12/28/2023 0 Comments Scaphoid pain![]() ![]() The symptoms of Triscaphoid joint arthritis include: These bones are called the scaphoid, trapezium, and trapezoid and are present at the base of your thumb. Arthritis of the triscaphoid joint is also called Staphotrapeziotrapezoid or STT joint arthritis Symptoms of Triscaphoid Arthritis Triscaphoid joint arthritis is the localised pain and inflammation of the shared joint between the 3 carpal bones of your wrist. The blood supply to the scaphoid bone will be so compromised that even with 8 weeks in plaster it is unlikely to heal.Arthritis is an inflammatory condition of one or more joints in your body. ![]() However, more problematic and severe fractures will need to be operated on. The majority, if they are picked up early enough, can be treated in a plaster cast for between 6 and 8 weeks. If you have had a fall onto an outstretched hand, pain in the wrist with specific tenderness at the base of your thumb, it could be a fractured Scaphoid.Ī scaphoid fracture should be treated aggressively. Therefore, it is often diagnosed as a sprained wrist. This is more likely with a Scaphoid fracture because it does not always show up initially on an X-ray. If your scaphoid fracture is not identified and treated early enough then it may not heal. The scaphoid bone is particularly important and if it does not heal properly this can lead to progressive stiffness and pain in the wrist possibly leading to arthritis or wear and tear in the joint known as post-traumatic arthritis of the wrist which is particularly debilitating. It is caused by a fall onto an outstretched hand, or sometimes in punching sports such as boxing. A scaphoid fracture typically affects young adults in their 20’s and 30’s. The bones in the wrist need to move in a perfect arc and if there is any disruption to this movement then pain and stiffness are the results. Immobilizing beyond this time is unlikely to be beneficial so in this case, surgery is often required and many surgeons would do this sooner rather than opt for a further period of immobilization. ![]() If this happens then in some cases the fracture is immobilized again for a further 4 to 6 weeks. Scaphoid fractures have a risk of not healing properly due to poor blood supply. Scaphoid fracture surgery & complications It is important to fully strengthen the wrist following so many weeks in a cast as the muscles will waste away. A scaphoid fracture cast of this size is needed to properly immobilize the wrist and allow the bone to heal.Īfter 8 weeks the scaphoid fracture is re-assessed and rehabilitation exercises can begin along with a gradual return to sport. If your fracture is stable your wrist will be immobilized for 8 weeks in a plaster cast extending from just below the elbow, over the wrist, and at the base of the thumb. In this case, an MRI (24 hours post-injury) or bone scan will reveal the fracture. If the doctor suspects a fracture but the X-ray is normal then it cannot be ruled out. However, the injury may not always show up on an X-ray. A doctor will X-ray the wrist to confirm a diagnosis of a scaphoid bone fracture. Initially, treatment of a scaphoid bone fracture would be to apply ice or cold therapy, protect the wrist with bandaging or strapping and seek medical attention. The exact area of tenderness is called the anatomical snuff box and is located between two tendons on the thumb side of the wrist. An MRI scan is also suitable, however, a scaphoid fracture may not show up during the first 24 hours following injury. A CT scan is better for a recent acute injury if this type of fracture needs to be ruled out. It is the most common missed fracture resulting in legal claims. A scaphoid fracture may show up on an X-ray, but not in all cases. ![]()
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