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Old 08-18-2016, 05:37   #4
miclo18d
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Join Date: Mar 2012
Location: Occupied Northlandia
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18D advice should be taken with a grain of salt here as we are not doctors.

After reading some sites non-displaced fractures generally heal well without surgical intervention but require strict immobilization.

Quote:
Nondisplaced distal fractures heal well with strict immobilization in a well-molded short arm thumb spica. Controversy exists over whether to use a long arm or a short arm cast. One comparison16 found that nondisplaced fractures healed well regardless of the type of cast that was used. Current treatment for this type of fracture is a thumb spica, but some evidence suggests that the thumb could be omitted from the cast. A randomized prospective trial17 found that immobilization of the thumb did not improve outcomes for nondisplaced fractures. Screw fixation may speed recovery to pre-injury activities; referral for surgery may be indicated, depending on the needs of the patient.18 As the fracture line moves proximally, there is more risk of displacement and nonunion; therefore, it would be appropriate to refer these patients for orthopedic consultation.If conservative treatment is attempted, a long arm cast with thumb immobilization is appropriate.

Fractures with even small amounts of displacement are prone to nonunion, and operative treatment is recommended.19 Splinting and referral are indicated.
Bottom line refer to a good Ortho Doc and see what they say, or seek a 2nd opinion. Many start with conservative treatment as opposed to pulling out the shotgun (surgery) and blasting away.
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