Advice after your nerve block for surgery
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What is a volar plate injury?
The volar plate is a thick ligament located on the palm side of the finger joints, it stops the finger joint from bending backwards (hyperextending or dislocating).
An injury to the volar plate occurs when the finger is forcefully bent backwards, sometimes the volar plate pulls off a piece of bone from where the volar plate attaches to; this is called an avulsion fracture. This injury may also involve the collateral ligaments. Collateral ligaments stop excessive side to side movements of the joint.
What are the signs and symptoms of a volar plate injury?
- Swelling and enlargement around the joint.
- Pain when the hand is resting and on moving the joint.
- Inability to move the joint fully.
Treatment
Treatment usually involves supporting your injured finger to the next finger with either a compressive sleeve called Bedford Gators or the use of neighbour strapping. Elevation by use of a sling will help to alleviate the swelling.
How can I regain movement?
It is important to reduce the swelling as this limits the joints ability to move. Keep the finger compressed with the Bedford Gator sleeve and elevate the hand.
Use the hand and finger for normal activities as discomfort allows.
Carry out the following exercises to gradually increase the movement of the joints. Start by gently pushing the finger into as much bend as the finger can tolerate before completing the following:
What can I expect during my recovery?
Volar plate injuries take a surprisingly long time to heal.
The joint can be painful at rest and during movement for many weeks.
Swelling can take months to resolve and can limit the ability for the joint to bend and straighten fully.
There maybe permanent enlargement to the joint.
Need to allow time for injury to heal, so refrain from certain sporting activities that are likely to cause further injury to your finger or delay healing process.
You may have been referred to the Virtual Hand Fracture Clinic who will contact you if you require any follow-up.
For non-urgent medical advice, please contact your own GP, call 111 or go to https:/
Contact us
If you have any queries relating to this information, please contact the Emergency department (ED) service.
About this information
Service:
Emergency department (ED)
Reference:
A/034
Approval date:
1 November 2024
Review date:
1 November 2027
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Important note
This page provides general information only. It is developed by clinical staff and is reviewed regularly every 3 years for accuracy. For personal advice about your health, or if you have any concerns, please speak to your doctor.