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Need some answers, Severed Extensor tendon

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Old 08-10-2012, 04:36 AM   #1
Join Date: Aug 2012
Location: sacramento
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elgrian HB User
Need some answers, Severed Extensor tendon

Well, yesterday around two am, I threw my arms down in frustration, I was on my bed, I had forgotten I had this candle that was burnt out all the way, so I was going to throw it away,
as the back of my hand came down, it hit this thick glass, shattered it, and my hand, I'm assuming, it jammed into the glass, severing my whole extensor tendon, all the way through.

I rushed to the e.r. obviously.
It was sticking out of my hand, a good half inch.
It was somewhat located on the back side of my knuckle, when the doctor forced me to make a fist, it came to a stop at about the tip edge of my knuckle, before it curves around to my back hand.
She then had me straighten it out, and it slid back out very far.
She was baffled, saying I shouldn't be able to do that, since it was cut all the way through.
So said it wasn't a tendon, but it very obviously is, and is cut jaggedly, all the way though.
I got three wide stitches, she shoved it under my skin until I can go see the orthopaedic surgeon asap.
It is my middle finger as well, on my left hand, which is my dominate hand...

I am scared, I heard recovery can take a while.
After surgery.
Being on my dominate hand, it's a scary thought.

I am bad at explaining, but it was quite bad, and I was wondering if anyone had experiences or advice about severing the extensor tendon right behind the middle finger, kind of behind and on the knuckle.

Or anyone who has had surgery for severing it, and how it was for them.
I'm 18, and this is the first time somehow, that I've ever hurt myself badly.
So I'm scared...:/.
It's freaky, not being able to move a finger, no matter how hard I try to move it up..:s.

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Old 08-11-2012, 02:11 AM   #2
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Re: Need some answers, Severed Extensor tendon

I can understand why you're scared. While I don't know about this specific injury, having had several surgeries on a torn tendon in my wrist, I can tell you that the faster you receive the proper surgery and therapy, the better your outcome will be. Make sure you are referred to a surgeon with a specialty in hand surgery if at all possible. And, once you have your surgery, you will want to be referred to an OT (occupational therapist) who also has a specialty in hand therapy to begin your rehab. Make sure you ask for that. My OT was a very good hand specialist and I remember her saying many times how critical it is to begin properly rehabbing hand injuries as quickly as possible in order to get and maintain proper function. Best wishes to you. Let us know how things go.

Old 08-15-2012, 03:33 AM   #3
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elgrian HB User
Re: Need some answers, Severed Extensor tendon

It's been a week now, still haven't even seen a surgeon, my insurance, is about to get sued, being so back and forth, constantly mixing their files, so one day I have insurance, the next I don't, because they keep misplacing, and finding my dads hours.

My doctors office has been slacking on referring me to a hand surgeon, when we have a family surgeon, but they have to refer's frustrating..

My hand randomly hurts really bad.
They think I have some nerve damage too, because even though it hurts, I barely feel much, even when they shoved all these needles deep in my hand, I didn't feel it.

When I try to move my middle finger, I really can't.
I can't help but to try, my mom went to med school, so she knows a bit.
But it's only so helpful.
I can't even fill out my scripts for anti-biotics and everything because there is candle glass in my hand still. Because my insurance keeps playing games.
When I try to move it, as hard as I can, I feel the biggest pressure in my knuckle, as if it were being crushed by a thick wrench.

They think there is a little nerve damage too, because when they gave me shots in my hand to numb it, I felt nothing whatsoever.

But I'll get severe pains throughout the back of my hand...

But hopefully when I see my moms orthopaedic surgeon, he will do good, ironically...
I aspire to be an orthopaedic surgeon as well, this being my dominate hand, it scares me, that I wouldn't be able to perform in that profession, without full mobility of that tendon...

I really am lost in what to do.

Old 08-15-2012, 08:34 AM   #4
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Re: Need some answers, Severed Extensor tendon

That's nuts! Sounds like you need to call your primary care doctor and demand that referral now. And how can they not know whether you have coverage?

Fill those antibiotics, even if you have to pay. Most antibiotics aren't terribly expensive.

Old 08-15-2012, 10:18 AM   #5
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Re: Need some answers, Severed Extensor tendon

I don't understand why your doctor and/or the insurance is giving you the run around. But I know they do that sometimes. I would be on the phone pestering them daily, or twice daily. Tell them you have pain, severely diminished movement of your finger and total loss of sensation and that you want this properly addressed immediately. If it's just your family doctor giving you the run around, then you need to be very persistent that you won't settle for anything less than a board certified hand surgeon. Do a search online and have a list of board certified hand surgeons ready to offer them if they can't recommend someone. If the insurance requires it, see your mom's orthopedic surgeon as a first stop. But during your appointment, ask him if he is board certified in hand surgery. Let him know that you aspire to be a surgeon yourself and that you are extremely concerned about maintaining full function of your hand. That should help to get him on your side. In no way should you make it sound like you don't trust him to treat you. Doctors can have very delicate egos. On the contrary, you need to appeal to his expertise... let him know you are depending on his knowledge to help you find the best board certified hand surgeon possible. Basically, be a suck up if necessary. Whatever it takes to get you the treatment you need. If you have a severed tendon and all they did was stitch your hand without addressing the tear, time is of the essence here. Sounds like you are minor? I know that puts you at a disadvantage. In that case, you really need to get your mom busy advocating for you. Good luck. Let us know how it goes.

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