Hand Fractures: When Is Surgery Required?

November 7, 2025

Understanding Hand Fractures

Our hands are intricate structures of small bones, tendons, and ligaments that allow for remarkable dexterity. A hand fracture — a break in one or more of the bones — can significantly impact daily life. While many fractures heal with rest, splints, or casts, others require hand surgery to restore proper function and alignment.


Common Causes of Hand Fractures

Hand fractures often occur from falls, sports injuries, or direct trauma such as hitting an object or getting caught in machinery. The severity of the injury can range from minor cracks to complex breaks that displace bones or affect joints.


Not all hand fractures are immediately obvious. You may notice the following symptoms:


  • Persistent hand pain or tenderness
  • Swelling or bruising
  • Difficulty moving fingers
  • Visible deformity or misalignment
  • Numbness or tingling


If these symptoms persist after an injury, it’s important to see a specialist to prevent long-term complications.


When Is Surgery Necessary?

Surgery for a hand fracture is typically required when:


  • The bones are displaced or misaligned
  • The fracture extends into a joint
  • There are multiple fractures in the same area
  • Bone fragments have pierced the skin
  • The injury involves tendon or nerve damage


During hand surgery, a surgeon may use pins, screws, or plates to stabilize the bones, allowing them to heal in the correct position. Early surgical intervention can help restore full motion and prevent arthritis or stiffness later on.


Recovery & Rehabilitation

After treatment, rehabilitation is key. Physical therapy helps restore strength, flexibility, and coordination. Even with successful surgery, it may take weeks to months before the hand feels normal again. Consistent follow-up with your healthcare provider ensures proper healing.


When to Seek Help

If you’re experiencing ongoing hand pain, swelling, or limited motion after an injury, don’t delay medical attention. A qualified hand specialist can determine whether surgery is the best option to restore your hand’s function and prevent chronic issues.


Fortunately, the team at CT Hand Center is here to help. To learn more about your treatment options, contact one of our offices in Madison or New London, CT to schedule a consultation. Whatever the cause of your hand pain, our team will create a personalized treatment plan tailored to your specific needs and recovery goals.

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