A scaphoid fracture is a common type of wrist fracture that occurs in the scaphoid bone, a small bone located on the thumb side of the wrist.
This type of fracture can be challenging to diagnose and may require prompt and appropriate treatment to ensure proper healing.
Below, I’ll describe the symptoms, causes, diagnosis, and treatment of a scaphoid fracture:
1. Pain: The most common symptom of a scaphoid fracture is pain in the wrist, particularly on the thumb side. The pain may worsen with wrist movement or when pressure is applied to the affected area.
2. Swelling: Swelling around the wrist may develop within hours or days after the injury.
3. Bruising: Some individuals may notice bruising around the wrist or hand.
4. Limited range of motion: The injured wrist may have reduced flexibility and movement due to pain and swelling.
5. Tenderness: The area over the scaphoid bone will be tender to touch.
Scaphoid fractures usually occur due to a fall onto an outstretched hand, where the force is transmitted through the wrist joint, leading to a fracture of the scaphoid bone.
Athletes, especially those participating in high-impact sports like skateboarding or snowboarding, are at a higher risk of sustaining a scaphoid fracture.
Additionally, individuals involved in activities with a risk of falls or accidents, such as biking or rollerblading, are also prone to this type of injury.
Diagnosing a scaphoid fracture can be challenging because the symptoms may be similar to other wrist injuries. The doctor will perform a thorough examination, including:
1. Medical history: The doctor will inquire about the cause of the injury, the onset of symptoms, and any previous wrist injuries.
2. Physical examination: The wrist will be examined for tenderness, swelling, and range of motion.
3. X-rays: X-rays are often the first imaging tests used to identify a scaphoid fracture. However, sometimes the fracture may not be visible initially, and further imaging may be required.
4. MRI or CT scan: If the X-ray results are inconclusive but the doctor suspects a scaphoid fracture, advanced imaging may be ordered to provide a more detailed view of the bone.
The treatment of a scaphoid fracture depends on the location and severity of the fracture. Common treatment options include:
1. Immobilization: In many cases, the doctor will recommend immobilizing the wrist using a cast or splint to allow the bone to heal properly. The duration of immobilization varies depending on the severity of the fracture.
2. Surgery: If the fracture is displaced or if there is a risk of non-union (where the bone does not heal properly), surgical intervention may be necessary. During surgery, the bone fragments may be realigned and secured using screws or wires.
3. Follow-up care: Regular follow-up visits are essential to monitor the healing progress and make any necessary adjustments to the treatment plan.
4. Physical therapy: After the immobilization period, physical therapy may be recommended to improve wrist strength, flexibility, and function.
It’s crucial to seek medical attention if you suspect a scaphoid fracture or if you experience any wrist injury with persistent pain and swelling. Early diagnosis and appropriate treatment can help prevent complications and ensure the best possible recovery.
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Wrist brace to control motion of the CMC and MP joints
The Bio Skin Wrist / Thumb Spica regulates movement of the CMC and MP joints by preventing painful movements of the thumb and wrist but allowing unrestricted use of the fingers.
