Adam C. Young, MD
Alan C. League, MD
Albert Knuth, MD
Alejandra Rodriguez-Paez, MD
Alexander E. Michalow, MD
Alexander Gordon, MD
Alexander J. Tauchen, MD
Alexander M. Crespo, MD
Alfonso Bello, MD
Ami Kothari, MD
Amy Jo Ptaszek, MD
Anand Vora, MD
Andrea S. Kramer, MD
Andrew J. Riff, MD
Angela R. Crowley, MD
Angelo Savino, MD
Anthony Savino, MD
Anuj S. Puppala, MD
Ari Kaz, MD
Ashraf H. Darwish, MD
Ashraf Hasan, MD
Bradley Dworsky, MD
Brian Clay, MD
Brian J. Burgess, DPM
Brian R. McCall, MD
Brian Schwartz, MD
Brian Weatherford, MD
Brooke Vanderby, MD
Bruce Summerville, MD
Bryan Waxman, MD
Bryant S. Ho, MD
Carey E. Ellis, MD
Carla Gamez, DPM
Cary R. Templin, MD
Charles L. Lettvin, MD
Charles M. Lieder, DO
Chinyoung Park, MD
Christ Pavlatos, MD
Christian Skjong, MD
Christopher C. Mahr, MD
Christopher J. Bergin, MD
Craig Cummins, MD
Craig Phillips, MD
Craig S. Williams, MD
Craig Westin, MD
Daniel M. Dean, MD
David Beigler, MD
David Guelich, MD
David H. Garelick, MD
David Hamming, MD
David Hoffman, MD
David M. Anderson, MD
David Raab, MD
David Schneider, DO
Djuro Petkovic, MD
Douglas Diekevers, DPM
Douglas Solway, DPM
E. Quinn Regan, MD
Eddie Jones Jr., MD
Edward J. Logue, MD
Ellis K. Nam, MD
Eric Chehab, MD
Eric L. Lee, MD
Evan A. Dougherty, MD
Garo Emerzian, DPM
Gary Shapiro, MD
Giridhar Burra, MD
Gregory Brebach, MD
Gregory J. Fahrenbach, MD
Gregory Portland, MD
Harpreet S. Basran, MD
Holly L. Brockman, MD
Inbar Kirson, MD, FACOG, Diplomate ABOM
Jacob M. Babu, MD, MHA
Jalaal Shah, DO
James M. Hill, MD
James R. Bresch, MD
Jason G. Hurbanek, MD
Jason Ghodasra, MD
Jason J. Shrouder-Henry, MD
Jeffrey Ackerman, MD
Jeffrey Goldstein, MD
Jeffrey Staron, MD
Jeffrey Visotsky, MD
Jeremy Oryhon, MD
Jing Liang, MD
John H. Lyon, MD
Jonathan Erulkar, MD
Jordan L. Goldstein, MD
Josephine H. Mo, MD
Juan Santiago-Palma, MD
Justin Gent, MD
Justin M. LaReau, MD
Kellie Gates, MD
Kermit Muhammad, MD
Kevin Chen, MD
Kris Alden MD, PhD
Leah R. Urbanosky, MD
Leigh-Anne Tu, MD
Leon Benson, MD
Lori Siegel, MD
Lynn Gettleman Chehab, MD, MPH, Diplomate ABOM
Marc Angerame, MD
Marc Breslow, MD
Marc R. Fajardo, MD
Marie Kirincic, MD
Mark Gonzalez, MD
Mark Gross, MD
Mark Hamming, MD
Mark Mikhael, MD
Matthew L. Jimenez, MD
Mehul H. Garala, MD
Michael C. Durkin, MD
Michael Chiu, MD
Michael J. Corcoran, MD
Michael O'Rourke, MD
Nathan G. Wetters, MD
Nikhil K. Chokshi, MD
Paul L. Goodman, DPM, FACFAS, FAPWCA
Peter Hoepfner, MD
Peter Thadani, MD
Phillip Ludkowski, MD
Priyesh Patel, MD
Rajeev D. Puri, MD
Rhutav Parikh, MD
Richard J. Hayek, MD
Richard Noren, MD
Richard Sherman, MD
Ritesh Shah, MD
Robert J. Thorsness, MD
Roger Chams, MD
Ronak M. Patel, MD
Scott Jacobsen, DPM
Sean A. Sutphen, DO
Serafin DeLeon, MD
Shivani Batra, DO
Stanford Tack, MD
Steven C. Chudik, MD
Steven Gross, MD
Steven J. Fineberg, MD
Steven Jasonowicz, DPM
Steven M. Mardjetko, MD
Steven S. Louis, MD
Steven W. Miller, DPM
Surbhi Panchal, MD
T. Andrew Ehmke, DO
Taizoon Baxamusa, MD
Teresa Sosenko, MD
Theodore Fisher, MD
Thomas Gleason, MD
Timothy J. Friedrich, DPM
Todd R. Rimington, MD
Todd Simmons, MD
Tom Antkowiak, MD, MS
Tomas Nemickas, MD
Van Stamos, MD
Wayne M. Goldstein, MD
Wesley E. Choy, MD
William P. Mosenthal, MD
William Vitello, MD

Thumb Fractures – When Is Surgery Needed

Chicago Bears’ QB Brings Thumb Injuries To Light

Last Sunday, the Chicago Bears quarterback, Jay Cutler, experienced a painful fracture to his thumb. Just a week before Ben Roethlisberger, the QB for the Pittsburgh Steelers had a similar injury occur. 

While this is bad news to both teams, it does bring up how these painful injuries occur and are treated. Without specific knowledge of the extent of both QB’s injuries it is impossible to discuss their specific case, but we can discuss these traumatic injuries in general.

While pain is an important aspect of the injury, the potential for further complications is worse.  Thumb injuries can be life changing due to a diminished ability to grasp objects and an increased chance for arthritis to affect the joint.  To reduce the potential for injury, as well as the ongoing implications if an injury should occur, it is important to understand how a thumb can be fractured and what potential treatments are available.

How Does A Thumb Get Broken?

A thumb seems like a pretty stout structure at first glance. It has one fewer bones than the typical three found in the fingers and is usually thicker. Despite this, the thumb can be broken in a number of ways. The patient’s overall health, like calcium deficiency, of course affects the chances of injury. A more severe type of fracture in the thumb is one that occurs near a joint. The worst type of fracture is one that also damages the ligaments.

In some cases breaks are caused by fall or an object being forced backward which pulls the thumb toward the forearm. Another potential mechanism for breaks occurs when the thumb is twisted forcibly. Either of these types of break could be caused by a football being blocked in the middle of a quarterback’s throwing motion. Of course you don’t need to be a football player to injure your thumb. There are numerous other activities that have the potential to cause damage to the thumb including construction, skiing, and even shoveling snow on icy pavement.

Typical Treatment Of Broken Thumbs

The first thing that will occur in suspected breaks is an x-ray, and potentially a CT scan if the fracture is not apparent in the x-ray. The most ideal of circumstances the bones have not moved around much. This allows the orthopedic physician to set the bone or move the damaged end into alignment, and allowing the orthopedist to use a specially designed cast to immobilize the joint without the need for surgery.

Surgery Is  Sometimes Needed

In the most severe cases, like that of Cutler, thumb surgery is sometimes the only option. If the ligaments are damaged or the surgeon cannot align the bones externally your orthopedic physician may suggest surgical treatment. In most cases the surgery involves the use of screws and wires to put the thumb back into alignment. Even with surgery some sort of external immobilization, like a cast or splint, will be used for as long as six weeks.

Where To Find Treatment

Ben Roethlisberger and Jay Cutler are professional athletes with an entire football team’s group of medical staff and specialist supporting them in their recovery. Even though most people are not part of a professional sports franchise, they still can get incredible care from a great team. The Illinois Bone and Joint Institute provides its patients with access to more dedicated nurses, orthopedic physicians, and specialists than are available to an NFL athlete. The staff at IBJI are only interested in treating the patient in the most effective and caring way possible not in winning games or Superbowl rings. It’s clear that IBJI is the best place to get top-notch orthopedic care in Chicago. Make an appointment right now with one of our highly trained orthopedic physicians and get access to a care that rivals the biggest professional sports organizations.

*The blog is for general information and educational purposes only regarding musculoskeletal conditions. The information provided does not constitute the practice of medicine or other healthcare professional services, including the giving of medical advice, and no doctor-patient relationship is formed. Readers with musculoskeletal conditions should seek the advice of their healthcare professionals without delay for any condition they have. The use of the information is at the reader’s own risk. The content is not intended to replace diagnosis, treatment or medical advice from your treating healthcare professional.