Doctor insights on:
Scaphoid Fracture Numbness Thumb
I've scaphoid fracture got numbness in my thumb been 3 weeks THR IS NO PAIN is only when I use my hand and I have a plaster but is numbness normal?
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
I went to the doctor and they said it could be a possible scaphoid fracture they just can't see it on an x-ray, but the pain keeps increasing and now my thumb went numb what does that mean?
TOS: Person age/sex unknown had wrist trauma with residual pain and now "thumb numb", suggests occult navicular bone fracture, which generally only manifests on imaging studies 10 or so days after the original trauma. Consultation with an hand specialist is indicated; sooner than later. My comments below are inappropriate in that I initially thought that scapula was involved. Indeed, navicular bone is. ...Read more
X ray to diagnose:
Pain on the radial side of the wrist can be a sign of a scaphoid fracture.
Often active patients suffer a "bad wrist sprain" ignore it and then show up years later with a painful wrist due to an scaphoid fracture which was not diagnosed.
An x ray with a dedicated view of the scaphoid can help make the diagnosis, although within the first 2 weeks a of a fracture the x-rays can miss a fracture. ...Read more
In thumb spica splint for suspected scaphoid fracture. Pain in entire thumb area while in splint normal?
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
Question about diagnosis/misdiagnosis of scaphoid fracture. Several months ago a box fell on my hand near the base of my thumb, I was concerned that something may have been broken or fractured, but I had MRI which should bones were intact. How likely tha
This has nothing to do with training, experience or expertise. Some fractures just don't show up despite proper good standard assessment, but the percentages are small. The radiologist who read the study as negative also is trained to do so. To get an idea of the complexity of this question see the links below
an MRI that is read as negative for scaphoid fracture rules out a fracture most of the time.
There can be false negatives and false positives. A MRI will detect variations in the bones trabecular pattern (inside the bone) often associated with negative x-rays. If anything inexperience in reading MRI can lead to over diagnosing a fracture by mri.
Other tests include a ct scan, which is better for cortical (outside) disruption and a bone scan which is less specific
a contused or bruised joint near the base of the thumb especially if there is even a touch of mild arthritis can often take time to feel better
a good way to assess persistent pain several months after injury is to be reevaluated and get new plain x-rays including scaphoid views and be assessed for things other than a scaphoid fracture that can still give wrist pain. ...Read more
Fell onto my hand yesterday, thumb slightly swollen, aches and is tender. Restricted movement. Cant hold anything heavy. Could it be scaphoid fracture?
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
Hello, around 3/4 months ago was diagnosed with a suspected scaphoid fracture by 2 doctors. I was in a thumb spica splint (not a cast) for around 4 weeks in October I saw a "specialist" he was saying I only had internal bruising but I had to keep it in m
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Do I have to undergo surgery if I have scaphoid fracture non union in my hand? The fracture is already two years due.
Scaphoid fracture: That is non unitted and old needs surgery to fix the fracture, it will not unite or heal by itiself, by casting or by other methods. However if the question is must someone have surgery. Well no, no one can say you must, but certainly most will very strongly recommend a younger person with a scaphoid non union to get it cared for with surgery to prevent later problems. ...Read more
Wrist sprain six months ago. Leant backward on hand holding my son. Clear X-ray day of injury. Pain still and wrist weak. Could it be scaphoid fracture?
If I have a scaphoid fracture that has gone untreated for more than 6 months, will that show up on an x-ray? I had an injury on my hand last summer, initial X-ray and MRI showed nothing other than sprained scapholunate ligament with post-traumatic synovit
Scaphoid fracture: If you had a scaphoid fracture which was initially not diagnosed and it has not healed (a scaphoid nonunion), this will show up on regular x-rays 6 months after the injury. Possible causes of continued pain after a wrist injury without a fracture can be an unhealed ligament sprain or tear, a joint capsule sprain or cartilage injury. A clinical examination and perhaps an MRI can help diagnose. ...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
No: Scaphoid fractures are not too uncommon in cricketers as the the direct impact of a leather ball on the hand is a mechanism of injury. The scaphoid is a very important bone in the hand. If fractured it's treated in a cast or more typically with surgery. Healing takes upto 3-6months, and during this time it's important to protect it. Playing cricket with a scaphoid fracture is not advised. ...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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