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Scaphoid Fracture

Fracture of the most commonly broken carpal bone, prone to healing problems due to limited blood supply.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ortopedi ve Travmatoloji department. Book Appointment →

What is Scaphoid Fracture?

The scaphoid (navicular) is a carpal bone on the thumb side of the wrist that bears the greatest load during wrist motion. Its proximal pole has poor blood supply and is particularly prone to healing problems.

It accounts for 70-80% of carpal fractures from a fall onto an outstretched hand. Tenderness in the 'anatomical snuffbox' is the typical finding. It may not be visible on initial radiographs; MRI or CT is used for early diagnosis.

Delayed or untreated scaphoid fractures can lead to nonunion, avascular necrosis from vasospasm, and long-term wrist arthritis known as SNAC (Scaphoid Nonunion Advanced Collapse).

Symptoms

Wrist pain on the thumb side
Tenderness in the anatomical snuffbox (diagnostic finding)
Pain when making a fist or gripping
Restricted wrist motion and swelling
May be invisible on radiograph (in the first 2 weeks)

Risk Factors

Fall on an outstretched arm
Sports injuries (gymnastics, skiing)
More common in young male athletes
Loading with wrist dorsiflexion

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Pain on the thumb side after a wrist fall
  • MRI evaluation when there is clinical suspicion despite normal radiographs
  • Suspected nonunion after treatment
  • Early treatment: delay increases avascular necrosis risk

Treatment Methods

01
Non-displaced fracture: short arm or thumb spica cast (8-12 weeks)
02
Percutaneous or open screw fixation (compression screw)
03
Bone graft and surgery for nonunion
04
Vascularized graft for avascular necrosis
05
Regular radiologic follow-up during casting
06
Hand rehabilitation for functional recovery

Which Department to Visit?

You can visit our Ortopedi ve Travmatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ortopedi ve Travmatoloji Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.