My daughter fell and her scooter landed on her thumb it went very swollen and she was unable to move it straight after it so took her to a&e and they did a X-ray the doctor then said everything looks fine apart from one bit but he didn't think it was anything to worry about and sent us home now 5 days later she is still in pain, still a little swollen and can still hardly move it but when she does try to move it it's now making a clicking sound. Should I be worried?
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Thumb injury
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2 UpVoted this answer
based upon how old your daughter is, it may be difficult to see fractures through growth plates. Since she is still painful after 5 days, it is advisable to see a hand specialist or orthopedic surgeon
1 UpVoted this answer
I would be very surprised if your daughter did not have a fracture. The good news is there is a lot of leeway in treating the probable fracture. The bad news is that these fractures heal pretty quickly in children. I would recommend that you see a hand surgeon as soon as possible.
X-rays on children must be read very carefully. Subtle fractures can be missed easily due to the presence of epiphyseal plates (growth plates).
Clicking following an injury may represent an early "trigger thumb". This happens when the tendon swells and clicks within the sheath.
These issues may spontaneously resolve. Children are very resilient. They can bounce back from many injuries, but close follow up is important
Clicking following an injury may represent an early "trigger thumb". This happens when the tendon swells and clicks within the sheath.
These issues may spontaneously resolve. Children are very resilient. They can bounce back from many injuries, but close follow up is important
If it hurts when you press in what is called the "anatomical snuff box" which is located between the base of the thumb and the wrist then she should be seen by an ortho surgeon. There can be a break in this area that does not show up well/at all on standard XR and presents with continued pain like you describe. Hope that helps.
The thumb joint is crucial towards active human function and can lead to possible disability if not addressed properly. I too have injured a thumb and several fingers. After caring for it myself with chiropractic adjustment, heat, ice, enzyme cream, stretching, 3rd class laser, 4th class laser to no avail; I flew out to Iowa to a former Instructor who diagnosised and referred me to a practitioner in Florida where I practice.
In 2 weeks I was much better than my efforts over 9 months! You need to find someone in your area that does ART (http://www.activerelease.com/)
www.discoverhealth.us
In 2 weeks I was much better than my efforts over 9 months! You need to find someone in your area that does ART (http://www.activerelease.com/)
www.discoverhealth.us
Speaking from experience, I had the same thing happen to me... Sometimes, that clicking sound is just caused from non-exercise of that thumb. I never went to a doctor, but it is usually because of unexercise. Just wait for a more sophiscated answer than taking my advice right away.
