A member asked:

4 months since open reduction of trans scaphoid perilunate with carpel tunnel release, starting excercise is it bad for possible nonunion scaphoid?

7 doctors weighed in across 3 answers
Dr. Mark Ciaglia answered

Specializes in Hand Surgery

Yes: If you are just staring therapy now it is a little late. Usually therapy is instituted about 8-10 weeks following perilunate injuries. If radiographs and even ct images at 4 months demonstrate a scaphoid nonunion with associated symptoms of pain and loss of motion, additional surgery might be needed.

Answered 12/27/2014

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Dr. Gary Pess answered

Specializes in Hand Surgery

No: If there is evidence of healing therapy can be started. A ct scan iis useful to follow healing.Scaphoid.

Answered 7/29/2013

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Dr. Jeffrey Wint answered

Specializes in Hand Surgery

Scaphoid: If you have a possible nonunion of your scaphoid you should not be doing range of motion of your wrist until you have been told by your treating surgeon that it is ok. It may be that the surgeon is not sure based upon a line on the xray and has further tests pending.

Answered 3/25/2023

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