Scaphoid fracture
A scaphoid fracture is the most common carpal fracture, usually caused by a fall onto an outstretched hand.
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Additional Information
Home Treatments:
- Home treatment is not usually appropriate in the case of a scaphoid fracture
- During splinting, finger exercises are important to maintain range
Professional Medical Treatments
- Usually a medical professional will fit a cast or splint to immobilise the fracture. This will be for approximately eight weeks. Upon review, this period can be extended if there has been improper healing (due to the poor blood supply, this is often the case)
- Unstable fractures can require fixation via surgery
- Treatment can include bone grafts by specialist hand surgeons if there are issues with bony healing
Physical Therapy Exercises
- The treating physiotherapist or occupational therapist will usually specialise in hand therapy
- Gradual return to activity and use of compression devices is important during rehabilitation to control swelling and manage return to activity
- Strengthening and range exercises to optimise hand function (although often reports suggest full range is never restored)
Prevention
- Avoiding participation in sports that risk falling onto an outstretched hand (such as ice skating and contact sports)