Discomfort After Scaphoid Fracture Recovery

Fracture of the left scaphoid bone?

Hello Doctor, I had a scaphoid fracture in my left hand last year (there was a crack, but no complete break or displacement).
After two months of protection with a splint, the fracture healed well.
However, sometimes I feel discomfort in the area of the fracture, and occasionally I experience some soreness or sharp pain.
I'm a bit worried that there might be another issue.
I apologize for bothering you again.
Thank you.

Sherry, 30~39 year old female. Ask Date: 2022/02/10

Dr. Shi Guozheng reply Orthopedics

You can go to the hospital for another X-ray to check for any issues.
If you still experience soreness, you may take some pain relievers to see if it helps.

Reply Date: 2022/02/10

More Info

After a scaphoid fracture, especially one that has healed well, it is not uncommon to experience discomfort or lingering sensations in the affected area. The scaphoid bone, located in the wrist, plays a crucial role in wrist stability and function. Even after the fracture has healed, patients may experience symptoms such as soreness, swelling, or occasional sharp pain. These sensations can be attributed to several factors related to the healing process and the nature of the scaphoid bone itself.

Firstly, the scaphoid has a unique blood supply that can affect healing. While your fracture may have healed well, the surrounding soft tissues, including ligaments and tendons, may still be adjusting. This can lead to discomfort as the wrist regains its strength and flexibility. Additionally, the immobilization period during healing can lead to stiffness in the wrist joint and surrounding muscles, which may contribute to the sensations you are experiencing.

Another factor to consider is the possibility of post-traumatic arthritis. Although this is more common in fractures that are displaced or not properly aligned, it can still occur in cases of non-displaced fractures. The wear and tear on the cartilage in the wrist joint can lead to discomfort, especially during activities that involve gripping or twisting motions.

It is also important to note that the healing process can take time, and even after the bone has healed, the surrounding tissues may require additional time to fully recover. Rehabilitation exercises, including range-of-motion and strengthening exercises, can be beneficial in alleviating discomfort and restoring function. Engaging in physical therapy can help improve flexibility, reduce stiffness, and strengthen the muscles around the wrist, which may help mitigate the discomfort you are experiencing.

If the discomfort persists or worsens, it is advisable to consult your physician or orthopedic specialist. They may recommend imaging studies, such as X-rays or an MRI, to rule out any complications, such as nonunion of the fracture or other underlying issues. It is essential to ensure that there are no new injuries or complications that could be contributing to your symptoms.

In summary, experiencing discomfort after a scaphoid fracture is not uncommon, and it can be attributed to several factors, including the healing process, potential stiffness, and the risk of post-traumatic arthritis. Engaging in rehabilitation exercises and consulting with your healthcare provider can help address these concerns and improve your wrist function. If you have any further questions or if your symptoms persist, do not hesitate to seek medical advice for a thorough evaluation and tailored treatment plan.

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