scaphoid fracture · 2020-05-14 · scaphoid fracture contact the fife virtual hand clinic team by...

Scaphoid Fracture Contact the Fife Virtual Hand Clinic Team By telephone: 01383 623623. Ex. 22441 By email: [email protected] Via our website: www.fifevirtualhandclinic.co.uk What has happened? You have broken, or fractured, your scaphoid. The scaphoid is a bone at the base of the thumb. This type of injury is painful and the time to healing can take anywhere from a few weeks to around 4-5 months. Once healed many fractures can continue to be symptomatic. Most scaphoid fractures are stable (the bone moves in one piece) and can be treated in a plaster cast. The time in cast depends on the location of the fracture in the scaphoid. Some unstable fractures require an operation. What should I expect during recovery? Weeks 1-2 The fracture will be painful, but this pain is tolerable in the cast. There may be considerable swelling and bruising from the fingers down into the wrist. You should continue moving your fingers, elbow and shoulder to avoid stiffness. Start the hand KEY EXERCISES Weeks 3-6 The pain and bruising will gradually subside. Use your arm for simple tasks as pain allows. Week 7-12 The cast will be removed. You should begin the wrist KEY EXERCISES as soon as you are comfortable. Start to use your hand normally as soon as possible. This is quite safe, as the fracture has largely healed and most discomfort is from stiffness in the joint. Are there any complications of this injury? It often takes up to a year for the wrist to feel normal again. Most scaphoids heal without complication. 10- 15%, however, will not heal (non-union). In those cases that are symptomatic, surgery may be recommended. A small piece of bone is taken from the pelvis and inserted between the un-united bone. This is held with a small bone screw. Smoking has a strong association with non-union. Some patients develop arthritis later in life. This is more significant if a non-union occurs. If this is painful, then surgery may be offered to try and alleviate pain, although generally this type of surgery sacrifices movement for pain relief. Checklist Week 2 - I can make a full fist Week 8 - I can use my hand for everyday activity Week 12- I have returned to work TOP TIPS Stop smoking! This will help healing. Take vitamin C Try to keep moving your fingers What does the Xray look like? Scaphoid Fracture KEY EXERCISES

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Scaphoid Fracture

Contact the Fife Virtual Hand Clinic Team

By telephone: 01383 623623. Ex. 22441

By email: [email protected]

Via our website: www.fifevirtualhandclinic.co.uk

What has happened? You have broken, or fractured, your scaphoid. The

scaphoid is a bone at the base of the thumb. This type of injury is painful and the time to healing can take anywhere from a few weeks to around 4-5 months. Once healed many fractures can continue to be symptomatic.

Most scaphoid fractures are stable (the bone moves in one piece) and can be treated in a plaster cast. The time in cast depends on the location of the fracture in the scaphoid. Some unstable fractures require an operation.

What should I expect during recovery? Weeks 1-2 The fracture will be painful, but this pain is tolerable in

the cast. There may be considerable swelling and bruising from the fingers down into the wrist.

You should continue moving your fingers, elbow and shoulder to avoid stiffness. Start the hand KEY EXERCISES

Weeks 3-6 The pain and bruising will gradually subside. Use your

arm for simple tasks as pain allows. Week 7-12 The cast will be removed. You should begin the wrist KEY

EXERCISES as soon as you are comfortable. Start to use your hand normally as soon as possible. This is quite safe, as the fracture has largely healed and most discomfort is from stiffness in the joint.

Are there any complications of this injury? It often takes up to a year for the wrist to feel normal

again. Most scaphoids heal without complication. 10-15%, however, will not heal (non-union). In those cases that are symptomatic, surgery may be recommended. A small piece of bone is taken from the pelvis and inserted between the un-united bone. This is held with a small bone screw.

Smoking has a strong association with non-union. Some patients develop arthritis later in life. This is more

significant if a non-union occurs. If this is painful, then surgery may be offered to try and alleviate pain, although generally this type of surgery sacrifices movement for pain relief.

Checklist

Week 2 - I can make a full fist Week 8 - I can use my hand for

everyday activity Week 12- I have returned to work TOP TIPS Stop smoking! This will help healing. Take vitamin C Try to keep moving your fingers

What does the Xray look like?

Scaphoid Fracture

KEY EXERCISES

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RE-MOTIONTM total wrist arthroplasty for treatment …Non-union of a scaphoid fracture is consistently followed by the development of OA within 5-10 years [1]. Scaphoid fractures and/or