From the Research
Treatment for a worsened finger reduction requires prompt medical attention, typically involving re-reduction of the finger followed by proper immobilization, as outlined in the most recent study 1. The condition where a finger reduction is worse than before is often related to complications such as chronic pain, stiffness, or deformity that can result from inadequate management of the initial reduction failure. When managing a worsened finger reduction, it's crucial to consider the following key points:
- Re-reduction of the finger under local anesthesia or procedural sedation
- Immobilization with appropriate splinting, typically an aluminum splint with padding for 3-6 weeks
- Pain management using NSAIDs such as ibuprofen or naproxen, possibly combined with acetaminophen
- Regular follow-up appointments to monitor healing, with X-rays taken at specific intervals to confirm proper alignment
- Physical therapy to restore range of motion and strength after the immobilization period
- Surgical intervention may be necessary if closed reduction fails, if there is joint instability, or if there are associated fractures that require fixation, as noted in 2. The goal of treatment is to restore proper alignment and function while preventing complications, and primary care providers can manage most finger injuries with short-term follow-up with orthopedics, as suggested in 1. In terms of specific management, the study 3 highlights the importance of directed hand therapy with exercises and splinting to mobilize stiff joints, which can be beneficial in cases of worsened finger reduction. Overall, the treatment approach should prioritize restoring proper alignment and function while preventing complications, and should be guided by the most recent and highest quality evidence, such as the study 1.