affects the base of the thumb and risks permanent loss of function if not stabilised correctly.
Doctors must treat open fractures immediately with surgical cleaning and fixation to prevent infection. They also prescribe antibiotics and provide wound care with follow-up.
Treatment of a Broken Thumb
Children usually recover with non-surgical care, thanks to their bones’ natural healing ability. Adults, especially those with active jobs or sports commitments, may require more structured treatment and therapy for optimal recovery.
After immobilisation or surgery, physiotherapy is crucial. Exercises help restore thumb flexibility, strength, and dexterity. Without it, patients may develop stiffness, reduced grip strength, or joint tightness that interferes with daily tasks.
A well-managed treatment of a broken thumb allows most people to return to normal activity within two to three months. Consistent follow-up and rehabilitation are essential to ensure a full and lasting recovery.
[Next: Complications and Recovery from a Broken Thumb →]
