Should i get scaphoid surgery?Asked by: Neil Clarke | Last update: 18 June 2021
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If your scaphoid is broken at the waist or proximal pole or if pieces of bone are displaced, your doctor may recommend surgery. The goal of surgery is to realign and stabilize the fracture, giving it a better chance to heal.View full answer
Hereof, How long does it take to recover from scaphoid surgery?
Healing: Average time to union of the scaphoid is twelve weeks. Depending on the rigidity of the bone fixation and need for bone graft, the wrist may be casted for four, six, eight or 12 weeks.
Correspondingly, Can a scaphoid fracture heal without surgery?. If you receive proper treatment and restrict activity with your hand, a scaphoid fracture may heal without surgery. Your doctor will likely recommend casting if it appears that the bones may heal on their own. The cast immobilizes your wrist, so the pieces of bone to fuse back together.
In this regard, What happens if you don't treat a scaphoid fracture?
If a Scaphoid fracture does not heal, it is called a Scaphoid Fracture Non-union. If left untreated, the part of the Scaphoid that interacts with the Radius may die, which can lead to painful arthritis in the wrist, developing months to years after the initial injury.
What happens after scaphoid surgery?
If you have a nonunion, you will have to wear a short arm thumb-spica cast or brace for at least three months after the surgery. Scaphoid fractures take longer to heal because there is poor blood supply to the bone. For patients with scaphoid nonunions, we often prescribe a bone stimulator to help the bone heal.
Scaphoid fractures usually cause pain and swelling in the anatomic snuffbox and on the thumb side of the wrist. The pain may be severe when you move your thumb or wrist, or when you try to pinch or grasp something. Unless your wrist is deformed, it might not be obvious that your scaphoid bone is broken.
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.
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.
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.
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.
Fractures that are in the proximal pole of the scaphoid, displaced, or not treated soon after injury require surgical repair. The goal is to put the bones back in alignment and stabilize them so they can heal properly. After surgery, you will usually be in a cast for eight to 12 weeks.
A fractured scaphoid normally produces pain on the thumb side of the wrist joint. Usually, when a bone is broken intense pain is felt, however, in the case of a fractured scaphoid this pain may not be very strong and the injury may feel more like a wrist sprain.
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.
It is the most common carpal bone to break (fracture). A scaphoid fracture is usually caused by a fall on to an outstretched hand. Symptoms can include pain and swelling around the wrist. Diagnosis of a scaphoid fracture can sometimes be difficult, as not all show up on X-rays.
You will need at least two weeks off work after surgery. Exactly how much time you will need off depends on which bone was broken, whether the break was in the hand you use most (your dominant hand), what your job involves, and whether there are any light duties you can do.
A scaphoid fracture that is correctly treated soon after the injury will take about 12 weeks to heel. But an untreated fracture may take as long as six months to recover from. Untreated patients will also usually experience long-term problems moving their wrist or other complications (see below).
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.
Once there is clinical healing on radiographs, the immobilization phase is usually over. Typically a thumb spica orthosis is then used for comfort and protection. The 3pp Ez FIT ThumSpica Splint is ideal for protection of the wrist and thumb following a scaphoid fracture.
Splints – also known as “half-casts” – provide less support than casts, but are easier to use and can be adjusted. They also can be tightened or loosened easily if the swelling in the arm or leg increases or decreases.