From the Research
The recommended treatment for a base of thumb fracture is a thumb spica cast or splint for 4-6 weeks, allowing for proper healing and minimizing the risk of complications. For stable, non-displaced fractures, conservative management with a thumb spica cast or splint is typically sufficient, as it allows the bone to heal in proper alignment while preventing movement that could disrupt healing 1. In cases where surgical intervention is necessary, such as displaced or unstable fractures, a structured rehabilitation program is essential following immobilization or surgery, typically beginning with gentle range of motion exercises at 4-6 weeks, progressing to strengthening exercises at 6-8 weeks. Pain management usually involves NSAIDs such as ibuprofen or naproxen for 1-2 weeks, with more severe pain potentially requiring short-term use of prescription analgesics. Key considerations in the treatment of base of thumb fractures include:
- The type and severity of the fracture
- The need for surgical intervention versus conservative management
- The importance of a structured rehabilitation program to prevent long-term complications
- The role of pain management in the treatment plan Early consultation with a hand specialist is crucial for optimal outcomes, as proper treatment can prevent long-term complications like chronic pain, decreased grip strength, and arthritis in this critical joint that enables the thumb's opposition movement necessary for fine motor skills 2.