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I Impaled My Right Index Finger Between The First And

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Posted on Thu, 13 Aug 2020
Question: I impaled my right index finger between the first and second joint, palm side, with a large splinter from construction lumber. It went very deep and the finger bled copiously when I pull the large long splinter out. Three days later, the whole finger was angry, red, hot and swollen. Ten days of antibiotics calmed it down but 4 weeks later, it is still sore, swollen and warm. I assume there is a remnant of the splinter remains. My question is how would you recommend I proceed? I know that wood doesn’t image with xray. Will this eventually work its way out if it is present? Does a more active intervention need to occur (surgery)? Perhaps the splinter doesn’t exist and this some type of ongoing reaction? Any comments about possible progression and/or actions needed would be welcome.
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Follow up: Dr. Aashish Raghu (0 minute later)
I impaled my right index finger between the first and second joint, palm side, with a large splinter from construction lumber. It went very deep and the finger bled copiously when I pull the large long splinter out. Three days later, the whole finger was angry, red, hot and swollen. Ten days of antibiotics calmed it down but 4 weeks later, it is still sore, swollen and warm. I assume there is a remnant of the splinter remains. My question is how would you recommend I proceed? I know that wood doesn’t image with xray. Will this eventually work its way out if it is present? Does a more active intervention need to occur (surgery)? Perhaps the splinter doesn’t exist and this some type of ongoing reaction? Any comments about possible progression and/or actions needed would be welcome.
doctor
Answered by Dr. Aashish Raghu (7 hours later)
Brief Answer:
Answer

Detailed Answer:
Hi there

Thanks for the query

Infection is a possibility and could be due to a retained splinter or unhealed wound.

It would be best to get a blood test for complete blood count and CRP to look for infection. Also an xray can show foreign body like splinter in some instances.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Aashish Raghu
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Aashish Raghu (0 minute later)
Brief Answer:
Answer

Detailed Answer:
Hi there

Thanks for the query

Infection is a possibility and could be due to a retained splinter or unhealed wound.

It would be best to get a blood test for complete blood count and CRP to look for infection. Also an xray can show foreign body like splinter in some instances.

I hope I have answered your query.

I will be available to answer your follow up queries.

Regards,

Aashish Raghu
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Aashish Raghu

Orthopaedic Surgeon

Practicing since :2011

Answered : 5481 Questions

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I Impaled My Right Index Finger Between The First And

I impaled my right index finger between the first and second joint, palm side, with a large splinter from construction lumber. It went very deep and the finger bled copiously when I pull the large long splinter out. Three days later, the whole finger was angry, red, hot and swollen. Ten days of antibiotics calmed it down but 4 weeks later, it is still sore, swollen and warm. I assume there is a remnant of the splinter remains. My question is how would you recommend I proceed? I know that wood doesn’t image with xray. Will this eventually work its way out if it is present? Does a more active intervention need to occur (surgery)? Perhaps the splinter doesn’t exist and this some type of ongoing reaction? Any comments about possible progression and/or actions needed would be welcome.