What's the risk if a scaphoid fracture didn't heal?
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- Опубликовано: 16 июн 2024
- Many people suffer what they think are fairly minor injuries, only to learn that they are actually much more significant. In this Ask Dr. Geier video, I discuss the specific injury that is potentially more serious than many patients realize - a scaphoid fracture.
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Stephanie asks:
Apparently I broke my scaphoid months ago and the doctor just now caught it because I was having a hand xray on a finger. I’ve never had any pain in my wrist or scaphoid area, none at all. They have me in a cast, but my take on it is, if I didn’t even know it was broken, why bother? There’s no pain and no swelling at all, and I wouldn’t have even known had I not had an xray for something unrelated. What is the risk, with no pain and having not even known I broke it, of taking the cast off and going on with life?
The scaphoid is the bone located at the base of the wrist on the side of the thumb. You can injure it by falling and landing on your hand. Often a patient thinks that they just sprained the wrist because there is no obvious deformity. X-rays, though, can show the fracture.
One major challenge with scaphoid fractures is getting them to heal properly. The blood supply to this bone is tenuous, so even nondisplaced fractures can fail to heal. Displaced scaphoid fractures almost always require surgery to line up the fracture and compress it with a screw. Hand surgeons often operate on some nondisplaced fractures in athletes. If nonoperative treatment is possible, the surgeon will likely still treat the patient by placing him in a long-arm cast.
If the fracture doesn’t heal properly, the bone can collapse, and the patient can develop degenerative changes in the wrist. If a scaphoid nonunion is seen on x-rays, the surgeon might fix the fracture surgically and add bone graft to help the bone heal. The key is doing what needs to be done to get the fracture to heal.
Please remember, while I appreciate your questions, I cannot and will not offer specific medical advice by email, online, on my show, or in the comments at the end of these posts. My responses are meant to provide general medical information and education. Please consult your physician or health care provider for your specific medical concerns.
If you have questions about the injuries or treatments mentioned in this video, or about a sports or exercise injury, subscribe to my channel and click the bell to be notified of my Better Than Ever LIVE! streams, including an Ask Dr. Geier live show I do most Fridays at 12:00 PM ET.
Dr. David Geier I fractured my scaphoid and I’ve been in the cast for 3 months. Now the surgeon told me I have 2 options which are; 1: try let it heal by itself and I’m going to get arthritis or 2: they have to take a bone from my knee and replace the fracture which will then heal. But for my knee there is a risk that I will get pain, clicking, and sometimes can’t walk. If u can give me any suggestions that will be greatly appreciated
I am 37 years old, I have had my left wrist in a cast for 6 months in row after surgery that involved K-wires to better the alignment for the scaphoid bone that was fractured at the waist. The bone has healed almost 100%, yet the wrist became stiff. I have been doing physical therapy on it for almost 2 years thus far. Now, when I bend it downwards it moves, but not 100% except under pressure which cause pain as it gets to closer to the natural bending range. Likeswise when moving it sideways towards the thumb, it moves, but gets painful as it comes closer to natural end of this move.I am too frustrated yet I do not lose hope, hence, would you mind recommending to me any recent technique, surgery or therapy that heals the remanants of this stiffness and recovers it 100% as it used to be?. Thanks a million for consideration.
i got nerve block injected
I had the surgery and screw put in my right scalfoid in October got my cast off New Years and I am In so much pain 7 months later and my wrist is easily 2 inches bigger then other thumb placement is different
@@alexisentonfire hey why was that? And what were your results?
Got shot point blank range went through scaphoid young 25 year old wishing for the best
Got my surgery last week and had bone grafe taken out of my arm. Went about eight months with a broken hand. Get my cast in two days, and should recover in 8 to 10 weeks. Shit ass injury. I feel for every single one of you who have this injury, you can’t do push-ups 😪😪
Dude I just had the same surgery yesterday and this is the worst pain I’ve felt in my life
@@guero2faded I'm going to have to get it I'm going to die :(
I was not able to do push ups when I broke my scaphoid bone for last six month, I left it untreated, and now Im able to do push-ups and going to gym, but problems is when I move to a certain angle of my wrist it still hurt a little, but much better now, I feel better when I massage it, and its feeling better every week idk if its healing up itself.
@@junchen1901 my scaphoid healed partially since I had the cast removed, I was able to use my wrist but not apply any force. After a CT scan it revealed there was hollow sections inside the scaphoid, but the outer structuree was intact. Maybe your scaphoid has something similar to this and if so, hopefully it's able to heal itself so u don't gotta get surgery like me lol I'm in recovery rn
@@johndoeyop thank you so much it’s very helpful. I will go get a CT scan just to make sure.
I had what I thought was a sprain in my wrist in my early 30s. I didn’t seek treatment. Turns out I had an undiagnosed and untreated scaphoid fracture. In my mid forties, I developed severe pain in my wrist. I had developed SLAC wrist. Now 10 years of pain later, I finally had a a Scaphoid Excision with Four Point Fusion. I am 11 weeks post op and still in my splint. Great advice from this video. Get any wrist injury examined and treated.
I had what was termed a violent scaphoid fracture years ago falling off my scooter - I was offered a surgery option with a small screw straight away and took that option. Was done two days later - only needed a splint not a cast, very little discomfort at all and healed perfectly well in about 4 - 5 weeks with no loss of function / motion. Would highly recommend the surgery.
hippinschick does the screw bother you?
how much was the surgery?
Man I’m going through the sameee exact thing rn!! Also broke mine on a scooter lol
The surgery is about 14,000 with insurance it for me was about 1,500
Kim hippinschick how are you doing today do you have any pain
Thank you very much Dr. Good and informative video
Also scaphoid is extremely hard to pick up on an X-ray sometimes, so if you go to the ER and they say nothing broken, still follow up with an orthopedic. Luckily the ER saw mine.
Man oh man this is so for real
This happened to me. I had 2 x rays at the normal doctor. they didn't see anything. almost 2 months after injury I finally went to the orthopedic. they found a fracture on my scaphoid. and now I have to have sugery cause the fracture is pretty bad.
@@Whickeyloo19 How is your hand now ? Did the fracture healed?
Thankyou Dr.David Geier
I am 30 years old and i Broke my schaphoid when I was 15 skateboarding didn't know it just kept it wrapped for the summer. Somehow 15 years later I rebroke it in my sleep it was nice an calcified spent a year in a cast Dr said I probably didn't need surgery. One year later I got surgery and then my Dr retired. No follow ups or rehab were scheduled. It's now been 2 years and it still hurts and now I can barely do anything with it. I was a juggler, exteme sports enthuisiasts, and acrobat. Now I sit on the couch and wish I was dead. Everyone at work and in my social circle acts like I'm a faker and the only thing I have to look forward to is the off chance I have to get surgery again which will be a bone graph from my hip and another year of inactivity. I think a Bullet would be a better cure at this point my quality of life is absolute garbage, my incomes been cut in half cause I'm a manual laborer that can't work. No matter what I do it never seems to improve and I can't find any legit resources for rehabilitation. Sometimes I just wanna cry cause all hope is gone
I've also had to cut sodium out of my diet cause I've taking so much calcium supplements on the daily I now have kidney stones so there's that.
I hope you find a way. Prayer sent, brother. Supplement with juicing if ya can.
thanks man! i have been taking tons of supplements but i should definitely start juicing for some extra nutrients. Ive finally started making some progress I've made it past ten push ups everyday and while i still get some pain in it and havent gone on to normal life the quality of it is getting better so here's hoping i can avoid a bone graph if i just keep on playing it safe
Shawn Renfroe my left wrist is completely usless now. Broke mine 25 yrs ago cut the cast off for work. I feel your pain man.
I got my surgery a month ago
I broke my scaphoid in early December 2015 and am still in a cast now (September 2016). Totally sucks. when I broke it I was told 3-6 months to heal (sounded long at the time), and now I'm on 9 months. My next appointment is in mid November, which will make it 11 months in a cast (assuming I get it off). In all honesty next time I fall I'd rather land on my face than break this POS again. I'm a young, healthy, active male, which makes the time to heal even more frustrating. Also my doctor said physical therapy probably won't be necessary which I find hard to believe.
How is it now?
I broke mine 6 weeks ago. In cast 4 weeks. It seemed ok until now it’s hurting again because had to drive to a doctor’s appt. big mistake back to square one. It hurts bad again. I’m scared now it will not heal. Another check up in 4 weeks. Sick of it already. Like you I would rather fall on my face than this ever again. I wish I knew.
I have nondisplaced fracture in waist scaphoid, it’s been 4 week in cast . N this Monday they taking off cast . How long should I keep cast do you think ?
You don’t have to wear it! Doctors must do what the patient wants not the other way around!
@@notorious.pyro24 What's up man, can you send me some links to scaphoid workouts once recovered?
Yeah.... I gave it 6 months... I play guitar for a living and it’s my left wrist. Can’t take it anymore. Watched another Dr’s video and his lessons helped big time. Trying to see if you have any yourself.
I broke my scaphoid bone about five weeks ago and I'm in a cast for 8 weeks minimum, the hand surgeon I saw said he doesn't think it needs surgery but it was too soon to tell. I have next appointment in two weeks and then we'll see from there! Thanks for the video!
Gabriel Lewis so what happened
Just broke mine a week ago it swells and hurts a lot doctor said I have some fractures and told me to come back in 2 weeks
Thanks Dr very informative
I went to the doc yesterday just to confirm my mild thumb pain was nothing more than a bruise or sprain. Lo and behold...a scaphoid fracture. Following up with an ortho doc in 10 days to evaluate.
Had a scaphoid fracture on my shooting hand my senior year in basketball. I taped it up and played with it for 5 games because I thought it was a sprain. When I realized it wasn’t getting any better after a month I got it checked out. It split directly in 2 and the bottom half of the bone died so they had to use bone grafts to fix it. I got extremely lucky that it healed. Despite a successful surgery, 7 years later my wrist is now at about 60% of what it was when healthy. I would say. Being “tough” isn’t worth it. If I would’ve gotten it checked out ASAP i would’ve got a dissolving pin put in. Now I have a permanent screw.
I got my scaphoid fractured on my left hand in motorcycle accident. Mine was broken to 4 pcs. Had my surgery 1 week ago on 25.05.21 and now i have the same screw as many of you :)
Hope my recovery will be good and bone fracture will be consolidated.
Hello how are you.. are you feelin healed??
@@MJ-cu2yo Hi. My scaphoid consolidated well 2 months after my surgery. Now i started rehabilitation, because i was in cast for 8 weeks i totally lost range of motion in my wrist. Overall i feel better, my left hand does not feel painful/sick anymore, it's just stiff to move after long immobilization. Now i need to return full range of motion.
@@NVK85 how is your hand doing sir ? I hope you are doing good. Did had surgery right after the scaphoid happened or you stayed for months?
Hi, Dr David Geier I had a scaphoid fracture in my right hand on February 4, two days later I went to the hospital with pain and they put me in a temporary cast for 1 week. Then they gave me another 10 days later, and from February 24 until now I have the third one, and yes, I had to stop all physical activities, video games, etc. until I was cured and yes, almost all the time bored, and sometimes with depression.
I’m right in the middle of it. Broken my scaphoid 2 weeks ago and going through it. My doctor stressed a lot of the points you talk about and I’m going to take care of it as best I can so it heals up. I’m an active guy and this is pretty frustrating, but this video and some of the stories shared in the comments make me realize how serious I should be tending to it
I hope it turns out well.
I broke my scaphoid about 6 weeks ago. Three doctors missed it and I ended up displacing it quite badly when they eventually did pick it up. I had a screw put in and I've been in a cast for about 4 weeks. Super frustrating as I'm a pianist, and will probably need physical therapy before I can play again. The pins and needles are also very hard to ignore.
how was your journey?
How did that end up going? I pay guitar but luckily I broke my "dominant" hand so as long as I can hold a pick im hoping I'll be fine. Idk if I will be doing well in a few months if I can't play.
Unfortunately I've developed arthritis in the wrist so not a great journey overall.
i broke my right scaphoid when i fell playing skating ... back in 2000 i was 20 years old.. im 37 years old now ... thought its only a sprain... so i go to the physical therapist that i was thought the right doctor for
my painfull wrist .. my first x ray show no broken bone in my wrist... so i ignored it that its only a sprain ... but its too late after 2008 when it feel stiffness and severe pain in my right wrist .. that time my friends
told me i should go to orthopedic doctor and then find a shocking discovery in my x ray with different angles that my right wrist scaphiod is broken and have arthritis... that doctor said to me that i go for surgery
to put plates in my wrist ... but i will lose some of my hand movement... so i decided to leave not to go to surgery...just i ask to my doctor to give me a priscribed medecine for pain.. thank you sorry for my
english...
My fracture was missed on the initial evaluation. After several months of physical therapy another x-ray was taken and the fracture was discovered and was displaced. My surgeon had to take a bone graft off my hip and inserted a screw. The end result is that I have lost range of motion and now after 5 years the pain is getting to the point where I will be going back in to have it re-evaluated. X-rays after the surgery showed a small loose piece that the doctor acknowledged but said that it shouldn't be an issue. I'm not sure if that is what is causing the pain now or if it's just arthritis.
I had my scaphoid broken when i was 16. I'm now 30, I have significant pain until this day on my wrist on and off. The specialists have recommended either i do surgery in an experimental way or alternatively, i live like this for the rest of my life via various remedies. I'm concerned my early onset wrist arthritis will get worse...I'd appreciate any feedback.
😞
Had an MRI detect a non displaced scaphoid fracture on my wrist last year. Was on cast for 9 weeks. After the cast was taken off, another MRI showed it was joining up. The ortho asked me to proceed to do exercises to increase mobility. 1 year later, I still do not have full mobility and if I extend it beyond a certain , pain creeps in. If I keep extending it, the pain disappears and I get increased mobility for a while. Hours later, I lose that mobility again.
please listen to your doctors regarding scaphoids! I’m sitting here six years after breaking mine in extreme pain wearing a wrist brace and waiting on results of my MRI. this bone should NOT be messed with!!
+Riley K Very true!
Layenna Rose Jarin people are taking this really lightly. this one is the most serious injury that might lead wrist fusion.
I'm actually in a long arm cast now and it was 3 weeks until I found out my scaphoid was fractured/broken and my doctor said I was very lucky that my bone didn't lose blood supply and it was really close to doing that
Hi Dr Geier, great video. I haven't been for x rays as yet, have been experiencing some significant pain after falling while snow skiing 8 weeks ago. My wrist was painful for about a week after then seemed to settle. About ten days ago, my wrist started aching a lot and I noticed a small "bone" protruding between base of thumb and wrist on the side of my hand/wrist. It is painful every day now and struggling to lift things up, type on the keyboard etc. Also there is extended pain down my forearm towards the elbow. Would you recommend a orthopaedic doc/surgeon? Thank you, L
Hi there, I know this is an old post of yours, but I was hoping you had additional info to add to your injury. It sounds like you had a Scapholunate ligament tear, not a fracture. I have been diagnosed with multiple wrist injuries, two being bilateral Scapholunate ligament tears with widening gaps between those bones.
I had pain in the snuff box area after a car accident 2 years ago and went to the dr. He told me it was completely unrelated to the accident and that he saw something small on the X-ray but not enough to call it a fracture so he put me in a brace. My pain went away initially just to return periodically for the past 2 years. Now about to seek medical help so hopefully I can get it taken care of properly.
Eden Mullins mri? why did you have just xray?
Video was very helpful. I am currently dealing with a scaphoid fracture that I got while playing football. I was falling backwards and put my hand back to brace myself and managed to roll on it pretty good. It happened about 2 weeks ago, but unfortunately I’m stubborn and have pushed my surgeon to do the surgery because I didn’t want to wait to see if it heals properly or not I have 3 friends who had the screw surgery done 2 of which were almost 7 weeks into healing and started having issues. So I’m going to have it done mainly because I’m starting a career based job and can’t afford to be off for 6-12 weeks and take a chance that it “might” heal properly.
Thank You,
John Morris
+John Morris Good luck!
wow! why are you rushing? do you understand how serious a scaphoid fracture can be if not treated properly? Have you heard of total wrist collapse? SNAC? Did you see a fused wrist?
I was in 4 different cast for 7 months, but it healed.
Dr David geier I’ve had this condition for almost 5 years And the pain is getting worse I have a bone lump how bad based on the years do you think it is
Blood supply only runs to The scaphoid from 1 direction, hence long healing time.
Hi DR.david
Which one is worse scaphalunate ligament rapture or scaphoid fracture?
I broke my Scaphoid in January playing roller derby and it wasn't caught until June when I went to have my knee looked at by an ortho due to an ACL tear. the break was near the bottom. I had great mobility before with it broken and had to have surgery with a bone graft it's been 2.5 months since. I'm in a brace and mobility has gotten better since the 2 week cast came off but I can't move my wrist nearly as much as I thought I would be able to. I hope it heals. I don't want to be out of the game again. this isn't a respectable injury. I think people feel like I'm milking it. breaking my leg would've healed quicker. ughhh
Very clear thanks
+Cake Playz Glad it helped!
I was in a cast. Then it was taken off but NOT re scanned. So they didn’t check that it was fixed. It turned out that it wasn’t fixed. And I now have a non union scaphoid bone and a vastly reduced range of motion. If there a way of increasing my range of motion?
I too recently had undergone through scaphoid frature and it has heal only 50%. Can u please give me some suggestions
I need your advice please what suppose I do now ? And when it healing 100% ? Please replay me .. thank you
I had an accident more than 5 years ago and still live with the pain in that area.
It first happened 12 years ago and it healed by itself which is the reason i didn't went to the doctor until now.
The pain and the limited mobility of the wrist that i learned to live with until hiling doesn't seems to work now like before.
Is possible that the bone to be broken and dead? I work in industry so i need my hand very much. Thanks!
I broke my scaphoid in the exact reason you talked about playing football and falling back after getting hit and landing on my hand and having my wrist bend back. I went to the doctor about 3-4 weeks later because the pain wasn't awful and it was mostly when i applied pressure to the wrist mostly because i wanted to finish the football season so the first time i went to the doctor i got an x ray and the doctor said they couldnt find anything wrong. So after 2 months went by and i couldnt walk my dog without getting pain in my wrist i went to the doctors and got another x ray and they told me it was broken and had been broken for a while and that it had started to heal improperly so they would put me in a cast for 3 months and see how it was after the time. After the 3 months the doctor told me they liked the progress of the cast and would put me in a cast for another 3 months when i got my second cast off they told me my wrist looked 100% better and that i shouldnt have any problems but as soon as i got the second cast off i could feel pain in the same area i always had and till this day my wrist hasnt felt the same and i still get theses pains espcially on cloudy rainy days any tips ?
How are you feeling now? I hope there's Improvement ...?
Thanks for the video Dr Geier!
I broke my scaphoid 6 years ago on my dominant hand. My experience was similar to what you mentioned in your video, I thought it was only a sprain until I had an x-ray 3 months later for a separate issue. I ended up getting a bone graft and screw placed in. 6 years later and the range of movement I have is still worse than my other hand and I get a bit of pain especially when I go to the gym.
Is it worth getting it examined again to see if it's healed properly and are there options to help increase the blood flow to the bone?
Thanks
George
Yes a hand surgeon could go over all of the options depending on how the bone is doing. Good luck!
Pretty much same what happened to me. The doctor missed it completely and didn't even bother calling me to tell that her diagnosis was wrong. She said that it was just a sprain after reading the x-ray in front of me. The radio guy found out that there was a fracture but no one at the hospital bothered contacting me about it. I only found out 7 months later as it was still swelling and feels hurt.
George Politis hello George im going through your same situation have had this fracture for 3 months now nd am about to do surgery in the next two weeks is there hope to do push ups and be active nd play basketball things of this sort please write back!
Dr. David Geier it's been three months nd just now am I getting surgery in the next two weeks! What are chances or enjoying sports again push up and normal hand functions being it is my dominant hand aswell!
Hey man. I struggle to do traditional push ups, but when I do them I do them on my knuckles or using push up bars or dumbells. I have stoped playing Australian rules football because of this injury, but I still play basketball and don't have any issues.
Hi Dr. i have finally ran into a video that could further help my situation. Several years ago, I was playing football at a park and I landed on my wrist. It hurt like hell that whole day. I recall the pain. I left it untreated. Months later, all it would do was pop. So I left it alone. It still would give mild pain when I would pull wrist back. But I didn’t bother for a while. I got an X-ray and they said I was fine. So I obliviously went on. Years later now, maybe close to 10 years. It still pops. And it mildly aches when I twist certain angles. I fear now that I am in a bigger situation with this wrist. It’s on my right wrist and I can still do normal things without pain even workout with weights it’s just certain angles that ache more. My other wrist looks thinner compared to the one where I suspect I have had a scaphoid fracture. But now this really terrifies me to know I’ve left it untreated for all these years...
I hope it turns out well!
Thanks for the information Dr. Geier. I broke my scaphoid three months ago and just got my cast off. For the 1st three weeks my thumb wasn't casted and another doctor told me that it should have. I'm in a brace now and go in for another x-ray next week. The lower part of my thumb hurts when I use my hand a lot. Was wondering if this is normal. It almost seems that surgery was the way to go here. Any thoughts?
If you are able, join Dr. Geier here on Friday’s Ask Dr. Geier Live! show at Noon ET, on Nov. 4. He would be happy to discuss this. Also, check out the hundreds of videos here and thousands of articles on his website - drdavidgeier.com - in which he discusses every musculoskeletal injury suffered by athletes and active people.
- Dr. David Geier team
I broke mine, and wore a cast for a couple weeks and decided I didn't need it and cut it off. I ended up hurting the same wrist again skiing a few months later and after that just wore a wrist brace for a couple months and haven't had problems yet
I broke my scaphoid fracture about 24 years ago during a game of soccer and had surgery back then applying a stainless steel screw which was removed after some time. Recently I suddenly experienced the same pain as before as if it broke again. X-ray and MRI are not indicating fractures (which is commonly overseen! same thing back in 1997!) Good healthcare and proper analysis in my country is very poor and restricted. Since there are only 5 or 6 orthopedic surgeons (most of them unexperienced or super old) in Suriname I have my doubts especially when I got injected with
corticosteroids which did absolutely nothing. The same pain and immobility still in the hand. Any advice to point out certain things to my doctor so he can check additionally? Thanks in advance! greetings from Suriname. South America
Just had my surgery one week ago. May 2014 I fell from altitude on my wrist. I thought it was no big deal as well and I continued doing my stuff. After few months I noticed it isn't healing and the motion became limited with some pain. Especially problems with push-ups and handstand and I couldn't straighten my right arm as the left one anymore. Due to travels and work I didn't do surgery until now. After more than 5 years artrosis has developed and fortunately there is still blood going through my scaphoid bone. Now they scooped some bone from my underarm and put it in the fracture and fixed with a screw. Doctor says no rugby for me for 6 months :'(. So guys, don't be like me and treat it ASAP.
How's it doing now?
How is your hand now ? Did the fracture healed?
Omg I’ve had mine for more then a year!!
What happened man, did you fix it now?
I did mine on Thursday and havent been to hospital yet but I am going tomorrow because a broken right wrist is a pain and I dont need it prolonged by my stupidity!
I broke mine on June 15 went 10 months without surgery but I just got it done yesterday wish me luck
Been having mine for 6 years, never knew what it was. Until it started hurting bad recently and turned out it was scaphoid fracture
@@adriansellsgalpin same i injured mine playing soccer 5 yrs ago im gonna get it done in 3 weeks
I had a non-union scaphoid fracture from over 10 months ago that, due to insurance reasons, I just had surgery yesterday. They actually used my right hip to harvest the bone for bone graft (the same side as my fracture). I'm not sure why they used my hip, rather than another part of the wrist, but due to the amount of time that had passed, I experienced quite a lot of bone loss. Could that be why the used my hip, perhaps? Maybe they needed a bigger piece of bone than could be grafted from another part of the wrist?
Also, I too thought it was just a horrible sprain, from March '18 until September '18 when I had my first X-ray, I don't think it was completely broken in half, and I continued working as an HVAC installer (with a good wrist brace), because insurance was so expensive! Long story short, a month later I fell asleep without my wrist brace, and I manage to break the scaphoid all the way in half, which I found out when I had another X-ray and a CT scan. I was supposed to have surgery in November, at which point I was out of work, but at the last minute I got a call saying my insurance would not cover it! Anyway, I was FINALLY able to get Medicaid, thank God!
Funny thing is my hip is in more pain that my wrist!
Thanks for sharing your experience!
I broke my scaphoid about 10 weeks ago and I had to have a cast on for 8 weeks. The doctor told me I would have to get cast on for 10-12 weeks but he said because you are young you have a good chance of getting it off early and it did. I’m 15 btw. I broke it when I fell and played a football game with it broken. I almost didn’t go to the doctors but I told my parents that we need to go. I got it off the 8th week. I’m not allowed to have contact for 10 weeks. Since I’ve had it off it has hurt a little bit when I use my hand.
Hello I have kienbocks disease stage 3a concerning my lunate bone I had a lot of pain a couple of years ago but it has gotten much much less the past 6 months , I originally thought it was a sprained wrist , but now I'm being told to get a PRC surgery . Again I'm not in much pain is PRC the answer ? I'm 48 year's old . I'm even told when they open my wrist I may need full fusion if there's too much damage.
I broke my scaphoid just over 30 year's ago, I neglected it for a sprained wrist didn't seek medical advice for about a month, then was in an experimental fibre glass cast for around 6months but doubt it healed correctly even then. Five years later it was fractured again this time I was given a bone graft they used a piece of bone from my elbow. Again in cast for month's. This time it was much worse , I lost a good deal of flexibility in my wrist,it won't bend to full extent as normal nor rotate properly. I have more or less a constant throbbing low level pain , occasionally very sharp pain which I can mostly ignore during the day but notice at night. I've totally given up on it ever getting better and have just learned to live with it. I believe the surgery may have made it worse. I wouldn't even contemplate further surgical attempts to remedy it for fear of again making the situation worse. I've learned to live with that throbbing pain now, I know I've developed arthritis for sure. I just take some codein and ibufren and aspirin when it decides to antagonise me. I'm in my mid sixties now so I'm just going to put up with it until I pass on. The low level pain is an old friend now and I'd probably miss it. Anyway you get one do something about it right away don't neglect it as I did or you'll be sorry, it's haunted me all my life with low level misery. T
Get your wrist pain checked out, don't ignore it! I broke my scaphoid and it became displaced. It swelled up and bruised for about two weeks after the injury but I assumed it was sprain. After 9 months of not being able to support weight and limited movement I saw a doctor. The two halves never rejoined and I have abnormal bone growth. Now I have to have surgery to remove bone, get a bone graft, and join the scaphoid back together. This could of all been potentially avoided if i just saw a doctor and was put in a cast.
Hi, have you done the surgery with the bone graft? How is healing process going if so
@@matthewthomas3082 I did get the surgery, about 4 months ago. I'm 30 and fairly healthy, yet took about 3 months just for the bone to heal enough to start movement. I still don't have full range of motion and can't support my entire weight on it yet but it's getting better. Hopefully in another month or two I'll be completely back to normal.
How is your hand now ? Did the fracture healed? How is your hip ?
Dr.Geier,
I fell on June 30 this year didn't think much was wrong at the time, I had fallen at work so I did incident report. later that day when I got home I had a lot of swelling in my ankle for I had twisted it and then fell face first, so of course I put my hands out. The next day I informed HR that I needed to go get an x-ray to make sure everything was ok. I went for the x-ray and they came in and said I had a Intra-Articular Distal Radius Fracture and immediately tried to get in touch with Orthopedic but no luck since it was the weekend of the 4th of July took workers comp 11 days to see Hand Specialist he did x-rays and said the fall had caused an Arthritic Episode but it didn't feel like Arthritis. I had to go back 14 days later and he had decided to give me an Cortisone Injection for the Arthrits and since then it has went down hill. I felt like he hit something when he did the injection and now I have pain that started radiating up my arm it went across my wrist first then radiated up my arm, the doctor sent me for an MRI to start with and said there were no changed since previous one last year but pain didn't get any better and I went back and the last test I had done was an Nerve Conduction Study EMG and the Neurologist said I had damaged my funny bone nerve and so now I don't know what to do. In the very first x-ray that was taken you could see a little line across the Scaphoid bone and I have had a few doctors that are my friend look at it because I was so confused and they said there was a fracture that it was slight but there so I went from half a cast to splint then to CMC brace with no use of thumb pinching or grasping, then after all this the doctor said no use of arm while at work until further notice. I have second opinion coming up but not until November. I am confused with the amount of pain I am having the past 3 nights I have been in so much pain that in 3 days I have had a total of 9 hours sleep and I'm exhausted. I was just wondering what kind of symptoms would you have if the pain could be caused from Avascular Necrosis or what since it's going up my arm and I have been having pain in my shoulder and radiating up into my neck. What do I do ? Because the doctor I have been seeing doesn't have a clue. He didn't see the fracture on x-ray but it looked like it was in the waist of the scaphoid. Any help would be appreciated...
Eva Reed mri? why were they doing xray?.?..
I’m 50 years old and hurt my wrist at work and reported right away.Figured it was a sprain but it got worse over the weekend and went to the ER they X-ray’d it and said it could be a fracture however referred me to a hand Doctor.Due to workers comp I haven’t seen an orthopedic Doctor so been going back to the ER where they did a CT scan and it fractured in 3 places and still haven’t seen an orthopedic doctor.3 months now and still in pain.
CT scans should be protocol for wrist injury not X-ray.
Almost a year and a half ago I had wrist pain that increased over weeks with no known accident or incident. My primary said it was "tendonitis", and had me rest and wear a splint for 6 weeks. No improvement, so I was referred to a hand surgeon. X-ray showed no fracture, but then, due to continued pain, an MRI revealed a non-displaced fracture through the scaphoid waist. At that point, 4 months after presenting to my primary doctor, the surgeon and I opted for surgical repair. Following 5 weeks in a cast and 8-10 weeks recover, pain was not improved. A CT scan showed a possible protusion of the surgical screw, so another surgery was done to remove it. Another 8 weeks recover and unfortunately the pain continued! Possibly worse. A final MRI last week (14 months after the initial MRI, and 18 months after my initial presentation to my doctor) the MRI was positive for Preiser's. I just found out today. The necrosis is fairly advanced. My surgeon is referring me another hand surgeon who may be able to make a treatment plan for me.
lisa how is it now?
How is your hand now ? Did the fracture healed?
Get it checked!!!.. I have arthritis now and only 35 degree of flexibility when I pull it back. I can't even compete in the Olympics for gymnastics now. I wonder if I keep stretching it back, what is actually keeping it from going back to 90 degrees (except the pain) Is ther an actual blockage. It seems better to just pull this dead bone out. Am I wrong?
I had my surgery 3 years ago. I might not regain full mobility and get rid of the pain for good as it still hurts when placed in certain forceful position.(e.g defending against an offensive player using the treated hand).
Which has me worrying is that I can't pop my thumb properly anymore, I had to move it around to do so and it hurts so much. Pain is centered at the base of the thumb.
I think i am developing arthritis. :(
How is your hand now ? Did the fracture healed?
I fractured my scaphoid along the proximal pole approx 5 years ago, playing rugby. Went to accident and emergency the next day, only to be told it wasn't broken. I continued to play rugby, train hard and maintain my usual active lifestyle.
About 9 months after injury I was still having some discomfort so went to my GP who referred me to the fracture clinic.
Got an MRI which did not show the fracture properly but my scaphoid appeared Black in the image.
Got a CT scan which finally showed the fracture.
I was put on the waiting list of surgery which I had approx 4 months later.
I had a bone graft from my radius and a screw put in. This did not work.
I then had a bone graft from my hip and the screw removed. This still did not work.
I then had another bone graft from my radius which once again did not work.
I then had a de nerving operation, which did not receive the pain.
Last month, after 4 operations and 5 years of pain, I had the scaphoid removed and the wrist was partially fused.
The surgery took 4hrs 30 minutes because of the amount of sinnuvitis and scaring. When they tried to screw through my lunate, it fractured also. They had to secure the wrist with k-wires, which subsequently got infected post op.
I have had a horrible time with what is such an unnasuming little bone, PLEASE if you suspect a scaphoid fracture, get it checked out!!
I know have no movement in my left wrist what so ever and I am only 26!
Matthew Montgomery you sound like a whiny drama queen
you sound like a troll that doesn't know the pain of the scaphoid? I'm nearly at the 6 week mark with my cast (fracture at the waist). Lots of pain still and wondering if its healing. I'm not looking forward to the next assessment! I agree totally with Mathew, what a bone to mess up!
Matthew Montgomery agree
I’m getting my surgery tomorrow after five years. Sorry to hear about the wrist fusion
fusion is the end game for this type of fracture. when i read the story, waiting for 4 months was the primary mistake. he is whining for reason.
Is there any personal space where can send x-ray reports after undergoing screw fixation nd bone grafting bcz the fractured region still pains and its been 6months
I had a wrist injury 5 years ago which most likely was my scaphoid, was told it was a sprain and come back if it gets worse. I kept playing sports within a week and everything has been pretty good aside from not being able to hold the same weight or bench press without it hurting.
I just fractured my scaphoid this past week, and meet with a surgeon in a few days to go over next steps. Ive been in a thumb cast for 9 days now and its awful! Is the recovery time shorter with surgery? i want to be playing hockey and lifting weights as soon as possible, and a cast doesn't allow me to do that.
hey can you told me what happened next
i had an mri for mine and i had a cyst on my scaphoid as well as a torn scapolunute ligament. i ingured it 3 years ago and it swells up after using it too much and starts aching a lot. the doctors keep saying it should be fine but it’s been since 2016 and still hurts 💁🏼♀️
I believe I have the exact same problem, what have you done about this?
I had a fracture,scarphoid but it was never treated,it's three years down the line I still feel the pain,problems with grasping and fully functioning of my left hand. What risks am I exposed to please
ok thanks
Hi I had this same injury but on both my wrists. Left and Right. and I did have surgery on both wrist. Screw in my left and hip bone and j-hook in my right. but that surgery was 2-3 years ago. and now the pain is worsened and pain wont go away anymore. I can feel that if I do any heavy lifting, it feels like my hand is gonna get pulled right off. I went to the nurse today and they said I had complete avasion nutrilee or something lol. but I already had surgery.... what can I do now?
Thanks for the video. I had a vascularised bone graft scaphoid surgery with internal screw fixation for my scaphoid non union. Yeah, I never knew I had a fracture, and I misunderstood it as a sprain.
I am not sure if it’s a relevant question, but it’s been nearly 5 months I had surgery and the bone is healing in a slow rate, and the range of motion is very very slowly increasing and the strength as well, so can I get at least 80% of range of motion in a few months?
I’m sorry, but I can’t legally answer medical questions and offer medical advice online. I have created thousands of articles and videos that discuss almost any musculoskeletal injury that should help you.
how long after the surgery did it take you to start holding small objects like a pen for example? I recently had the same surgery too and its with my dominant hand so I am wondering when would I approximately be able start writing with my hand.
How is your hand now ? Did the fracture healed?
hello dr. Geier i am doing my treatment tomorrow for scaphoid frracture which one would u recomend me for the treatment, to do the sergery or to put posr-op
Ive yad mine for 29 years and i was told it couldnt be fixed also yes i have arthritas please forgive my spelling
Hello I had scaphoid and got screw insertion surgery but somehow the screw came out so got operated again and doc took the screw out. Now it created or damaged some cartilages so doc says they can not operate and now what are the possible Diagnosis? Please let me know i am just doing my own research to connect with best docs.
Broke mine 2 years ago and just got surgery 5 weeks ago as it ended up being split in haft, they took some bone outta my hip and screwed it together and repositioned it, hopin for the best
How did it turn out I broke mine a year ago then rebroke it without noticing
How long did it take to heal
@@dasfear726 How is your hand ?
I've got a work injury and my surgeon thinks I have severely bruised my scaphoid and that it might be dying and is suggesting removal and fusing the other 4 bones together. What till this cause my hands physical appearance to look like and how much motion will I loose?
I had it happen almost 30 years ago. I cut the cast off when my job said they didn't have any light duty. Please don't make the same mistake. I'm 59 years old and I don't have much use of the wrist left. And was told fusing the wrist was about the option.
Brian warner thanks!
I'm 24 and I recently had this same break I've had my cast on for about 6 weeks and I was getting really bad cast claustrophobia and I cut it off ... i know I shouldn't have and now I'm freaking out it's been off for about a week
How's the wrist now?
What happened Chris
chris you cut your cast off??? are you idiot? you risk necrosis and fusion and you cannot move your wrist again.
Hi, i had a bike accident 16 weeks ago. Dr. Immediately cast my wrist. After 7 week they removed cast but it was not healed so they again casted it for 7 more week. Still after over 14 week in casting it was not properly, dr was saying that its healing really slow, and now after 14 week they casted my wrist again for 6 week, i want to ask that is this treatment is enough for my scaphoid fracture. Need your consultation
I broke my scaphoid in a wrestling match and the X-ray showed a small fracture but the bone specialist said it’s broken, he’s put me in a cast for 4 months. I’m a 3 sport athlete I don’t know what to do. I’ve never had a serious injury like this before in high school.
I wonder how much the surgery costs in Colombia
Had scaphoid fracture in Mar2016, been in cast for 3months, pain didn't vanish, MRI in Nov 2016 shows ligament sprain, doctors are taking it lightly saying it will heal in 2-3years automatically, but I am in light pain daily or the second day, it increases mostly when I lift even 10kgs of weight. Please advice
I need help. I have a crack in my scaphoid bone after a motocross crash. I have a cast that will be removed after 5 weeks. The doc said,there si 50/50 chance that the bone will heal correctly,but there is a possibility,it wont,and if I want to continue to ride motocross,they will need to put a screw in my scaphoid bone. Should I be worried? What are the chances it wont heal right? I am already missing 5 weeks+rehab,I do not want to miss another 5 or even more. Thanks.
Hi dr. David! I broke my scaphoid last august. 3 weeks after I undergo surgery. Can't wait to go back to my sport. How long it will be healed? And do I need to see a physical therapist for rehab?
Joshua Robert Cosare how long did it end up taking??
I'm 9 an I have a cast on and I'm getting surgery for my scaphoid fracture
i hurt my scaphoid initially of fall 2014 due to falling during skateboarding (classic). Not until fall of 2016 did i get it checked out. Still have not been able to make into surgery. I've been abusing it continuously since. I am hugely passionate about skateboarding, therefor i am very disappointed in my decisions. I believe my scaphoid to be beyond unhealthy at this point. *One major question i have is - After the healing process from surgery, is the hand reliant to take a fall, during activity?*
How are you now?
From my xp - unlikely...
go on like this liam. you are heading to arthrodesis. are you aware of that?
I broke my scaphoid over 2 years ago and my motion is fine but doctor said I should probably get surgery (it’s up to me, my choice) as I might develop arthritis in like 10-15 years time
I was very careless in my case i fell on my out streched hand while running and i thought it is sprain and three years back i thought let me go for x ray it was a fractured scphoid and AVN in it vescular necrosis and then i had surgery they put screw in my wrist and they told me it will heal . I know it won't fully heal but i took some big lessons out of it ....... Take care
Have got scaphoid fracture 2 weeks ago and had a herbert screw inserted via surgery. Its been 2 weeks post surgery and I am trying to do some movements in my wrist and fingers once in a while. got good finger thumb movements but when i start trying wrist exercise one of the angles has pain. is it expected? should i be careful even trying these exercises?
I actually just had a lateral surgery on my Scaphoid waist! Doctor said 12 weeks In a long arm cast or surgery. I had the cast on for a week and from prior experience I know how anoyying the cast can be so I went for the surgery and it's definitely worth it. Small incision. Mild to intense pain for only about 3 days and now it feels just like normal
really, my scaphoid has been cracked for over a year
Is that a fracture you had, or a ligament tear?
@@tky2289 a hairline fracture. The surgeon inserted a small screw in a small 1/2” incision at where my wrist and thumb meet. 6 yrs later and I’ve had no problems. From what I heard, the scaphoid is a common break for athletes and elderly folks with softer bones.
Oh, that’s great that it all turned out well for you. Thanks too for the prompt reply. Appreciate it! All the best!@@jash6105
how much is for a scaphoid surgey...
I've had mine fractured for 2 years and just had surgery and get my cast off tomorrow
I fractured my scaphoid when I was 12 and I had a peel off cast for 4 weeks and they said I could peel it off at home after that time and then I went back when I was 13 because I felt pain where I fractured it and they said that it wasn’t healed so i was in a cast for 10 months and I did physiotherapy and now it still hurts sometimes so I have to see a surgeon
Hello doctor , thank you for the video , I broke my wrist in January this year and was under cast for about a month or so. The hand has improved a lot but even after 7 months I still feel some pain in my wrist. I also ho to gym and do very light movement exercises and that has helped my wrist heal but I don't know why it still pains. I would like to know how long does it usually take for the wrist to be absolutely pAin free, thanks :)
Assuming the fractures completely heals, which is critical, pain usually goes away in 2-4 months. There are a lot of factors, though, that can influence the development of pain, like stiffness.
thank you for the reply Sir , my pain doesnt stay forever :) , i feel a pinch of it every now and then and I am not that strong to ignore it , i hope it goes in the coming months :) , thanks again :)
Good luck!
Gaganmeet Singh i did therapy for 2monthts after i broke it for four months and still feel pain hows ur hands?
I broke my schapoid bone, after that i got hand surgery about 1 half years ago, until now my wrist is still stuck when i want to push up and stretch it. it is normal or not? Approximately how long will my wrist get back to normal?
I highly recommend to get an X-ray if you have pain in your wrist.
I broke the scaphoid bone over a year and a half ago and sometimes I have pain for months sometimes no pain at all.
Until last June it was hurting a lot so I had to go to the doctor and I Found out It was broken and that I had a cyst so I just had surgery last week they had to take a bone out of my hip and took out the one from my wrist and put the one from the hip instead and put a screw to hold it together. Now I am wearing a temporary cast and will have to wear a cast for 8 weeks after they remove the stitches.
Thanks for sharing your experience, Ali!
I had a scaphoid fracture the doctor put in a short cast.
On April 19, 2016 I was riding my friends ATV and I did not realize that it did not have brakes. I went very fast around a corner and tried to slow down so I did not flip the quad but I then noticed that I could not slow down due to faulty brakes. I held on to the handle bars as tightly as i could and I was ejected from the vehicle but I my hands were so locked on the handlebars that at the moment I was ejected, my Scaphoid snapped in half. When I hit the ground I also broke my knee cap into 4 pieces and I also broke my Tibia (leg). I was also not wearing a helmet.
I got my cast of my arm in July and my leg and knee recovered in May. No surgery was necessary because I was recommended the Bone Stimulator. Its been 9 months since the accident and I still cant run, jog, kneel or lift anything heavier than 30lbs for longer than 45 seconds
I know that must be hard. I hope it turns out well!
I broke my scaphoid 3 months ago, I didn't need a surgery. Took the cast off yesterday, I'm currently searching for physical therapy exercises.
Bl4st2 bro hows it now ?
In June, I hit a door jam w/ the lower part of back of my hand. It hurt like a mofo but I hoped it wasn't a big deal. After 3-4 days the back of my hand, wrist & the fatty pad under my thumb had swollen to 3 times the normal & the bruising=rainbow (I have pics, it was pretty gnarly) Mod-Severe pain in the 'snuff box' and weakened grip. Since x-ray was negative, the work comp Dr said it was a severe bone contusion, given a carpal tunnel brace which made it hurt even worse. told to take Advil for pain (I told him I can't take nsaids) & was sent on my way. Tylenol didn't do anything for pain relief, but I had nothing else. Now, I'm still pain, weak grip, consistent hard bump and tissue swelling near thumb base. The initial swelling and bruising has improved some but I have recurrent/new bruising/swelling almost weekly. I know it doesn't follow the typical mechanism of injury but I was in a car accident 2 weeks prior with some minor pain with thumb movement. I can't help but think might be connected.
Any better now?
Fell this weekend ER said sprained wrist. When to an orthopedic doctor he said it was an scaphoid fracture. Have a cast on if it doesn't heal right then surgery. I'm hoping it heals right.
Good luck!
I've had surgery and a screw was placed in the bone and even went through physical therapy. I can no longer do regular pushups and I still have pain because I lost the flexibility to bend my wrist back while in the push-up position. Is there anything that can be done to fix this in your professional opinion? It really sucks to lose partial function of a body part you still have.
AKABLACKKGYPSY how long did u wait till you checked it out
I have the same problem! It's been 8 months since my surgery and 1.4 years since my injury, I still cant do normal push ups because of pain
A couple of years ago, I had a screw put into my scaphoid... the screw is still in there. However, I have been having recent pains on my wrist... should I be worried!?
I'm also with the same issues. Mine was irritated by a long motorcycle trip. The X-ray showed the screw had erosion around the threads and was literally rattling around inside the bone. You may have the same issue.
Hi.
I had a scaphoid fracture for my right hand. It is non displaced fracture. my doctor has put synthetic cast 4 weeks ago. In my initial x-ray the fracture was not clearly evident. But yesterday after 4 weeks again x-ray is done and not scaphoid fracture is clearly evident. Doctor says bone cells around the bone got decayed. I have a doubt whether this fracture heals with in next 2 weeks. Since I've commitments like I've exams ahead in 1st week of may 2017.
And I have another doubt the cast that has put is wobbles and it's not very tight. Doing activities like eating, washing etc with fractured hand will make my scaphoid heals slowly?
Kindly guide me.
I had an accident during my work with bike. I went to the doctor and he made me x-ray but didn't saw anything. So I went home and after 3 days I was feeling good so I started again work. I was still having some small pain but I told that will disappear with time. After 3 weeks I was still feeling pain, so I went to the doctor again. He did CT and saw that I have broken scaphoid. So I made surgery 5 weeks after the accident and now I have screw in my bone. At the moment I am with cast for 4 weeks and I hope that everything will be fine.
Does the screw ristric any of your hand movement?
My scaphoid bone has full avascular necrosis and the arthritis pain was so extreme I was unable to move my wrist at all anymore. I'm 29 years old, so my doctor gave me a steroid injection into my wrist and we will be doing this for as many years as I possibly can handle until I will need to have a surgery called a proximal row carpectomy to remove 3 bones in my wrist.
Did you do a surgery with bone graft??
@@user-vm8cz2xb3c no my bone is already entirely dead
Broke my scapoid bone snowboarding doctor put cast on its broke in center of bone and it shows like it's misaligned a little bit shuld I considering surgery??
Sir i had scaphoid fracture and ligament reconstruction surgery last year ..but now the upper moment is not clear and the tendon appears while active moment ....plz give ur suggestion