Treating Scaphoid Fractures at Dartmouth Health
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- Опубликовано: 28 окт 2009
- See what a scaphoid fracture looks like and hear Dr. Warhold describe a procedure that does not require casting.
For more information about Dartmouth Health Department of Orthopaedics, please visit us at www.dartmouth-hitchcock.org/o...
Lebanon, NH Orthopaedics
603-650-5133
Dartmouth Hitchcock Medical Center
One Medical Center Drive
3rd floor, Reception 3A, 3C, and 3D
Lebanon, NH 03756
Dartmouth Health, New Hampshire's only academic health system and the state's largest private employer, serves patients across northern New England. Dartmouth Health provides access to more than 2,000 providers in almost every area of medicine, delivering care at its flagship hospital, Dartmouth Hitchcock Medical Center (DHMC) in Lebanon, NH, as well as across its wide network of hospitals, clinics and care facilities. DHMC is consistently named the #1 hospital in New Hampshire by U.S. News & World Report, and recognized for high performance in numerous clinical specialties and procedures. Dartmouth Health includes its Dartmouth Cancer Center, one of only 51 National Cancer Institute-designated Comprehensive Cancer Centers in the nation, and the only such center in northern New England; Dartmouth Health Children’s, including the Children’s Hospital at Dartmouth Hitchcock Medical Center, the state’s only children’s hospital and clinic locations around the region; member hospitals in Lebanon, Keene and New London, NH, and Windsor, VT, and Visiting Nurse and Hospice for Vermont and New Hampshire; and more than 24 clinics that provide ambulatory services across New Hampshire and Vermont. Through its historical partnership with Dartmouth and the Geisel School of Medicine, Dartmouth Health trains nearly 400 medical residents and fellows annually, and performs cutting-edge research and clinical trials recognized across the globe with Geisel and the White River Junction VA Medical Center in White River Junction, VT. Dartmouth Health and its more than 13,000 employees are deeply committed to serving the healthcare needs of everyone in our communities, and to providing each of our patients with exceptional, personal care.
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this is so awesome...i went to my doctors twice..and all he queried was a sprain..thus he didn't think to suggest an xray..6 weeks later i went back because i was still in pain and got an xray to find that my scaphoid is fractured..because its been so long before it was properly diagnosed i might have to have mine surgically fixed instead of relying on a cast/plaster..i wish i saw this video first!!answered all my questions!!!
I broke my scaphoid like 8 months ago, it healed without surgery after around 4 1/2 months of wearing a cast and even after that I had to wear a brace for 2 months, its healed now and doesn't really hurt
I fractured my scaphoid a month ago.... hate this shitt/tt lol
temcade i m from pakistan if u reading my msg then plz tell me after fracture in how much time u hv applied cast mean to say aftet fracture in how many days u applied cast nd ur fracture was distal?waist? r proximal pole?i will b pleased if u answer me....
@@nadranoreen8466, the cast goes on straight away for six weeks. But depends on the injury if it needs surgery.
Please put x rays
My injury never healed properly
Thanks Lance for the video. The area below my thumb began to ache. A day later I noticed a hard knot (scapphoid) that was a bone out of place and painful to the touch. I believe I have exactly what you described. I will be seeing a doctor tomorrow.
I like how simple the guy makes it sounds to fix the problem my shaphoid was broken for over a year because I didn't have insurance to get it fixed lol
refns2005 lol I'm in the same position. Did you manage to get it fixed ?
How you get it fixed please I have the same issue
@@bachircouyed9651 Surgery then you never fully recover.
@maityme84 I went about a year with a non union scaphoid... Even collasping the other bones around it.. Now 5 months after surgery, I can bench press my weight again, and pushups aren't agonizing... Don't fret about it healing, I'm sure it'll be fine.
Its been 3 yrs since my surgery..Hopefully, If I ever get another one it will be as successful as yours..
@TheMoviesforall I was in the cast for close to 4 wks before surgery, then had surgery, went like 2 weeks more then went to moulded plastic cast.
I broke my scaphoid when I was 15. I told my parents to take me to the doctor,but the didn’t believe me because they thought that it was just a sprain. A year later they took me and we found out that I had a proximal pole scaphoid fracture. I ended up having surgery almost 2 years after my fracture. Now it has been 4 years since my fracture and 2 years since my surgery and I could do my day to day things without any problem, but I feel a lot of pain when I put my hand in forceful positions.Should I get my hand checked out again or is this something that I might have for the rest of my life.
Thankyiu for the information...Great
I broke my scaphoid 1 year ago this week. At first I thought it was nothing, but after 12 weeks in a cast it still wasn’t healed! Due to long waiting lists with the pandemic, I only managed to get surgery 2 weeks ago. Now have a few wires sticking out of my wrist, getting those out in 4 weeks but the doc said it went well! Here’s hoping I get some mobility back after this is all over!
How did you progress? Just had my wires out this week, wrist stiff and weak an still wearing a cast.
My thumb nerve hurts, when i force it or sometimes playing volleybal, its been like this for years does my tendon's out of place?
i jus got screw and a bone graft on scaphoid due to fracture when i flipped a go cart, waiting to get cast on. it sucks but it hopefully will get better
just found out yesterday that i have had a scaphoid fracture for the past three weeks and my doctor mentioned this type of surgery. i am a snowboarder and i would like to get to the mountain as soon as possible. does this mean i should get the surgery?
You mentioned that the screw can stay in for life...does that mean it will have to or needs to? Or where you just making a point on the appearance of the screw within the bone?
Thank u! I appreciate the advice
I got surgery a month and a half ago, I got a cast for one month. The procedure was an open wrist internal fixation radial autograft. When they took my cast off they put me in a splint that I have to have for one more month before my next appointment. Neither the cast nor the splint locked my thumb. Question; does that affect my healing?
Very Informative video (: thank you very much!
My son had the surgery. And now there's a change in the fracture the screw is loose and it has not heel. Its been 4 year . Doctor s say that they need to do surgery again.. I dont know..
My scaphoid fracture is close to the thumb ! Should it heal bc good blood supply ?
I picked up my baby brother and he’s pretty heavy but I meant to move him in my arms and accidentally dropped him on my thumb, don’t worry I had a nice grip on him with my other arm but I did hear it crack and I had pain after. I can move it but it still hurts, it doesn’t hurt when I touch it though.
I received my surgery on November 4th 2011. I still have my cast on. How long should I have it on, cause most people have it off sooner. I can fully move my fingers, have no pain either.
Hi lance, i broke both my scaphoid bones around 10 years ago, didn't know for a couple years get them seen to, i have had surgery done on both wrists twice on the right side. A long journey but my wrists are strong and i would say all is well - the only thing i cant bend my wrists backwards more than 20 degrees
do you think i will be able to bend the again ?
Excuse my questioning beforehand, I just recently had an accident while overseas and suffered an incomplete, nondisplaced, waste scaphoid fracture. I'm greatly concerned as I was not seen by a specialist (orthopedic) and the doctor seem to not place much attention to the angle between my thumb and index fingers. Is there an angle of extension (or hyperextension perhaps) which would maximize vascularization? - Jose
Broke my scaphoid four weeks ago in a motorcycle crash, i've just finished my trade as a plumber and my surgeon says i will be in so much pain from arthritis i will need a bone fusion in 5 to ten years, i think i discolated 5 of the other bones in my wrist. Some wires and screws were put in, is it worth seeing another surgeon? (i live in Australia and had no choice of specialsit as it was an emergenct) as my job is my lively hood.
@dartmouthhitchcock First of all, the video is great! I had this procedure done 9 days ago on my right wrist. I get my stitch out tomorrow. Is it normal to lose some of your range of motion? Can this loss be permanent? The doctor told me no pushups for 6 weeks but looking at the post I will have a much longer recovery. Are there any exercises I can do to gain the strength in my right wrist?
@jongsin i broke mine in rugby as well. I had the surgery over 3 months ago and it still shows no signs of a union. I might end up getting a second surgery to apply a bone graft. how long did it take you?
@DartmouthHitchcock So I am still unable to do pushups and my doctor told me that the screw he used was too long. He has suggested that we take the screw out. I am wondering if taking the screw out will make my scaphoid more susceptible to being broke again. I am an avid mountain biker and see falling in my near future.
@jongsin Hey!
Aw really? sorry to hear about that.
My hand is slowly making progress, it took a while to bend it again Im still not really able to bend it back but Im able to move my thumb and do most of the stuff I could do before I broke it :)
I do physio on it once every 2 weeks. My doc told me that it could take up to 6 months before it will be back to normal as it still feels very bruised and I broke it 4 months ago.
I got a repetitive scaphoid bone fracture actual fracture was 4 years ago and it is a non-Union fracture. Done the CT scan and MRI. The doctor suggested going for bone grafting surgery. I am confused about what should I do as the surgeon comments on it can be like gambling can work or not. Bone grafting surgery how effective or any other replacement scaphoid surgery like as metal hip in hip replacement surgery?
@TheMoviesforall lets say this, i had the sugury march (late) in 2010, then by start of may i was in the plastic 1.
Have they done anything since u posted this a yr ago? 3yrs since my first unsuccessful surgery..My doctors dont seem too confident in healing it completely..
I've just broke my scaphoid 3 days ago. I have to wear the cast for 2 weeks in the first round. Let's hope it will be better by then.
I fractured my scaphoid I fell on it while running and I wore a cast for six months that’s how bad it was but I needed an mri to see it. I still need to wear it.....
i got a scaphoid fractured a few days ago :( wearing a cast right now my next appointment is in 10 days, hopefully i dont have to wear it anymore
Ok now I don’t need to wear it yay!!!!!
Soumya Priyadarshini it has healed now, but it is doing fine!
Soumya Priyadarshini I could still kind of write while I had the cast on, but it was difficult. If you broke yours, when you take the cast off, your wrist or wherever will be numb for a few days and it will feel weird to write. I play badminton and you need your wrist for that. It is hard to move your wrist in a cast, which makes it difficult to do daily activities.
Fracured my scaphoid a week ago but the doctor was unsure about whether it was fractured or not until today.
In a cast for six weeks (what an annoyance!).
Had my scaphoid fractured about 3-4 years ago with my hand in a thumbs up cast for 6 weeks
Waa Waa and what happened ? Tell me more about it please ?
get ready for a long time in the thumb spica cast- i had one on for 6 months- this kind of fracture sucks
thanq for the video Sir....
i broke my lt. scaphoid on 1.1.10
had slab for 3weeks.later below elbow POP with thumb spica for another 6weeks.
8week xray showed no # line and no avascular necrosis.so i removed cast.had no physiotherapy.
i still have some tenderness in my snuffbox.last week i had CT of carpal bones.
ct report was "SCLEROSIS NOTED BUT NO DISTICT FRACTURE LINE SEEN"...
SCLEROSIS means nonunion?? i dont know what to do !! please advise something.thank you sir {FROM INDIA}
I have a displaced scaphoid fracture on my right hand and it passed 6 weeks in a cast above and below of the elbow without any screw put in. I will get the surgery with a bone graph after another month, why is it take so long till the surgery and what chances i have that the scaphoid will heal after 10 weeks with the blood supply cut. I am desperate, please if anybody has any idea, please let me know.
i broke my scaphoid 3 yrs ago, the fist surgery i got a screw put in. 1yr went by and their was still pain in moving, plus lack of mobility and reduced strength. 2nd surgery i got a new screw and a bone graph. once again it didnt heal. if anybody has any advice id really appreciate it. thx
Thank you so much. My cast has affected my thumb. I don't know what to do.
Hey same thing happened with me im going to doctor tomorrow I noticed my thumb is paining a lot after 7 months of my previous arm surgery the cast forced my thumb to be damaged. I want to know how many days it took for you to heal and did u get a surgery ?
My son had this happen about 10 years ago. Now he is doing manual labor and his wrist is really bothering him. When he fell off a skateboard and hurt his wrist we had no idea it could be this severe. What would be his chance for recovery now, he is in his early 20's.
Hey there, had similar thing at a young age and still bothers me till this day. to be honest there isnt much you can do yourself but ice it after activity to numb it . but if it gets to the point that u cant move it without pain then better go back and get it checked make sure it hasnt turned into some sort of arthirtis.
In the morning, Especially winter , warm water on the wrist to wake it up. Generally having pain for the long term means you will have it for the rest of your life.
So healing in the given six weeks is largely impossible isn't it?
Bruh I just pulled my thumb while playing football and I can move it freely but it does hurt a bit it probably isn’t a broken finger, considering I’m typing with that pulled thumb right now
i just fractured mine its weird though i had cast on for a few days and the pain is gone its more of a throbbing ache now, is this normal?
How many days you weared cast
sir i have to write exam after 15 days what should i do is there any remedy??? i m from India
i broke my scaphoid into 3 bits a week ago i have surgery in 3 days where they are taking some from my hip and using it aswell as some screws and wire just wondering how people found the pain for the first few weeks and if the cold makes it play up?
Just came across this now but how does it feel now. If you still even use this account. I’m debating whether I should get the surgery or not. They want to do the same thing with my hip and put a screw in my scaphoid
@@johnyahner7014 I broke mine a month ago.:(
Broke my scaphoid on jan8 distal pole put in cast upto January 30
Sti i feel pain
sir, for my scaphoid fracture Dr suggested 3month plastare support , it is not reunioned after six month in full rest. now operation is possible to me?
Hii , can u explain how is your bone now
@Rohm87 i got same exact thing as you
I'd give you a thumbs up but....... Seriously though its not too bad, 1st week it aches like mad, 2nd week i could drive, 3rd, 4th, 5th no pain at all unless under strain.
After a year and a half of pain I finally had surgery. Even though in a cast, I can sign my name without pain. The elimination of this pain is such a relief. I only wished it was a 5 week ordeal.
how come you say scaphoid like "skay-foid" and the orthopedist at my hospital says it like ska-foid? can it be both?
Broke my scaphoid 7 weeks ago - had a X-ray done and its healing really slow. Wearing another cast 6 weeks, :( - feel like going for the surgery.
im still waiting for an operation on mine they have to take bone from my hip to replace lost bone in my scaphoid i broke it over a year ago and still w8n...
Hii i want to ask you something , please reply
I jus had surgery last week
broke my scaphoid about ten years ago,went to hospital and was told it was a sprain,come back in six weeks if still sore,did that,was told it was just a sprain again(no xray was done)suffered for one and a half years,went back to hospital and got an xray and was told it was fractured and had to go on a waiting list for another year and a half,got a bit of bone out of my hip grafted into my wrist with a screw,did not work,went on waiting list again ,same operation,did not work,A LOT MORE NO CHARA
hi i fell on my wirtes and my thmoue hueters.
i cant even bend my writs after my thumnb surgey!? idk why i cant bend my wrist without it hurting mee....? plzz help
Me either..2 surgeries in the last 20 years..each surgery made it worse
Broke my scaphoid 11 weeks ago on my dominant right hand. I've been in a forearm cast for 10.5 weeks and go in for my next checkup this Friday. Can't believe my body is taking so long to heal this bone with the bad blood supply and all. I still have pain in the anatomic snuffbox area around my thumb with the cast on which worries me I fear I may need surgery and that these 11 weeks of my life in this cast waiting for it to heal were a complete waste. Any suggestions? Anything please..
what happened next? , i have the exact same situation
same to me😂
@@nadranoreen8466 same happened doc says I need surgery
Broke mine 3 months ago. Scaphoid isn't fusing back together and ive got the op in about 2 months time, they're taking bone grafts from the pelvis and fusing it with a screw. I'm shitting myself about it, because the pain has reduced significantly over the past 3 weeks and I can now do a closed fist press up, so I'm having second thoughts about the surgery... it's fully broken but there's still a chance that it can heal without the op.... right?
Bro ur post is 10th years old I’m in the exact same boat mine pain is going away can make fist but they want me to get surgery how did it go for you my surgery is tommorow so if u don’t answer by today I will never be back lol
thanks :)
Dont worry. They can heal quick. Mine healed in 7 weeks in a cast
2020 check
Were you able to use it after? I was supposed to join the navy but messed up my entry because of this. I’m hoping I can get back into push ups relatively quick after healing.
How is your scaphoid now sir? Please update
avascular necrosis got me and
My hips had to be replaced before I was even like 28
I had a bone graft and a screw put in about 3yrs ago. The break never healed. My doctor did not want to do surgery again, so I saw another one. He is willing to do surgery, but only feels 50% confident that he could "fix" my wrist. He wants to start with "removing the screw..then we'll see how you feel" Should I give up on ever having a normal wrist again? I fear less mobility if I do attempt surgery again, and I also fear arthritis if I dont...anyone have any advice?
Go for homiopathic
Hi, 3 weeks ago I fell and hurt my left wrist and when I went to the hospital I was told it wasnt broke, 2 days later I went back for more xrays and I was told I had a small fracture in my scaphoid bone and I got a cast put on for 2 weeks. I just got the cast off 3 days ago and now I can't bend my wrist at all! and I can't lift up my thumb. I also write with my left hand and I tried writing with it but I can hold the pen for long. What do you think I should do? Im starting to get very worried :(
How are you doing now?
Ok , i've broke my left arm's schaphoid and didn't feel anything that time , that was about 2-3 years ago , but i got injured while playing soccer then it broke completely , My doctor told me to do a surgery as fast as possible to not allow any future complex , I've done that surgery and it was basically a graft from my pelvis and put it with the scaphoid with a wire in between or something , it's suppose to be easy,Now i've stayed 3 months in cast then i'll do physical therapy i guess .
Omar Taha how is your wrist now? Do you have any pain?
Yes please tell us?
How is ur wrist?
took the first xray to spot my fracture but it was faint!
Thats exactly what i have...
Me too
@@preppyfidgets531 Have you met the doctor ? or it is healing by own .
Me too
Broke my scaphoid, there goes the rest of the summer. No more biking, no more beach
Yous still got summer 🤔
Yous still got summer 🤔
I'm an Orthopaedic Technologist..
What is the minimm and the maximum time that it takes for a scafoid to be healed?I have my arm put in a cast for about a month and the doctor said to keep it untill 29th os December.I am very afraid of this fraction cause I know that this kind of fraction is dificult to be healed.Will I have to do any physiotherapies o something after the cast removal?Thanks in advance!
flyer203 hows your wrist now?
Around 7 years ago, based on a digital x-ray, my doctor told me I had scaphoid fracture. I was asked to rotate my wrist in warm/hot water and I did. It healed for most purposes. But once in a while I get pain in my wrist sometimes and it last for a few weeks/months; usually because of sports activity. And everytime it occurs, there is a small bump on the back of my wrist near the middle of wrist. Do you think the fracture is still there? What can I do to heal it completely. Any other comments?
How is it now? Please answer
@@nitinkumar7141 it has not reappeared in any significant way for some time. If I feel it, I just do this. 1-2 week of complete rest. After that I do not do anything that would cause pain. That usually does it for me. I might also use the warm water wrist rotation exercise.
@@rahulgaurav08 Was it a displaced or non displaced fracture? And how did the doctor treat it?
How it is now,I m going through the same situation
Hi,
I fractured my scaphoid on the 27th of Nov, got a cast on the 8th of dec. Took the cast off on the 21st of january, and today (March 2nd) I still feel pain. It's gotten better from when i initially took the cast off but it still hurts when i bend my wrist. From your experience how long do scaphoid injuries usually take to heal? Is something wrong if it's still not 100% healed after 3 months?
Thanks
Hi,
I am in the same exact situation. Had my cast removed after 8 weeks. And have been undergoing physiotherapy for the last 2 months. It still hasn't healed completely and there is pain when I bend it. How long did it take you to heal completely?
@@anuraggupta7501 10 years later i still feel a little bit of discomfort. I would say after a year of rehab its gotten to 90%. I think it would only heal to 90% unfortunately
@@realjetlee I will take 90% as long as it doesn't develop necrosis lol
I don’t know what I have but I can barely move my thumb up
Oh no. 3 months? I'm on day 2
Ughhhh mate sameeee, smeeee
hey, how long did it take for you to get the cast off?
How are you doing now? Please update
broke both.... fml
The cast is fucking annoying, with a normal cast u don’t have ur thumb casted allowing u to wear jumpers and jackets etc but with it cast you end up stretching ur clothes or just not even being able to wear them
My son had the surgery. And now there's a change in the fracture the screw is loose and it has not heel. Its been 4 year . Doctor s say that they need to do surgery again.. I dont know..
MakeOver72 hi how is your sons wrist now
MakeOver72 lawsuit
Hello how is your son
@@paulcadavid394 hi sorry for late response .he is good, winter season more careful due to the Weather. He is more prone to early stages of arthritis.
@@1st_agent surgery was done in Chile.