Scaphoid Fracture

What Is A Scaphoid Fracture?

A scaphoid fracture occurs when one of the small bones of the wrist is broken, most often as the result of a fall onto an outstretched hand.

What Are The Symptoms Of Scaphoid Fracture?

Symptoms typically include pain and tenderness in the area just below the base of the thumb which may worsen if you try to pinch or grasp something.

How is Scaphoid Fracture Diagnosed?

Generally, diagnosis is based on x-ray, x-ray can be negative right after impact, or MRI.

What Is the Treatment for A Scaphoid Fracture?

Treatment for a scaphoid fracture can be surgical or nonsurgical (cast). This is a decision best made by consulting with a surgeon.

Not all fractures will require surgery. Treatment will depend on:

• The location of the fracture
• Whether the bone fragments are displaced
• How long ago the injury occurred

How Long Does A Scaphoid Fracture Take To Heal?

Unlike other fractures, scaphoid fractures tend to heal slowly. Therefore, regardless of the type of treatment you had, you may need to wear a cast or splint for 2 to 3 months, or until the fracture has healed. During this time, unless approved by your doctor, you should avoid the following activities:

• Carrying, lifting, pulling or pushing anything over a few pounds.
• Throwing with the injured arm
• Participating in contact sports or activities that may pose a risk of falling onto the hand, such as trampolining or inline skating
• Climbing trees or ladders
• Using heavy or vibratory machinery
• Smoking (can impede healing)

Wrist stiffness has been reported by some people after a scaphoid fracture and is more common in patients who wear a cast for an extended period of time or require more extensive surgery. Unfortunately, despite diligent efforts in both hand and home therapy, some patients may not recover the same range of motion and strength that they had before their injury.