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What Causes Swelling In Palm And Fingers While Wearing Tension Band Wiring?

Posted on Mon, 17 Aug 2015

Question: Hi, 7 days before i met with an accident and a cumminuted fracture (Left hand) for olecranon process was occured. I was undergone surgery and Tension Band Wiring/Block had been done. Right now i have swelling on palm, ring finger and little finger. The sensation for these two fingers are different compared to other three. What will be the reason?

Answered by Dr. Dr. Naveen Kumar Sharma (2 hours later)

Brief Answer:
It can be due to ulnar nerve stretching

Detailed Answer:
Hello, I have studied your case . Swelling in pal and hand is normal after surgery. it can stay for months so you should not be worried about this. It will go slowly. Meanwhile you need to continue physiotherapy in form of finger movements.
As far as sensation in little and ring finger is concerned it can be due to ulnar nerve stretching. This is temporary and it will also improve. You need to tell about this to your surgeon. He can help you. You might be benefitted with tablet Methyl cobal daily.
I hope this answer will be useful for you. Let me know if there is any other followup questions.
thanks

Above answer was peer-reviewed by : Dr. Neel Kudchadkar

Follow up: Dr. Dr. Naveen Kumar Sharma (33 hours later)

Thanks for the reply Doctor.

I consulted with my surgeon. He prescribed me Tablet" Renerve Plus" 1-0-0 for three week. Will this helpful?.

Stapler type stitches will be removed on 30/07/2015. Right now my fractured hand is supported on L shaped semi open plaster of paris cast and bandage was wrapped around that, and all of this supported in sling pouch. Heavy abrasion are also present on elbow. But i am not feeling any discomfort of abrasions. only the discomfort of POP cast. Even if i am not getting smooth movement for fingers, I am doing the physiotherapy in form of finger movement.

Doctor i have to know following details.

1. After the removal of stitches. What will be the normal rehabilitation plan?.

2. How long i have to do physical therapy?.

3. Is there any requirement of change in diet?.

4. I am a 28 year old Male. and also an Electrical Engineer. How much time it will require in normal course of time for full range of extension?.

5. How long there will be restriction for lifting heavy objects, riding bike, driving car etc?.

6. I was doing weight training exercises before the accident. Can i do that further?. Will there be any restriction?.

7. How much time it will take to heal the fracture completely?.

8. Is there any requirement of surgery to remove the tension band wiring, after healing of fracture?.

9. If there is requirement of surgery. How much rest i require further to come back to normal life.

Expecting your reply Doctor,

With Regards

Answered by Dr. Dr. Naveen Kumar Sharma (25 hours later)

Brief Answer:
You will need physiotherapy

Detailed Answer:
hello,
Here are the answers of your questions.
1.After stitch removal you will need physiotherapy of elbow.
2.Physiotherapy time may be different in different patients. But usually it takes three months for complete recovery.
3.no diet modification needed. Avoid smoking and Alcohol.
4.three months for full power.
5.three months restriction
6.weight lifting after six months.
7.three to four months for complete healing.
8.wires can be removed though it is not must. At least six months after surgery.
9.two weeks
I hope this answer will be helpful for you. Let me know if there is any other followup questions.
thanks

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar