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December 6, 2021

Dislocations in the Hand: Symptoms & Treatment

Risk Factors for a Hand Dislocation

You face increased risk of hand dislocation if you:

  • Participate in high-impact sports like hockey, baseball, football, or basketball
  • Engage in sports where falls are common, such as gymnastics or volleyball
  • Have conditions affecting joints or ligaments, including osteoporosis, arthritis, hypermobility, or Ehlers Danlos syndrome

Signs and Symptoms That You Have Suffered a Dislocation in Your Hand

Hand dislocations can produce symptoms comparable to fractures. Common indicators include:

  • Visible hand deformity
  • Inability to move hand and/or wrist
  • Severe pain that isn’t improved by taking over-the-counter pain medications
  • Hand and wrist swelling
  • Numbness or unusual sensations in the hand

Seek emergency room care immediately if you suspect a dislocation, as these injuries cannot heal without professional intervention.

Treatment for Hand Dislocations

Initial care: Immobilize your hand and apply ice to reduce swelling and inflammation before reaching the ER.

Medical evaluation: Doctors will order imaging, typically X-rays, though CT or MRI scans may be necessary, to assess the injury.

Surgical repair: An orthopedic surgeon will reposition bones and repair ligaments and soft tissue under general anesthesia. Recovery involves a cast which will immobilize it fully while it heals, typically worn for 6-8 weeks.

Talk to a hand specialist.

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