Did i break my scaphoid bone?Asked by: Danielle Carter | Last update: 18 June 2021
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Secondly, How do you know if you broke your scaphoid bone?
- pain on the thumb side of the wrist.
- swelling and bruising on the thumb side of the wrist.
- difficulty gripping objects.
In respect to this, Can you move your thumb with a scaphoid fracture?. A scaphoid fracture causes tenderness directly over the bone and the pain may increase when you move your thumb or grip things. Your initial pain may decrease over days or weeks and because there is no significant bruising or swelling they are often mistaken for a sprained wrist.
Similarly, it is asked, Can a scaphoid fracture go unnoticed?
Sometimes, it does not even show up on an X-Ray. If a scaphoid fracture goes undetected or if treatment is delayed, it can result in permanent and irreversible damage to the wrist.
Can you break a bone in your wrist and still move it?
Some people can still move or use the hand or wrist even if there is a broken bone. Swelling or a bone out of place can make the wrist appear deformed. There is often pain right around the break and with finger movement.
There are various imaging options for assessing a patient with a suspected scaphoid injury. They include plain radiographs, magnetic resonance imaging (MRI), ultrasonography, and bone scintigraphy. All of these modalities have advantages and disadvantages when evaluating patients for potential scaphoid fracture.
The quick answer is the symptoms of hairline fractures of the wrist are pain(sharp or achy), swelling, bruising and lack of function of the wrist. Wrist fractures can occur with a fall on an outstretched arm, or a forceful impact such as a car accident.
Most people with a scaphoid fracture (which is the same as a broken wrist) will have pain and/or swelling along the thumb side of the wrist within days following a fall. Because there is no visible deformity and no difficulty with motion, many people with this injury assume that it is a wrist sprain.
When can I return to work and driving after plaster treatment? Return to an office job is possible within the confines of the plaster, however most insurance companies will not let you drive. Manual work will be impossible until after the cast is off and the scaphoid has healed.
Whether your treatment is surgical or nonsurgical, you may be required to wear a cast or splint for up to 6 months or until your fracture has healed. Unlike most other fractures, scaphoid fractures tend to heal slowly.
Scaphoid fractures that are not diagnosed and treated are in danger of developing two serious complications: Nonunion—when the bone fragments heal improperly or incompletely. Avascular necrosis—when the fracture causes blood supply to be cut off to part or all of the bone, causing the bone tissue to die.
This is because the scaphoid bone can 'hide' behind the other carpal bones on an X-ray. Special scaphoid view X-rays taken with your hand and wrist in a certain position may help to show up a scaphoid fracture. However, about 2 in every 10 scaphoid fractures may not be seen on X-ray at first.
Avascular necrosis occurs when part of the scaphoid bone dies because of the loss of blood flow. This can eventually result in fragmentation and the collapse of the bone. Its presence also makes repair of the scaphoid much more difficult. An MRI scan can be helpful to check for avascular necrosis.
A scaphoid fracture can lead to wrist osteoarthritis, especially if the fracture is untreated and does not heal correctly. This is called “nonunion.” Severe cases of this kind of osteoarthritis can lead to an incorrect alignment of wrist bones in what is called scaphoid nonunion advanced collapse (SNAC).
Conclusion Subacute scaphoid fractures (presenting within 6 months from injury) can be expected to successfully heal with casting alone, even if the initial diagnosis is delayed.
Some surgeons report good results doing surgery right away when a patient has had a recent, nondisplaced scaphoid fracture. Studies have shown that this method can help people get back to activity faster than wearing a cast for up to 12 weeks.
The majority heal uneventfully after four to six weeks of immobilization, depending on fracture type. In general, proximal scaphoid fractures should be treated with internal fixation.
Signs and Symptoms of a Wrist Fracture
Expect there to be swelling and pain with a broken wrist. Sometimes there is an obvious deformity or misalignment, but other times the wrist may look normal aside from mild swelling. It is always best to see a specialist for a proper diagnosis and an X-ray.
Treatment for a hairline fracture looks different than that of a more severe fracture. You likely won't need a cast, but the doctor may recommend that you wear a brace to keep your arm immobile. You should also rest your arm and use ice to control the pain.