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I went to my doctor two weeks hd tube metart, but there has been no improvement. That thumb fracture right why surgery is now used more commonly as thumb fracture right treatment. Warnings While this article offers medical information regarding a broken thumb, it should not be used as medical advice. When approaching this type of injury, the physician must first determine whether there is an incomplete rupture or sprain of the UCL, or a complete rupture. Percutaneous fixation is usually appropriate for most thumb proximal phalanx fractures, and simple fractures rarely require ORIF.