Post-Surgery Recovery: Scaphoid Fracture Complications - Orthopedics

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Post-surgery recovery from a scaphoid fracture can be complex, particularly when complications such as nonunion and ligament injuries are involved. In your case, it sounds like you have undergone significant surgical intervention, including the fixation of both the scaphoid and the triangular ligament. Given the history of your injury and the recent surgery, it's understandable to have concerns about your recovery process.

Firstly, the inability to fully extend your wrist and the limited range of motion (10-20 degrees) are not uncommon following such surgeries. After a scaphoid fracture, especially one that has not healed properly in the past, the surrounding soft tissues, including ligaments and tendons, may become stiff or scarred, leading to restricted movement. This stiffness can be exacerbated by the immobilization period during healing, which is often necessary to allow the bones to mend.
It's important to engage in a structured rehabilitation program, ideally under the guidance of a physical therapist who specializes in hand and wrist injuries. They can provide you with exercises tailored to improve your range of motion and strength gradually. However, it's crucial to avoid pushing through pain, as this can lead to further complications or setbacks in your recovery.

Regarding the sensory issues you are experiencing with your thumb, the altered sensation and persistent tingling or pain could indeed be related to nerve involvement. The radial nerve runs close to the scaphoid and can be affected during surgery or due to swelling and inflammation in the area. The fact that you have normal sensation on the palmar side of your thumb but altered sensation on the dorsal side suggests that there may be some localized nerve irritation or compression.

It is essential to communicate these symptoms to your surgeon or a hand specialist. They may recommend imaging studies, such as an MRI or ultrasound, to assess the condition of the surrounding soft tissues and nerves. In some cases, nerve conduction studies may be necessary to evaluate the function of the radial nerve and determine if there is any significant injury or compression that needs to be addressed.

In terms of your recovery timeline, it can vary significantly from person to person. Generally, after surgery for a scaphoid fracture, patients can expect to see gradual improvement over several months. Full recovery, including the return of strength and range of motion, can take anywhere from three to six months or longer, depending on the severity of the injury and any complications that arise.

In summary, while some limitations in wrist movement and sensory changes can be expected after surgery for a scaphoid fracture, persistent pain and significant sensory deficits warrant further evaluation. Engaging in a comprehensive rehabilitation program and maintaining open communication with your healthcare team will be crucial in navigating your recovery journey. If you have any further concerns or if your symptoms worsen, do not hesitate to seek medical advice promptly.