Scaphoid fracture

The scaphoid is one of the small bones in the wrist, located on the thumb side, just below the base of the thumb. A scaphoid fracture is a break in this bone, and it is a very common type of wrist fracture, often resulting from a fall onto an outstretched hand. Due to the scaphoid's unique blood supply, these fractures can be challenging to heal, making accurate and timely diagnosis crucial.
 

What are the symptoms of a scaphoid fracture?
 

The symptoms of a scaphoid fracture can sometimes be subtle, which is why it is often missed or mistaken for a simple wrist sprain. Common symptoms include:

• Pain and tenderness: Pain at the base of the thumb and on the thumb side of the wrist, particularly when you try to pinch or grip something.

• Swelling: Swelling on the thumb side of the wrist.

• Limited movement: Difficulty or pain when moving the wrist.

 

How are scaphoid fractures diagnosed?

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Hand and wrist specialist, Mr Shyamalan, will perform a physical examination to check for tenderness in the anatomical snuffbox (a triangular depression on the back of the hand near the base of the thumb). If a fracture is suspected but not visible on the X-ray, further imaging with an MRI or CT scan may be necessary to confirm the diagnosis.

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How are scaphoid fractures treated?

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The treatment for a scaphoid fracture depends on the location of the break and whether it is displaced.

• Non-surgical treatment: For non-displaced fractures, treatment typically involves immobilising the wrist in a cast for several weeks to allow the bone to heal.

• Surgical treatment: For displaced fractures or those that fail to heal with casting, scaphoid fracture surgery is often recommended. This procedure involves using a screw to fix the bone fragments together, providing stability and promoting healing.

 

Find expert care for your wrist injury

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If you have fallen on your hand and are experiencing wrist pain, do not assume it's just a sprain. Prompt diagnosis and treatment are essential for scaphoid fractures. Mr Shyamalan is a leading consultant hand, elbow and shoulder surgeon in Solihull and an expert in diagnosing and treating all types of hand and wrist fractures. As one of the best hand surgeons in the West Midlands, he will provide the expert care you need for a full recovery.

 

Book a consultation at the Midland Hand Clinic today.