Doctor insights on:
What Is The Average Healing Time For A Scaphoid Fracture In The Wrist
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 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
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
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 a 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
I'm still in quiet sever pain in the radial side of my wrist and it's been a few months since my scaphoid fracture. Do you know what could be going on?
Scaphoid fractures: This commonly fractured bone in the wrist can sometimes be either slow to heal or non healing. This has to do with the fact that the blood supply is many times disrupted in the injury. Therefore, this type of fracture requires evaluation and moinitering by an Orthopaedic surgeon until it heals. The fact u r having severe pain is of concern. Get an evaluation ...Read more
Proximal Pole Scaphoid Fracture in my left wrist. Previously had one a year back and was told it has healed. What do I do?
More tests: It would be important to know if your original fracture just never healed or if it is a new fracture as they would be treated differently. A C T scan would usually be able to differentiate between the two. ...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 a 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 an of a fracture the x-rays can miss a fracture. ...Read more
Yes: If the wrist is swollen and bruised, I would be concerned for a wrist injury. Radiographs or x-rays would be beneficial to rule out a fracture. ...Read more
Hamate fracture in left wrist & scaphoid fracture in right wrist. Left wrist has been casted &right wrist has a wrist binder. Both undisplaced. Recovery?
I was out and a tree landed on my arm I heard a snap I had a previous scaphoid fracture and it feels painful and I have no movement in my wrist?
I would recommend: You see an orthopedist. You don't want to lose function of your wrist. ...Read more
How long should I expect to be out of work? I went to the ER sun and was told that both my wrists are broken 1 with radical styloid fractured potentially scaphoid fracture, the otherdistal radius fracture. I work in customer service field on the computer
For either one of these injuries alone, you could be expected to do computer work within a week or so, though a bit slower than your usual pace. However, with both wrists broken, it becomes much more difficult. Basic hygeine and eating can be difficult if both wrists are in casts.
A radial styloid fracture, in and of itself, is not usually problematic and heals in about 6 weeks. However, it can be a marker for a more severe injury to the scapolunate ligament--part of the cornerstone of the wrist. You need to see a hand surgeon to determine if there is significant ligament instability. Sometimes the portion of the fracture that goes through the joint shifts and needs to be fixed surgically. Either of these situation would prolong the healing time. If there is indeed a scaphoid fracture, that wrist could be limited much longer, sometimes up to a year.
The distal radius fracture depends on the fracture pattern. Most of these do not involve the joint, but can tip backwards and distort wrist mechanics. If it displaces, it may require surgery. Unfortunately, these can move at 2-3 weeks after injury.
In short, your recovery time depends on the "personality" of the fractures and any associated injuries. If all goes especially well, you might be out of casts by 6 weeks, but there are a lot of other factors. ...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?
Is it alright to play sports like volleyball and baseball with a nail left inside my wrist?(scaphoid fracture)my doctor says it need not be taken out.
Scaphoid fractures: Can be treated with a screw that is commonly "buried' in the bone so that after it is healed and the OK is officially given (that is VERY IMPORTANT) one can use the wrsit and the hand normally. These screws are generally not taken out though sometimes screws can shift and fractures can settle a little but that is the exception. ANY SCAPHOID FRACTURE MUST BE OK'd by treatingDOC to resume activity ...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
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
Surgery Recommended :
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
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
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
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?
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. An 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. Can't hold anything heavy. 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
It's my 4th week of non-displaced scaphoid fracture cast, still having tenderness in my palm and thumb.
Does it healing
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 from 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 on 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
Possibly none.: For scaphoid fractures that heal, either through immobilization or surgery, minimal long term effects are noted. However, scaphoid fractures that do not heal may lead to arthritic changes in the wrist. These changes eventually cause wrist stiffness and pain. Arthritis can often be tolerated with braces and medications, but occasionally corticosteroid injections or even surgery is necessary. ...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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