Summary about Disease
A volar plate injury is a sprain or tear of the volar plate, a thick ligament on the palm side of your finger joints (most commonly the PIP joint, or middle joint of the finger). This ligament prevents hyperextension (bending backwards too far) of the finger joint. Damage to the volar plate can cause pain, swelling, and instability in the joint.
Symptoms
Pain in the affected finger joint
Swelling around the affected joint
Tenderness to the touch on the palm side of the joint
Difficulty bending or straightening the finger
Feeling of instability or looseness in the joint
Possible bruising
In severe cases, a visible deformity or dislocation of the joint
Causes
Hyperextension injury: Bending the finger backward too forcefully. This is the most common cause.
Direct blow to the finger joint.
Sports injuries (e.g., basketball, volleyball, where the finger is jammed).
Falls where the hand is outstretched.
Medicine Used
Pain relievers: Over-the-counter pain relievers like ibuprofen (Advil, Motrin) or naproxen (Aleve) can help reduce pain and inflammation. Acetaminophen (Tylenol) can help with pain but doesn't reduce inflammation.
Prescription pain medications: In some cases, a doctor may prescribe stronger pain relievers for a short period.
Corticosteroid injections: In some cases, a corticosteroid injection may be given to reduce inflammation. This is not a first-line treatment.
Is Communicable
No, a volar plate injury is not communicable. It is a result of trauma and not caused by an infectious agent.
Precautions
Avoid activities that stress the injured finger: Refrain from sports or activities that caused the injury until the finger has healed.
Buddy taping: Tape the injured finger to an adjacent finger for support and stability.
Splinting/Immobilization: Wear a splint as directed by your doctor or physical therapist to protect the finger and promote healing.
Ice: Apply ice packs to the injured area for 15-20 minutes at a time, several times a day, to reduce swelling.
Elevation: Keep the injured hand elevated to help reduce swelling.
Follow physical therapy recommendations: Adhere to prescribed exercises to improve range of motion and strength.
How long does an outbreak last?
A volar plate injury is not an outbreak and thus does not have a length. Rather, healing time depends on the severity of the injury. A mild sprain might heal within a few weeks, while a severe tear could take several months.
How is it diagnosed?
Physical Examination: A doctor will examine the finger, checking for pain, swelling, range of motion, and stability.
Medical History: The doctor will ask about how the injury occurred.
X-rays: X-rays are typically taken to rule out a fracture or dislocation.
MRI (Magnetic Resonance Imaging): In some cases, an MRI may be ordered to assess the extent of the ligament damage.
Timeline of Symptoms
Immediately after injury: Sharp pain, swelling, and tenderness.
First few days: Pain and swelling may worsen. Bruising may appear.
First few weeks: Pain gradually decreases with rest and treatment. Swelling subsides. Range of motion starts to improve.
Weeks to months: Gradual return of strength and full range of motion. Residual stiffness may be present. In severe cases, instability may persist, requiring further intervention. (These timelines are approximate and can vary based on severity)
Important Considerations
Early diagnosis and treatment are crucial for optimal healing and to prevent chronic instability.
Ignoring a volar plate injury can lead to long-term problems, such as stiffness, arthritis, and decreased function.
Physical therapy is an important part of the recovery process.
Surgery is rarely needed but may be considered in severe cases with significant instability or a fracture associated with the injury.
Return to activity should be gradual, guided by a doctor or physical therapist.
Protecting the finger from re-injury is important during the healing process.