Doctor insights on:
What Is Healing Time For Scaphoid Fractures And Smokers
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
Scaphoid fracture: This depends on the level of the fracture through the scaphoid and if you have surgery or not. Nonoperative distal waist-3 months, mid waist-4 months, proximal waist-5 months. Surgical treatment usually has a healing time of 3 months. These are severe injuries which should be managed by your orthopaedic hand surgeon. ...Read more
The pain in my fractured scaphoid has got worse in last week been in plaster for seven weeks been at work the whole time will this stop the healing?
Overuse: You need to discuss activity and use with your orthophosphate. Your activity may be preventing healing or suffering from nonunion or malunion despite immobilization. Increased pain not positive sign. ...Read more
Variable: 1/2 of fractures of the proximal pole are healed by 5 mo, middle fractures by 12 weeks and distal (end) by 6 wks. Failure to heal relates to instability of the fracture and whether or not the blood supply has been cut off. X-rays often do not show well the exact pattern nor stability. Ct scans are helpful in evaluating for plan of treatment. ...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
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
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
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
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
Iliac crest bone graft from hip for treatment for nonunion scaphoid how big is the cut? Will they take much bone graft? Hello there I have nonunion scaphoid for nearly two years now im having open reducion and internal fixation of the scaphoid fracture w
These are very specific questions, good questions but the best answer comes form the surgeon who is going to operate on you.
Typically "small cut" (whatever that means may be different for different cases, and going home typically depends upon how you feel, genral health, length of surgery etc....Talk to your doctor
pick up the phone and call the office of where your surgery is being done. ...Read more
It depends: It depends how severe the fracture is and whether it is displaced or not. If the pain persists, especially when you touch the snuff box region (base of the thumb and carpal bones) repeat x ray in 7 to 10 days or MRI is recommended. Ulnar and radial stress AP x rays may also help reveal a nondisplaced scaphoid fracture. ...Read more
It depend: Were the fracture located the more toward the wrist area the worse prognosis. The chance the fracture in the proximal (toward the wrist joint) about 50%. ...Read more
Fractured left scaphoid 7 weeks... In a cast.... Increasing pain and lots of pressure in the cast the last 2 days. Can you recommend relief?
Put a screw in it: I know it sounds more aggressive, but surgical care for a scaphoid fracture with the placement of a screw will likely provide you with a more definitive and successful outcome. A cast would be necessary for a very long time without surgery. If you are getting worse, get a new x-ray and see how it has changed. Surgery may be a better option for you. ...Read more
I have been in a cast for 6 weeks for fractured scaphoid I fell and am in a lot of pain my cast comes off next week will I end up in another cast?
It depends on the fracture location, displacement, and your health.
On average scaphoid fractures take 3 months to heal so it is likely you will be immobilized further. ...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
Grafting: The circulation to the scaphoid is precarious going distal to proximal, so proximal scaphoid fracture at risk for non union due to limited circulation. Care consists of either vascularized bone graft from distal dorsal radius, bone grafting with compression fixation, or attempt at bone stimulation with fixation. Seek care with hand surgeon. ...Read more
Scaphoid fractures: Are serious fractures as leaving them untreated can lead to significant wrist degeneration, pain and loss of function. IF you have a scaphoid fracture with loss of circulation to the bone (common in scaphoid fractures as the blood flow enters the bone from the distal end and if you break it the proximal end gets no blood flow)., you need surgery to stabilize it vascular bone graft for bloodflow ...Read more
See Hand Surgeon: Fractures of the scaphoid and lead to significant and severe wrist problems. Prompt and appropriate treatment is essential to prevent late complications. I strongly suggest that you see a hand surgeon in your area as soon as possible. ...Read more
I fractured my scaphoid playing volleyball I waited 2 weeks to get it checked and had played 3 games before is that bad?
Hopefully not: Scaphoid fractures can at times be difficult fractures to get to heal. If they become displaced, the blood supply is somewhat tenuous and can be disrupted leading to a failure of the bone to heal nonsurgical it. All that to say, "waiting" to be seen and playing with it could potentially be fine or may lead to a possible poor outcome. X-ray or possibly ct scan will show status of fracture. ...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
I fractured and displaced my scaphoid 14 days ago. Yesterday received an ORIF. I have no sensation in the top of my thumb-- will I regain sensation?
Yes: The scaphoid is sort of like the transmission of the wrist. Fractures of the scaphoid often heal slowly or not at all and require surgery. Playing competitive contact sports will likely increase the likelihood of the fracture not healing correctly and the long term consequences of not healing or healing in the wrong position can be severe. This is especially true in younger patients. ...Read more