Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute pain, swelling, and ecchymosis of the right thumb following a traumatic injury. Patient reports localized tenderness over the proximal phalanx, mechanical restriction of range of motion, and inability to perform pinch grip. No history of open wound or neurovascular compromise reported.
Clinical Examination Findings
Right thumb inspection reveals significant edema and ecchymosis over the proximal phalanx. Palpation demonstrates point tenderness at the fracture site. Neurovascular exam: capillary refill < 2 seconds, intact sensation to light touch in the radial and ulnar digital nerves, and full motor function of the FPL and EPL tendons. No rotational deformity noted.
Treatment Protocol
Closed reduction performed (if indicated). Immobilization achieved via thumb spica splint to stabilize the proximal phalanx. Patient advised on elevation, ice application for 20 minutes every 2 hours, and strict avoidance of weight-bearing or strenuous activity. Follow-up X-rays scheduled to ensure maintenance of alignment.