Scaphoid Fracture – Don’t Ignore Wrist Pain!

 

 

Scaphoid Fracture – Don’t Ignore Wrist Pain!

Fracture of the Scaphoid bone is one of the most common wrist injuries, especially after a fall.

How does it happen?

Usually caused by a fall on an outstretched hand or directly on the fingertips. The bone typically breaks at its waist (middle part).

Key Signs & Symptoms:

• Pain and swelling in the anatomical snuff box

• Tenderness on pressing the thumb and index finger

• Pain during wrist movement or grip

• Often mistaken for a simple sprain

Why is it serious?

The scaphoid has a delicate blood supply. In some people, blood vessels enter only from one side, so a fracture can cut off blood flow to the proximal part.

Complications include:

• Non-union (bone doesn’t heal properly)

• Avascular necrosis (death of bone tissue due to lack of blood supply)

• Long-term stiffness, especially in the midcarpal joint

Clinical Tip:

Even if X-ray looks normal initially, persistent snuff box pain should always be treated as a scaphoid fracture until proven otherwise.

Management:

• Early immobilization (thumb spica cast)

• Follow-up imaging if needed

• Physiotherapy after healing for mobility & strength

Early diagnosis = Better recovery!