![]() Your doctor will provide an exercise program, and may refer you to a trained hand therapist who will help you regain as much range of motion and strength in your wrist as possible.ĭespite hand therapy and a great deal of effort by the patient during home therapy, some patients may not recover the same range of motion and strength that they had before their injury. It is important to maintain full finger motion throughout your recovery period. This is more common in patients who wear a cast for a long time or require more extensive surgery. Some patients have wrist stiffness after scaphoid fractures. Smoking (which can delay or prevent fracture healing).Participating in activities with a risk of falling onto your hand, such as inline skating or jumping on a trampoline.Lifting, carrying, pushing, or pulling more than one pound of weight.During this time, unless advanced activity is approved by your doctor, you should avoid the following activities: Unlike most other fractures, scaphoid fractures tend to heal slowly. ![]() Whether your treatment is surgical or nonsurgical, you may be required to wear a cast or splint for up to 6 months or until your scaphoid fracture has healed. Scaphoid bone location Scaphoid fracture healing time ![]() Wrist bones (palmar view of right wrist/hand)įigure 3. This will help the doctor to decide what is causing your wrist pain and what type of treatment you need.įigure 1. If the x-rays are negative, your doctor may request a CT scan, MRI scan, nuclear medicine bone scan or a repeat x-ray a week or so after the injury. If the x-rays are positive your doctor will start treatment. If your doctor thinks you may have a scaphoid fracture, he/she will usually request plain x-rays for diagnosis. There may be gaps between the pieces of bone or fragments may overlap each other. In this type of scaphoid fracture, the bone fragments have moved out of their normal position. In this type of scaphoid fracture, the bone fragments line up correctly. Scaphoid fractures are classified according to the severity of displacement–or how far the pieces of bone have moved out of their normal position: Most commonly, the scaphoid breaks in its mid-portion, called the “waist.” Fractures can also occur at both the proximal and distal ends of the bone. Often referred to as the “anatomical snuffbox,” this area is typically the site of tenderness or pain when a fracture occurs (see Figure 3).Ī scaphoid fracture is usually described by its location within the bone. It is located at the base of the hollow made by the thumb tendons. The scaphoid bone can most easily be identified when your thumb is held in a “hitch-hiking” position. Because portions of the scaphoid have a poor blood supply-and a fracture can further disrupt the flow of blood to the bone-complications with the healing process are common. Treatment for a scaphoid fracture can range from casting to surgery, depending on the fracture’s severity and location on the bone. These symptoms may worsen when you try to pinch or grasp something. Symptoms of a scaphoid fracture typically include pain and tenderness in the area just below the base of the thumb. Scaphoid fracture one cause of wrist pain. Scaphoid fractures are usually caused by falling with your arm stretched out and onto your hand. A scaphoid fracture is when the scaphoid bone, which is your wrist, breaks.
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