![]() ![]() Immobilizing beyond this time is unlikely to be beneficial so in this case, surgery is often required and many surgeons would do this sooner rather than opt for a further period of immobilization. If this happens then in some cases the fracture is immobilized again for a further 4 to 6 weeks. Scaphoid fractures have a risk of not healing properly due to poor blood supply. Scaphoid fracture surgery & complications It is important to fully strengthen the wrist following so many weeks in a cast as the muscles will waste away. A scaphoid fracture cast of this size is needed to properly immobilize the wrist and allow the bone to heal.Īfter 8 weeks the scaphoid fracture is re-assessed and rehabilitation exercises can begin along with a gradual return to sport. If your fracture is stable your wrist will be immobilized for 8 weeks in a plaster cast extending from just below the elbow, over the wrist, and at the base of the thumb. In this case, an MRI (24 hours post-injury) or bone scan will reveal the fracture. If the doctor suspects a fracture but the X-ray is normal then it cannot be ruled out. However, the injury may not always show up on an X-ray. A doctor will X-ray the wrist to confirm a diagnosis of a scaphoid bone fracture. Initially, treatment of a scaphoid bone fracture would be to apply ice or cold therapy, protect the wrist with bandaging or strapping and seek medical attention. The exact area of tenderness is called the anatomical snuff box and is located between two tendons on the thumb side of the wrist. An MRI scan is also suitable, however, a scaphoid fracture may not show up during the first 24 hours following injury. A CT scan is better for a recent acute injury if this type of fracture needs to be ruled out. It is the most common missed fracture resulting in legal claims. A scaphoid fracture may show up on an X-ray, but not in all cases. ![]()
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