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Ask Dr. D. Love Your Own Question
Dr. D. Love
Dr. D. Love, Doctor
Category: Orthopaedics
Satisfied Customers: 19335
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
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Hello I split my knuckle (right hand) about 5 years ago

Customer Question


I split my knuckle (right hand) about 5 years ago after punching a wall (silly me, yes I know). At the time there was a lot of pain, and swelling though this got better. Anyway 5 years on, I have no pain or symptoms but I was just wondering should I be worried, or concerned for the future. The middle knuckle has split and it is pretty visible. When I make a fist I can see the split and I can also manipulate the middle finger in a way where the knuckle looks normal if that makes sense. So I can push the left hand side of the split knuckle on the top of the right hand side of the split knuckle by shifting it towards the right.
Submitted: 4 years ago.
Category: Orthopaedics
Expert:  Shantal-Mod replied 4 years ago.

I've been working hard to find a Professional to assist you with your question, but sometimes finding the right Professional can take a little longer than expected.

I wonder whether you're ok with continuing to wait for an answer. If you are, please let me know and I will continue my search. If not, feel free to let me know and I will cancel this question for you.

Thank you,

Customer: replied 4 years ago.
Hello I was wondering what was taking so long

Ok i will wait. 2 more days
Expert:  Shantal-Mod replied 4 years ago.

Thank you for getting back to me. We will continue to look for a Professional to assist you.

Thank you for your patience,

Expert:  Dr. D. Love replied 4 years ago.
Any trauma to a joint that alters the alignment of the joint will increase the likelihood of excessive wear and tear on a portion of the joint. Over time, this can evolve into degenerative arthritis, also called osteoarthritis.

However, at this point, 5 years after the injury, there are limited options that may help return the joint into proper alignment. Wearing external support, such as taping or a splint, which may help if used shortly after the injury, is not likely to help 5 years after the injury. If the poor alignment is more severe, then surgical correction may be an option, and you can be seen by a Hand Surgeon for consideration of whether this may be beneficial.

Customer: replied 4 years ago.

Does that mean i can expect to have osteoarthritis in the future
Expert:  Dr. D. Love replied 4 years ago.
It is not guaranteed that you will have osteoarthritis, but it certainly can increase the risk of developing osteoarthritis in that joint.