An X-ray showing a fracture through the waist of the scaphoid
Specialty
Hand surgery, emergency medicine
Symptoms
Pain at the base of the thumb, swelling[2]
Complications
Nonunion, avascular necrosis, arthritis[2][1]
Types
Proximal, medial, distal[2]
Causes
Fall on an outstretched hand[2]
Diagnostic method
Examination, X-rays, MRI, bone scan[2]
Differential diagnosis
Distal radius fracture, De Quervain's tenosynovitis, scapholunate dissociation, wrist sprain[2][1]
Prevention
Wrist guards[1]
Treatment
Not displaced: Cast[2] Displaced: Surgery[2]
Prognosis
Healing may take up to six months[1]
A scaphoid fracture is a break of the scaphoid bone in the wrist.[1] Symptoms generally includes pain at the base of the thumb which is worse with use of the hand.[2] The anatomic snuffbox is generally tender and swelling may occur.[2] Complications may include nonunion of the fracture, avascular necrosis of the proximal part of the bone, and arthritis.[2][1]
Scaphoid fractures are most commonly caused by a fall on an outstretched hand.[2] Diagnosis is generally based on a combination of clinical examination and medical imaging.[2] Some fractures may not be visible on plain X-rays.[2] In such cases the affected area may be immobilised in a splint or cast and reviewed with repeat X-rays in two weeks, or alternatively an MRI or bone scan may be performed.[2]
The fracture may be preventable by using wrist guards during certain activities.[1] In those in whom the fracture remains well aligned a cast is generally sufficient.[2] If the fracture is displaced then surgery is generally recommended.[2] Healing may take up to six months.[1]
It is the most commonly fractured carpal bone.[3] Males are affected more often than females.[2]
^ abcdefghi"Scaphoid Fracture of the Wrist". AAOS. March 2016. Archived from the original on 24 September 2017. Retrieved 12 October 2017.
^ abcdefghijklmnopqrPhillips TG, Reibach AM, Slomiany WP (September 2004). "Diagnosis and management of scaphoid fractures". American Family Physician. 70 (5): 879–884. PMID 15368727.
^Tada K, Ikeda K, Okamoto S, Hachinota A, Yamamoto D, Tsuchiya H (2015). "Scaphoid Fracture--Overview and Conservative Treatment". Hand Surgery. 20 (2): 204–209. doi:10.1142/S0218810415400018. PMID 26051761.
A scaphoidfracture is a break of the scaphoid bone in the wrist. Symptoms generally includes pain at the base of the thumb which is worse with use of...
The scaphoid bone is one of the carpal bones of the wrist. It is situated between the hand and forearm on the thumb side of the wrist (also called the...
osteonecrosis (as in scaphoidfracture). Of the three types of occult fractures mentioned above, the latter two, fatigue fracture secondary to repetitive...
or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture. Generally, bone fracture treatment...
fractureScaphoidfracture Rolando fracture – a comminuted intra-articular fracture through the base of the first metacarpal bone Bennett's fracture –...
to the speedy conclusion that the fracture is likely to be of the scaphoid. This is understandable as the scaphoid is a small, oddly shaped bone whose...
after scapholunate interosseous ligament rupture or an unhealed fracture of the scaphoid. Characteristic symptoms including pain, deformity and stiffness...
later, the Timberwolves announced that he was diagnosed with a left scaphoidfracture of his left wrist and would be out indefinitely. On June 25, 2023...
diagnosis includes scaphoidfractures and wrist dislocations, which can also co-exist with a distal radius fracture. Occasionally, fractures may not be seen...
avascular necrosis of the scaphoid, is a rare condition where ischemia and necrosis of the scaphoid bone occurs without previous fracture. It is thought to be...
several types of non-injury pathophysiology including: Osteoarthritis Scaphoidfracture with nonunion Scapholunate dissociation Scapholunate ligament instability...
common fracture of the hand is a scaphoidfracture—a fracture of the scaphoid bone, one of the carpal bones. This is the commonest carpal bone fracture and...
trauma, with or without a fracture: Scaphoidfracture: bony DISI Distal radius fracture: compensatory DISI Malunion of radius fracture: adaptive DISI Scapholunate...
classification is a system of categorizing scaphoidfractures. Krimmer H, Schmitt R, Herbert T (2000). "Scaphoidfractures - diagnosis, classification and therapy"...
The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint. It classically involves an isolated...
sensitivity but lower specificity than CT or MRI for diagnosis of scaphoidfractures following negative plain radiography. Some of the earliest investigations...
adjacent threads of screw). It is used in scaphoid, capitellum, radial head and in osteochondral fractures. Other uses include osteochondritis dissecans...
designed for road and track riding feature hard plastic scaphoid protectors that claim to reduce fracture risk by encouraging the heel to slide on the road...
left field line against the Chicago White Sox. Gordon suffered a scaphoidfracture in his right wrist and was placed on the disabled-list where he missed...
sudden lurch and Snyder was heaved over his hand, resulting in a scaphoidfracture in his left wrist. In February 1992 he withdrew from the rodeo circuit...
radioulnar joint. It forms part of the wrist joint by articulating with the scaphoid at its lateral aspect and with the lunate at its medial aspect. Proximally...
The Segond fracture is a type of avulsion fracture (soft tissue structures pulling off fragments of their bony attachment) from the lateral tibial plateau...
protected. Capitate fractures occur together with fractures of another carpal bone, the scaphoid. Various mechanisms for fractures of the capitate have...
be aided by certain provocative tests, including the scaphoid shift (Watson) test or the scaphoid ballotment test. These tests do not confirm the presence...
definitions, fractures to the carpal bones are referred to as carpal fractures, while fractures such as distal radius fracture are often considered fractures to...
The Rolando fracture is a type of broken finger involving the base of the thumb. It is an intra-articular fracture. It was first described in 1910 by Silvio...
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