Scaphoid Fracture

Description

Scaphoid fracture is a complete or incomplete break of the scaphoid bone of the hand and wrist. The scaphoid bone has poor blood supply and is at high risk of not healing.

Common signs and symptoms

• Usually, severe pain at the time of injury

• Pain, tenderness, swelling, and occasionally bruising around the fracture site

• Numbness, coldness, and swelling in the hand, causing pressure on the blood vessels or nerves (uncommon)

Causes

Scaphoid fracture is caused by a direct blow or indirect stress to the bone. It usually occurs as the result of a fall on an outstretched hand.

Factors that increase risk

• Participation in contact sports or jumping sports, such as football, soccer, basketball, boxing, and wrestling

• Sports in which falling onto outstretched hands is commonplace, such as snowboarding and rollerblading

• History of bone or joint disease, including osteoporosis

• Previous hand immobilization

Preventive measures

• Maintain appropriate conditioning that includes cardiovascular fitness and forearm and wrist strength, flexibility, and endurance training.

• For participation in contact sports, wear appropriate protective equipment for the hands, and ensure a correct fit.

• For sports in which falling is likely, wear appropriately fitted wrist protectors.

• Use proper technique when hitting, punching, and landing from a fall.

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