![]() ![]() ![]() Important: This information is only a guideline to help you understand your treatment and what to expect. If the bone doesn’t heal, you may need a bone graft (new bone put around the broken pieces to help with healing) this is usually taken from bone in the same arm or, occasionally, from the hip. Surgery: this involves using a screw, to hold the scaphoid in place until it has healed. You may also be given exercises to help rebuild strength and increase flexibility. Non-operative treatment: this means that your hand and arm will be in a cast, for around eight weeks and you may have regular X-rays or CT scans to check how well it’s healing. For example, fractures nearer the thumb heal more quickly than those in the middle of the bone, where the blood supply is not as good. Treatment depends on which part of the scaphoid is fractured. It’s important for the bone to heal correctly to avoid osteoarthritis of the wrist in later life. You may also have an MRI scan to show the extent of damage to the bones and soft tissues around them. Having discussed how your wrist was injured, the specialist will usually confirm the diagnosis with X-rays to show the type of fracture and whether the bones have become displaced (moved out of alignment). This can also be caused by a sprain, but if the pain doesn’t improve it’s important to ask your specialist to check for a fracture. Pain and swelling at the base of the thumb, especially when you move your thumb or wrist. Scaphoid fractures can affect people of any age, although they are most common in young, adult men, usually as a result of a sporting injury or motor accident. This type of break is usually caused by falling onto your hand when it’s outstretched, with most of your weight on the palm this may also cause a distal radius fracture. Having a scaphoid fracture makes it more likely that you will develop osteoarthritis later in life, particularly if it doesn’t heal well, so it’s important to get the correct treatment as soon as possible. Fractures associated with an open wound are considered open fractures.The scaphoid bone, a small bone below the thumb, is the most likely bone in the wrist to break, particularly during sports. Clearly, all displacements are not the same and some fractures are associated with greater anatomical deformity than others. All other fractures - that is, all fractures with loss of anatomical contours - are considered to be displaced. 2008 Aug 33(4):478-83.įractures associated with a radiographic appearance that is essentially normal with respect to extra- and intra-articular anatomy are considered non-displaced. Combined fractures of the distal radius and scaphoid. Distal radius fractures may be extra-, intra-, or partial articular and are regularly accompanied with an ulnar styloid fracture. The distal radius is defined as the distal one third of the radius. Distal radius fractures are one of the most common injuries. Wrist fractures include fractures that affect the distal ends of the radius, ulna, and carpus. Purely ligamentous injuries can be a cause of wrist pain after a fall on an outstretched hand in the setting of normal radiographs. Malunion of inadequately reduced fractures may result in decreased range of motion and grip strength, as well as pain, in younger patients, who may place a higher demand on the wrist. Successfully reduced fractures can be treated non-surgically with immobilisation and radiographic monitoring. Non-displaced fractures do not have any deformity and are treated with immobilisation in a splint or cast.ĭisplaced fractures usually present with a 'dinner fork' deformity and require closed reduction and possible surgical fixation. ![]() Isolated scaphoid fractures can also occur and should be considered in the differential of a patient with radial-sided wrist pain after a fall on their hand. This injury may be accompanied by fractures of the ulnar styloid, the distal ulna, and the scaphoid. Wrist fractures affecting the distal radius are the most common fracture in adults and children and are typically caused by a fall on the outstretched hand. ![]()
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