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UK Orthopaedics
Health Information
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Scaphoid Fracture
From Economou SG, Economou TS: Instructions for Surgery Patients.
Philadelphia, WB Saunders, 1998, p. 427.
Description
Scaphoid fracture is a complete or incomplete break of the scaphoid bone of the
hand and wrist. The scaphoid bone has poor blood supply and is at high risk of
not healing.
Common Signs and Symptoms
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Usually, severe pain at the time of injury
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Pain, tenderness, swelling and occasionally bruising around the fracture site
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Numbness, coldness, and swelling in the hand, causing pressure on the blood vessels or nerves (uncommon)
Treatment
If the bone ends are in appropriate alignment (position), the initial treatment
consists of ice and elevation of the injured hand at or above heart level to
reduce swelling. Pain medications help to relieve pain. Immobilization by
splinting or casting for an average of 4 to 5 months is usually recommended to
protect the bones while they heal. For fractures that are displaced (out of
alignment), surgery is usually recommended. Surgery may also be recommended for
nondisplaced fractures. Surgery usually involves placement of removable pins or
screws. After immobilization (with or without surgery), stretching and
strengthening of the injured and weakened joint and surrounding muscles (due to
the injury and the immobilization) are necessary. These may be done with or
without the assistance of an occupational or physical therapist or athletic
trainer. Occasionally, depending on the sport and position, a brace or splint
may be recommended when initially returning to sports.
 More on fractures
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