Understanding scaphoid fractures 

The scaphoid is one of the eight carpal bones in the wrist, situated near the thumb side. Scaphoid fractures occur when this bone is broken, usually due to direct trauma or falling onto an outstretched hand. These fractures can vary in severity, from hairline cracks to more complex fractures. 

Causes of scaphoid fractures 

Scaphoid fractures can happen due to various factors, including: 

Falls: A common cause of scaphoid fractures is falling onto an outstretched hand. This impact can transmit force to the wrist and lead to a fracture. 

Sports injuries: High-impact sports like skateboarding, snowboarding, and football can increase the risk of scaphoid fractures. 

Accidents: Car accidents or other traumatic events can result in wrist injuries, including scaphoid fractures. 

Anatomy: The scaphoid's unique shape makes it more susceptible to fractures when force is applied to the wrist. 

Symptoms of scaphoid fractures 

Recognising the symptoms of a scaphoid fracture is crucial for early diagnosis and appropriate treatment. Common signs include: 

Pain: Pain in the wrist, often near the base of the thumb, may worsen with movement or pinching activities.

Swelling: Swelling around the wrist area, particularly near the thumb side. 

Tenderness: Tenderness when pressing on the scaphoid bone. 

Limited range of motion: Difficulty moving the wrist and thumb due to pain and swelling. 

Bruising: Bruising or discolouration of the skin on the wrist. 

Treatment and recovery for scaphoid fractures 

The treatment of scaphoid fractures depends on various factors, including the location and severity of the fracture. Common approaches include: 

Consult with an expert: An Accredited Hand Therapist is a physiotherapist or occupational therapist with expertise in the finger, hand, wrist, elbow, and shoulder.

Immobilisation: Immobilising the wrist with a cast, orthosis or brace to allow the bone to heal.

Reduction: Realignment of displaced bone fragments may be necessary in some cases to ensure proper healing. 

Surgery: Severe or displaced fractures may require surgical intervention to realign and stabilise the bone with pins, screws, or plates. 

Pain management: Medication, elevation, and rest may help manage the discomfort during the healing process. 

Rehabilitation: After the initial healing phase, an Accredited Hand Therapist will recommend exercises to regain wrist strength, flexibility, and range of motion. 

Lifestyle modifications: Making ergonomic changes in daily activities to reduce strain on the healing wrist can help prevent further injury. 

Recovery and rehabilitation 

The recovery period for scaphoid fractures varies depending on the severity of the injury and the chosen treatment approach. Following your hand therapy practitioner’s advice, attending follow-up appointments, and engaging in prescribed exercises are essential for a successful recovery. 

Find a local Accredited Hand Therapist

Patients can find a local Accredited Hand Therapist on our website using the link below.

Find an Accredited Hand Therapist