Doctor insights on:
Cast Scaphoid Fracture
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
8 t0 12 weeksA: Depend upon location and quality of the fx. Usually is between 8 to 12 weeks for uncomplicated fx. Assuming you are referring to the wrist. ...Read more
Month or more: Assuming you were casted for 6-12 weeks after your injury, it will take a month or so to get the motion back, and the swelling to go down. There will be additional episodes of this for up to a year. ...Read more
Should I have more pain after being put in a cast for a suspected scaphoid fracture than I did before? And if not what does this show?
Pain: If you are having increased pain after having a cast placed for treatment of a suspected wrist scaphoid fracture, it may be that the case has a fold that's digging into your skin, or the cast may be pressing on a superficial nerve, or the cast may simply be too tight. In any case, I would contact your physician or return to the office for further evaluation/treatment. ...Read more
It's my 4th week of non-displaced scaphoid fracture cast, still having tenderness in my palm and thumb. Does it healing No surgery Cast is for 6 week?
Scaphoid fractures: Can take longer than 6 weeks to heal. The cast, if that is the treatment used, can be discontinued only when there is certainty as to the healing. This can take 8 weeks or more and must be verified by new xrays but a times one needs to check healing with advancd studies such as CT scan. A partially healed scaphoid can lead to other problems, non union, pain re injury so patience is important ...Read more
Not a good idea: Not a good ideaGet a more detailed answer ›
Hey, I was told that my scaphoid fracture is healing on the back end and not the front so I have another month in a cast. Any advice to ensure healing?
'Behave': Meaning, don't test the limits of the cast--likely the Dr put very low lift/carry limits on the injured side--comply. Healthy diet with calcium-rich foods can't hurt--not the time to try to crash diet if looking for good bone union and to avoid surgery. No 100% answer, but hopefully these give some direction. Good luck! ...Read more
Have extreme pain after 8 weeks in a cast for a fractured scaphoid at the proximal pole hurts more now why?
Scaphoid: A scaphoid fracture usually heals but there is an incidence of non union hand avascular necrosis. That needs to be monitored. If you rfracture is now healed fully and you are out of a acst rmember that after 8 weeks stiffness and tightness may alone caue pain. You are not used to making sudden movements. Often athritis change at the the stt joint can alos hurt with motion. Talk to your physician. ...Read more
About 3/4 months ago I was taken to A&E with a suspected scaphoid fracture I was seen by 2 doctors and was put in a thumb spica (not a cast) for 10 days because they suspected the scaphoid was broken. I later had another appointment for an X-ray to decid
Varies: Scaphoid fractures are often difficult to fully assess with X-ray. Often a ct scan or MRI is used if someone has persistent pain and X-rays look ok. Sometimes rather than doing a lot of initial studies, we will treat a patient in a splint if they have an exam and X-rays could be consistent with a scaphoid fracture, but then dc their splint if their exam and X-ray normalize. ...Read more
I was diagnosed with a scaphoid fracture and put in cast for 2 weeks. When reassessed with a CT scan they said they couldn't see a break and took cast off. 2 weeks later it is still very sore. WhAt do I do? It's week a month on total since I initially inj
Get reexamined: 'Snuffbox' tenderness after a fall can be a scaphoid fx. If not 'displaced' casting for 2 wks, removal of cast and advanced imaging (CT or MRI) is appropriate. If your CT did not reveal a fracture (and was reviewed by your ORS as well as the radiologist) then scaphoid fx. Unlikely. Persistent pain should merit reexamination for other wrist/ hand injuries (example: scapholunate ligament tear).GL! ...Read more
Scaphoid Fracture: Scaphoid fractures are often not too painful and thus are often missed as the patient never seeks medical attention. If the fracture is displaced then usually there is significant pain that will cause the patient to come to the er or orthopedic office. ...Read more
Rare: Scaphoid fractures are extremely rare unless related to significant trauma. If you have been in a accident it is possible. These fractures are also difficult to see on standard xrays. Further studies such as MRI of ct are typically required. If you are concerned see an orthopedist for further evaluation. ...Read more
Pain and a positive x-ray? Sometimes the X-ray my look or be read as " negative"
The pain can be severe but there are many times that the pain is annoying and mild and comes on gradually and in fact ignored, this is why many non displaced scaphoid fractures are not diagnosed at the time of injury, especially with a so called negative xray. Additional X-rays, special views and MRI can help dx ...Read more
Reasons for surgery: 1. Scaphoid non-unions. 2. Lifestyle.
Non-unions are rare but unpredictable. Any scaphoid fracture can fail to heal. That ruins any activity requiring full grip or range of motion for the rest of your life.
8 to 12 weeks of casting can cost one a job, athletic fitness, etc. Virtually all surgeons have surgery so they can keep working. Use your values to decide what to do. ...Read more
No: Marijuana smoke, unlike tobacco smoke, does not appear to have major effects on healing, especially healing of bone. However, this may depend on how much you smoke. Most cigarette smokers are consuming 20+ cigarettes per day, while marijuana smoker may smoke the equivalent of 3-4 cigarettes per day. If you smoke cigarettes, that will have more effect on healing than marijuana. ...Read more
Internal Fixation: The fastest recovery from a scaphoid fracture will come from getting the bone to heal as quickly as possible. If cast treatment is chosen then using a cast which provides adequate fixation for your fracture is needed. Percutaneous fixation can return a patient to sports more quickly (see http://www. Youtube. Com/watch? V=gqeygwpnbdg). Bone growth stimulators may help speed healing. ...Read more
Right away!: If your doctor has confirmed that your fracture has healed, you can start playing again. Start slow and gradually build up to your pre-injury playing frequency! ...Read more
Are there any good treatment options for a scaphoid fracture that has been untreated for 15 years?
OLD scaphoid fx: Such that there is a NON union or a malunion can be associated with arthritis, cartialge wear, "collapse" of the normal arrangment of the wrist bones and all that must be considered when evaluating treatment options. There are many good options, from resecting a portion of bone or bones or partially fusing part of the wrist, to even just treating the symptoms. It isindividual process but can b OK ...Read more
Months: The scaphoid is a very slow bone to heal. Depending on your age and displacement of fracture, it may take months before the fracture appears healed on an xray. It is important to follow the fracture to make sure it heals, as the scaphoid may go on to nonunion (not heal), or avascular necrosis (loss of blood supply with eventual collapse). ...Read more
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more
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