What is the most common complication of scaphoid fracture?
Avascular necrosis is common complication of a scaphoid fracture (in around 30% of cases), with its risk increasing the more proximal the fracture. Non-union is the bone failing to heal properly, most commonly due to a poor blood supply.
What nerve is affected in scaphoid fracture?
Within scaphoid fractures, the median nerve can be damaged in some ways. A displaced fracture could determine an acute4 or progressive nerve compression,5,6,7 whereas in nondisplaced ones, this eventuality could occur by the fracture hematoma.
What part of the scaphoid is most commonly fractured?
A scaphoid fracture is usually described by its location within the bone. Most commonly, the scaphoid breaks in its mid-portion, called the “waist.” Fractures can also occur at both the proximal and distal ends of the bone.
What are the symptoms of a scaphoid fracture?
Scaphoid fractures are a type of broken wrist. They happen when you break your scaphoid bone — a small bone near the base of your thumb….Symptoms of a scaphoid fracture include:
- Inability to move your wrist.
- Bruising or discoloration.
- A deformity or bump that’s not usually on your wrist.
What type of splint is used for scaphoid fracture?
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.
What is the fastest way to heal a broken scaphoid?
- Advance therapy with gentle AROM of the wrist and gentle opposition and flexion/extension exercises to the thumb.
- Continue elbow and shoulder exercises.
- Remove the short-arm cast at 6 weeks if the fracture appears to be radiographically healed.
- Use a wrist splint for protection.
Do you need a cast for a fractured scaphoid?
Surgery. 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.