The site of the scaphoid fracture has significant impact on the healing potential. Fractures can occur anywhere along its length, but the vast majority (over three-quarters) occur through the centre of the scaphoid (waist). Particularly lack of extension, putting the heels of the hand together and cocking the wrist back will show any asymmetry A decreased range of movement may be observed by the doctor. If the patient cocks their thumb backwards a 'V' shaped groove can be seen around the wrist, and this is a site of scaphoid tenderness. One of the common areas is the anatomical snuffbox. Pain can be felt in the various areas that the scaphoid bone can be felt. In addition to this, patients may have a decreased range of movement and, in particular, a decreased ability to fully cock the wrist back (known as 'wrist extension'). Patients present with well localised pain in the wrist joint, more towards the thumb side of the wrist. If this trauma is of such a force it can fracture many of the bones in the wrist, and in particular the scaphoid fracture for the purposes of this article. Patients falling onto an outstretched wrist can apply direct trauma to the wrist. Overall, it is felt that scaphoid fractures account for 11% of all hand fractures. Consultant Orthopaedic Hand Surgeon Other common namesĪpproximately 80% of scaphoid fractures occur in males, with the highest incidence occurring between the ages of 20 and 30 years.
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