A patient presented to our ROC office 5.5 weeks ago with a metacarpal bone fracture. He was walking at his job and slipped on a wet floor and landed on his left hand. He realized his bone was broken immediately, because he felt a sharp spike under his skin. He presented to ROC and was immediately seen by Dr. Yevgeny Shuhatovich.
When discussing the options for surgical and conservative management, there are many factors that go into the decision process. The patient’s fracture type, age, existing medical problems, patient’s occupation, timelines to returning to work and many other factors are factored into the next step.
With this patient, the fracture type required that the patient have surgery. A method of open reduction and internal fixation was selected, and the surgery was performed immediately. This method required a small incision and a metal plate and screws being placed directly onto the bone. The alignment of the pieces of the broken bone is performed to restore the same configuration as before the break occurred. Multiple factors are affected by the alignment of the fragments including rotation of the finger. In this particular patient, the break caused the fingers to cross one another when making a fist. The surgeon corrected that during surgery.
The patient is an avid guitar player and his only request was to restore his function and rotation of his fingers, so that he can play his musical instrument as he did before. As an avid musician himself, who plays both piano and guitar, Dr. Shuhatovich understood that request very well. The patient underwent surgery and his finger rotation was restored completely, as well as the alignment of all the bones. As part of the patient’s rehabilitation process, the patient was instructed to start playing guitar immediately after surgery. Today, at 5.5 weeks from surgery, the patient has a full range of motion and is playing his guitar daily. He is also back at work performing his full duty at work. Here, at ROC, we are very happy to get you back to your passion and work as soon as possible.
In the image, the two photos in the top row show the X-ray images done today and the bottom two show the full range of motion and a maturing scar.