The scaphoid bone is one of the eight small bones that make up the “carpal bones”of the wrist.There are two rows of bones,one closer to the forearm(proximal row)and the other closer to the hand (distal row).The scaphoid bone is unique in that it spans the two rows.This puts it at extra risk during injury,which accounts for it being the most commonly fractured carpal bone by far.
Most scaphoid fractures occur when you stretch your hand out in front of you to protect yourself from a fall. They can also occur when your wrist twists severely or is hit very hard. Scaphoid fractures often happen while a person is playing sports such as football, soccer, or basketball or during activities such as Rollerblading, skateboarding, or bike riding. They can also occur as a result of a car accident or a punching incident.
It can be hard to tell the difference between a wrist that is sprained and one that is broken. If you have fallen on an outstretched hand and your wrist hurts, be sure to see a doctor to find out if you have any broken bones. Scaphoid fractures that are not treated properly can lead to long-term problems.
Your doctor will ask you questions about your symptoms and about how and when you hurt your wrist. He or she will then look at your wrist, find any swollen or tender areas, and see how well you are able to move your wrist and thumb. Your doctor will also try to find out how well blood is flowing to your hand and if you have any nerve damage in your wrist. On examination,one may be able to elicit tenderness in the scaphoid bone.
Whenever suspected,an oblique view of the wrist,in addition to the antero-posterior and lateral,is essential.Sometimes,it is merely a crack fracture and is not visible on initial X-rays.If a fracture is strongly suspected,the X-rays should be repeated after 2 weeks.
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