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Need medical advice

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Cruise_2014_max50

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Posted over 2 years ago

 

I have a coworker who injured the index finger on her dominant (gun) hand. She was told that the bands on the ligament or tendon on the top of her finger slipped out of place. She was told she needed surgery to repair it but is concerned about the long term disability that may result from the surgery.


Has anyone had anything remotely similar to this and had the surgery? Do you recommend she get it done? What should she expect from it if she decides to go ahead and get cut?


Right now she is undergoing occupational therapy but is being told that this will not completely repair her finger and allow her to return to work.


PL MENTORING TEAM MEMBER

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Caduceus_max50

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Rate This | Posted over 2 years ago

 

In my experience, surgery really is the only option for this condition. Do remember that I was only a Corpsman NOT a doctor.


Quis custodiet ipsos custodes.
Troll Hunter, "Doc", LEO Supporter.
It's not the falling down, it's the staying down.

White_shirt_max50

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Rated +1 | Posted over 2 years ago

 

I am a doctor however, the doctor of love. Why not pose the question to the doctor whom made the recommendation. Also doctors encourage second opinions. If my career depended on an opinion I would certainly check with more than the recommending doctor.

1979_max50

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Rated +1 | Posted over 2 years ago

 

I have to go with Uncledennis on this one. By all means get a second and third opinion. It will cost more to gather the advice from three separate Doctors but this could be a very important decision. If it is surgery then make damn sure she follows up with physical therapy, even if it hurts like the devil! You must get the ligaments and tendons to stretch back into proper shape as well as placement! Best of luck and prayers for her successful recovery and career.

25-1-13-a_1__max50

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Rate This | Posted over 2 years ago

 

Read your in box.

Female_bodysurfer_max50

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Rated +1 | Posted over 2 years ago

 

Qualified physician's input is the only way to go here.  I'm sure your friend will be seeking a second and even a third opinion if required.  


Investigating topnotch sports injury facilities that can provide referrals to excellent physicians/sugeons/therapists may be a useful idea. 

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Rate This | Posted over 2 years ago

 

No offense to anyone, but I think your best bet would be to take an advise from someone in the medical field.. Maybe from another doctor.

Cruise_2014_max50

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Rate This | Posted over 2 years ago

 

I understand everyone's opinion about seeking medical advice and agree. I posted this thread seeking someone who has been through something like this or knows someone who has and can give advice based on their experience.


PL MENTORING TEAM MEMBER

"Don't underestimate the drawing power of the Garden State." From the film "Dogma"

Trying to stay sane in an insane world...

Image_max50

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Rate This | Posted over 2 years ago

 

 I have never had that kind of surgery done but if it was me I would go see a second doctor and see what he or she has to say and then I would go from there.

Boat_max50

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Rate This | Posted over 2 years ago

 

Not a doctor but IMO it seems like if the ligament is slipped out of place would'nt OT make it worse until she can get it repaired? Because it will be constantly moving in directions it should'nt odds are if they recommended surgery for the fix I would do it and also get a second opion you should always get a second opion any time a surgery is mentioned nomatter how simple the procedure might be... under the is under the knife :) I personally have sprained a ligament in my thumb before and wore a splint for 6 weeks and it healed on it's own with rest... but mine was sprained not out of place... she must have really did a number for the intial injury.... it sucks when you use your hands a lot at work and you get hurt... hopefully they can get her patched up soon I also recommend a follow up with a hand specialist..


i've also seen these post surgery with no big draw backs.....:)  not a finger persay but wrist...If they are telling her that OT will not fix her finger she will still be faced with a disability from not doing the surgery... Know what I mean.. tell her not to read the internet either b/c it will  scare you to death... seek a hand specialist and tell her she will be ok :)


In Life we should experience an adventure that will create a memory worth repeating.....unknown.....

582602_3283682777720_334551836_n_max50

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Rated +2 | Posted over 2 years ago

 

I may know this person, and just ask if you can relay to her that she will be in my thoughts and Prayers. 


What doesn't kill me had better start running!

74596_129289523905506_927477597_n_max50

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Rate This | Posted over 2 years ago

 

I'm a doctor, but just a coffee doctor. My expertise in this field suggests to me that your friend needs a nice, venti ice cold frappucino...not only will the frap release endorphins to the brain but also will help ice the finger if she holds it long enough.


Jokes aside......


I busted to fingers on my gun hand. Broken ring finger from flag football (it got slammed by a car door a week later) and a bump on my thumb from mixed martial arts. Both times, went straight to the doc's office.


I suggest she get a few opinions from medical experts...hope all turns out well!


Adapt, improvise and overcome.
YaYa Dancing Wolf

Boat_max50

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Rate This | Posted over 2 years ago

 

CadetAK says ...



I'm a doctor, but just a coffee doctor. My expertise in this field suggests to me that your friend needs a nice, venti ice cold frappucino...not only will the frap release endorphins to the brain but also will help ice the finger if she holds it long enough.


Jokes aside......


I busted to fingers on my gun hand. Broken ring finger from flag football (it got slammed by a car door a week later) and a bump on my thumb from mixed martial arts. Both times, went straight to the doc's office.


I suggest she get a few opinions from medical experts...hope all turns out well!



car doors aren't nice are they? that happened to me once  before too my friend shut my hand in the door  and it completly shut on my hand..  latching..... my finger was crooked for awhile afterwhile....


In Life we should experience an adventure that will create a memory worth repeating.....unknown.....

Copy_of_oct3_2012_max50

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Rate This | Posted over 2 years ago

 

 My advise  since my X had 2 ligments snap in his two middle fingers is get a good hand surgeron.    I doubt that therapy will correct the problem.    His was done out patient and he had therapy after that.  But I don't remember how long his recovery was.    


YaYa Sister

Thorroses_max50

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Rate This | Posted over 2 years ago

 

BigNTS love the name btw... Thankfully hand surgery is not one of the surgeries I've had. My mother had carpel tunnel surgery on both of her hands. It's amazing now days how much surgery has become less abrasive. I had a friend when I was younger who was grazed by a bullet. (Long story) The shot took off the skin over the top of the index finger on his dominant exposing the Extensor Tendon. From what I could see while dressing his wound the top joint in the index finger is the only one that you MIGHT not need surgery to fix the Extensor Tendon. Since the tendon is more or less braded/splits between the first and second joint making it more difficult, closer to the tip of the finger, to get back into place. 


Now, I DON'T know squat about hand surgery. From what I gather it looks like your friend won't have any problem pulling the trigger it's releasing it that will be the problem. I was an athletic trainer for 3yrs in HS & dealt with several tendon, ligament, muscle & joint injuries. I have had spinal surgery & have nerve damage along most of my left side. I am a firm believer in PT since most of the feeling in my left side has been regained due to an awesome PT specialist. However PT can only help in most cases not fix the problem.


I pulled up the following picture to show you what I'm talking about but decided to save the information I found with it. Hope it helps!


1. Fresh extensor tendon repair extensor tendon at the bone area than â…£ fiber tubes and other parts of the synovial sheath tissues were wrapped tendon without tendon sheath sutured end to end so just as if the injury except in the dorsal aponeurosis part of the side of the central tendon aponeurosis tendon after the repair to be stitched with a volar plaster wrist clamp position on the extensor than flexor tendon after re-adhesion of the problem 2. extensor tendon injuries of the treatment of skin as a thin elastic back of the hand with the extensor tendon interposition extensor tendon with a layer of loose connective tissue and there was no tendon sheath extensor tendon tissues except rarely brought down outside the extensor tendon adhesions so serious as long as local conditions permit shall be effective for a good repair the Ministry of the finger extensor tendon injury late Some repair methods are more effective and satisfied with thus highlighting the importance of a repair (1) the treatment of mallet fingers: fresh tendon rupture caused by blunt hammer finger deformity immediately after injury, the injury means the use of splints proximal interphalangeal joint flexion distal interphalangeal joint hyperextended Fixed 5 ~ 6 weeks (Figure 3