To fix a sunken knuckle, a doctor may need to manually reposition it, a procedure known as "reducing" the fracture. After this, the knuckle is stabilized to heal correctly. Here's how that's typically done:
Treatment Options for Sunken Knuckles
| Treatment Method | Description | When It's Used |
|---|---|---|
| Reduction | The doctor manually moves the knuckle back into its proper alignment. This is often done immediately after the injury. | When the knuckle is displaced from its normal position. |
| Casting | A special cast is placed around the thumb or hand to hold the bones in the correct position while they heal. | When the fracture is stable and can heal without surgery. |
| Splint/Brace | If a cast isn't suitable, a splint or brace may be used to provide support and restrict movement, allowing the knuckle to heal. | When a cast is not appropriate or needed for less severe fractures. |
| Surgery | In some cases, if the fracture cannot be reduced or stabilized using other methods, surgery might be necessary to fix the sunken knuckle. | When reduction, casting, or splinting aren't enough to properly realign and stabilize the knuckle. |
Stabilizing the Knuckle
- Casts: A cast provides rigid support, immobilizing the knuckle so it can heal correctly. This is usually made of plaster or fiberglass.
- Splints/Braces: These offer less rigid support but allow for some movement while still protecting the injured joint. They can be adjusted as the swelling decreases.
Key Takeaway
The goal of treatment is to realign the knuckle and keep it stable so that the bones can heal correctly. This might involve manual repositioning by a doctor followed by stabilization using a cast, splint, or brace. If these methods aren't successful, surgery may be needed.
