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powder11
03-07-2005, 09:53 AM
Over a year ago I broke the scaphoid bone in my wrist. the emergency room x-ray didn't pick it up and went undiagnosed for a couple weeks. I was in a cast for a bit and then went about the PT regimen that was prescribed. One year later and Im still in alot of pain during physical activity like skiing, mtn biking, etc... Has anyone else had a similar wrist injury? Is this normal or is my wrist fucked forever?

gonzo
03-07-2005, 10:12 AM
is that the "snuff box"? the slowest healing bone in the human body?

i have shattered my left radius and on another occasion broke my snuff box (right in the inner base of the inner-most thumb bone). anyways, when i shattered it the ortho i saw in whataville, ME, saw the x-ray and asked me if i cared if it was a little crooked. being 20 and stupid, i said i didn't give a shit. now i have limited movement and get pain while biking and doing certain motions that require angled pushing.

i don't think i have any bad side affects from the small bone fracture, but i may. i am pretty sure surgery is the only way to fix shit in there though. i may eventually get surgery if mine gets worse. fucking annoying that it messes up biking though...i obviously don't relish the thought of surgery either...

Vinman
03-07-2005, 11:38 AM
One year later and Im still in alot of pain during physical activity like skiing, mtn biking, etc...

Is this normal or is my wrist fucked forever?

The problem with the scaphoid is that it has a poor blood supply and undisplaced fractures can be hard to see.

My suggestion to you is that if you are having pain a year later, to go see an ortho. Occasionally the scaphoid can undergo what is called avascular necrosis(AVN) (tissue death from lack of blood). If that is the case you might either need another x-ray, or an MRI to diagnose that. Or if it is not an AVN it could be a non-union or delayed union fracture, meaning that it is trying to heal but just not getting there. Either way go see an ortho.

I know this might be hard right now as you are in BC but maybe a raod trip to the states might be in order for you.....

Good luck and if you have more questions ask.

powder11
03-08-2005, 05:40 PM
thanks for the feedback, one of these days Im going to have to have it looked at again. I hear you Gonz, mine was set in Rutland VT, not much better than aquatown.

Vinman
03-08-2005, 05:51 PM
just don't wait too long. Could mean surgery if left untreated.

goldenboy
03-19-2005, 04:30 PM
I broke that bone a few years ago. Although the fracture didn't show on the xray, the doctor put me in a cast anyway, because that bone has such a tendency to heal poorly if at all. When i got the cast off, the follow-up xray showed a distinct fracture. Good move by the doc. My wrist was uncomfortable, but not painful, the rest of the year on my bike. A good friend of mine will be riding his bike for the first time in 2 years because that bone didn't heal right and he had to get the surgery, where they take a piece of your hip bone and put it in your wrist. He was in a hard cast for nearly 12 months. The doctor said he was lucky not to have gotten his wrist fused because the bone was so messed up. Get it checked out, it will only get worse.

Ty Webb
03-29-2005, 09:37 PM
I broke my scaphoid during a football game early september of '03. diagnosed as a sprain and went painfully ignored for eight weeks untill late november. Scaphod was in half and, as others have intimated, the poor blood supply meant that conventional casting would be iffy-- plus it went undiagnosed for so lon. Had the surgery. 1 week of no use bandages galore, then 3 months hard-cast, 2 months removable plastic cast. No rehab. All-in-all, it could have been worse. No fixy of the scaphoid means arthritis and just a pain in the ass in-general. I'd opt for surgery.

Duker
04-03-2005, 06:34 PM
I did my scaphoid long boarding in 8th grade and also had a delayed diagnosis. Hurts like a bugger and can cause mucho circulation problems if its severe enough (mine was NOT thankfully.) Dont remember doing a whole lot of rehab but I was in a hard cast for 6 weeks. I'd do surgery if the doc thinks its going to screw with your circulation.

rip
04-11-2006, 11:04 PM
I fell hard on my wrist a few weeks ago and after a few days went and got it checked out, nurse said xrays didnt show anything, and to wear a thumb spike brace for a while. I did, and now its been a while, over a month, and it feels like my wrist is getting better, however I have very limited range of motion trying to move my thumb directly towards my forearm as if in a waving motion.

Will this get better or do you more experienced mags think this is a misdiagnosed fracture like mentioned above? I dont feel any pain normally, however I still am not at the point where I can put enough weight on it to do say a pushup without pain. My insurance sucks balls right now, and I want to save on a visit if I dont need one.

String
04-12-2006, 01:28 AM
If your still feeling pain after a year then your wrist will be fucked forever if you don't get surgery at some point. As said before the lack of blood to the schapoid makes it a tricky fracture to heal.

Broke both my scaphoids numerous times skateboarding and never went to the doctor, thought I was spraining them and had weak wrists......eventually I went and sure enough they were non-union. Basically my body had given up on healing them so they were permanently broken......vascular transplants and bone-grafting on both wrists from the forearm. To combat the non-union state of that specific part of my wrist I had ultra-sonic soundwave therapy to re-stimulate the schapoid.......and now I have titanium pins in each schapoid. About 4-5 months complete healing time for each one, good as new!

Vinman
04-12-2006, 08:02 AM
I fell hard on my wrist a few weeks ago

nurse said xrays didnt show anything,

now its been a while, over a month,

however I have very limited range of motion trying to move my thumb directly towards my forearm as if in a waving motion.

I still am not at the point where I can put enough weight on it to do say a pushup without pain.


I would say that another x-ray would be the thing to do. At least if it is negative you'll have peace of mind knowing that it is truely getting better. But if it is positive for a scaphoid fracture you'll be gald you got it checked out and will have possibly avoided any permenant injury. Win-Win situation if you get a second look.

rip
04-12-2006, 12:14 PM
I would say that another x-ray would be the thing to do. At least if it is negative you'll have peace of mind knowing that it is truely getting better. But if it is positive for a scaphoid fracture you'll be gald you got it checked out and will have possibly avoided any permenant injury. Win-Win situation if you get a second look.


Yeah, thats what I figured. Its just that I associate a broken bone with a little more pain than what I have, thanks for the response, hopefully it will be a waste of my time.

Vinman
04-12-2006, 12:38 PM
Its just that I associate a broken bone with a little more pain than what I have

That is what typically gets peeps with undiagnosed scaphoid fractures in trouble.....

For awhile the pain kind of goes away but not totally, then over a period of months or longer it starts getting worse. By that time it is usually too late.

fez
04-12-2006, 12:56 PM
is that the "snuff box"? the slowest healing bone in the human body?


thats the one. i broke that baby summer before my senior year at UMass. put an end to my rowing career since i was in a cast for 6 months. damn that was miserable. 8 weeks in a cast, cut it off, xray, put a new one on. repeat.

when the doc came in and told me they were going to put the 3rd cast on i was about ready to pop him in the jaw just to show how strong the wrist was.

Waiting to Find Out
12-03-2006, 06:16 AM
I haven't done anything as exciting as skiing, biking, or skate boarding, but I was rear-ended by a dump truck (loaded with gravel), then pushed into the back of a church van. My Passat TDI was totalled, my Rottie Jake was a bit shaken up, and I walked away with the expected pain and stiffness from being in a wreck. Now, 4 weeks later I am still having pain in my wrist. At first it was generalized ache, but now it has turned into a painful tenderness in the snuffbox region when touched. I had x-rays initially after the accident which were negative, then a second set last week that I'm still waiting on the results from. I've done some internet searches so know the potential problems that can occur if it is a scaphoid fracture, but don't want to be paranoid if it isn't.

My question is this. How much pain with every day activities should I be expecting if it is a scaphoid fracture. I can type and do most things, but do have to favor my wrist if when doing any weight bearing activities. If my second x-ray comes back negative (from my general practitioner) should I force the issue and go to an orthopaedic surgeon? I would love some advice from those most familiar with this sort of thing - those who have lived through it.

Cartman
06-29-2007, 06:32 PM
Broke both my scaphoids numerous times skateboarding and never went to the doctor, thought I was spraining them .. and now I have titanium pins in each schapoid. About 4-5 months complete healing time for each one, good as new!

Fractured broke both my scaphoids too 3 weeks ago and now I have titanium pins on each one and am wearing splints.. Since yours was a year ago, I was curious if you've had any side effects so far, wrists feeling great ? Can you do weights etc at the gym ?

LaBelle23
07-19-2007, 12:08 PM
I couldn't do any weights for over a yr after I injured my scaphoid (Dec injury). If they caught it right away it shouldn't be as long of a recovery. I had pins and marrow taken from my hip to help healing. Ask about the bone stimulator though. It provides a magnetic field to help blood to flow to the area since the blood supply is so poor. Besides, you sound like a true gimp right now so you wouldn't even notice it.

crons
07-19-2007, 12:27 PM
fractured my scapohid about 7 years ago. instead of the surgery, i opted for the cast and bone stimulator. had a hard cast from wrist to bicep, with arm bent at about 90 degrees at elbow. had that thing on for the better part of 5 months. the bone stimulator was worn a certain number of hours per day. in the end, everything seemed to heal for the most part. still have the occasional soreness after a long mountain bike ride or if the wrist bends to the max unexpectedly.

in my case, the big bummer was the amount of time i spent in this ridiculous cast. as was mentioned earlier....8 weeks, cut cast, xray, repeat....

bjtuna
07-26-2007, 01:02 PM
Endo'd off my bike a few weeks ago and a few weeks later, my wrist still hurt. Went to the doc, x-rays showed nothing, he put me in a thumb-spiker cast for 2 weeks, got it off on Tuesday and x-rays still show nothing. He suspects a sprain but tonight I'm getting an MRI just to be sure; he says the MRI is the only way to tell for sure if I fractured the scaphoid, for reasons already mentioned in this thread.

wilcox510
07-26-2007, 01:56 PM
In case anyone is unclear on what people mean by "snuff box" tenderness, check out this link. I think this has basically been said before, but to summarize..If you have snuff box tenderness, even if you have a negative (normal, no sign of fracture) x-ray, you need to be in a splint until either the tenderness is gone, or it is definitively diagnosed as a fracture and dealt with in some other way (such as surgery). If you get a repeat x-ray which is normal but you still have significant tenderness, you still need to be in a splint (at least until you are evaluated by an orthopedist, not a general practitioner).

http://www.aafp.org/afp/20040901/879.html

telepariah
07-26-2007, 11:08 PM
Did mine 4 years ago. It will never be the same as it was before but it is getting better with time. I can actually do pushups now and I couldn't put that kind of weight on it for the longest time. My ER x-rays didn't show a fracture but my doc casted it anyway and said he was almost certain I had broken the scaphoid. X-rays after the cast removed showed he was right. I didn't need surgery, but it does still hurt when I grip things in just the right way or when I put all my weight on it.

bjtuna
08-07-2007, 08:48 AM
MRIs showed I have an incomplete scaphoid waist fracture. I'm in a short arm thumb-spica cast, supposedly for like 3 months. Going to talk to the doc today about surgery, which I believe is a minor procedure involving the installation of a compression screw, and would lead to a much faster recovery.

brendodendo
09-03-2007, 01:53 PM
Well.. Old topic, but on my mind. I broke my R-Scafoid (navicular) on 6/7. Was scheduled for Herbert screw surgery 6/23. Doc went in and found it was broken previously (I pretty much knew that) and was AVN. Bone graft and screw were done. Soft cast for the first week and then hard casted from palm and thumb to just below my elbow for 9 weeks. Doc says I may have to been in this POS for another 9 weeks and then a removable spica for a "couple" more weeks.
Pulled out the dremel last night and set a rotary cut off blade to 1.5 mm. Wife said I cant do it. Should have a new cast today, but it will be next week as doc is only in the area on Mondays and today's a holiday. O-well, I'm going to snowmass to listen to music.

brendodendo
01-16-2008, 11:40 AM
Update: got my cast off dec 18th ish. Still very weak. No ridding for me yet. 2 days on the snowmo. Using a stress ball, 5lb weight and gyro ball for rehab. Wrist still looks like a toothpick. Dr. said it could take a year to get back to where it was b4 the injury.

AKbruin
09-13-2010, 04:57 PM
Any "my scaphoid healed quickly and properly" stories?

I factured my scaphoid last week mountain biking in Whistler. Doc put me into a hard cast and seemed to suggest that if all went well I could be out of the cast and back on the bike in 6 weeks or so. But this thread has me a little worried.

JBird
09-14-2010, 09:41 AM
Read: Broken navicular Q - Teton Gravity Research Forums

Scaphoid = Navicular.

I healed up but it took one surgery and 9 months in a cast.

Seems to be a lot of these injuries, lately.

Good luck and vibes!

AKbruin
09-14-2010, 10:28 AM
I healed up but it took one surgery and 9 months in a cast.

:eek: I've had the cast on for less than a week and I already hate it.

powbmps
09-14-2010, 12:08 PM
Any "my scaphoid healed quickly and properly" stories?

I broke mine at the end of last September (on the good side where there's a bit more blood flow). 8 weeks out I was skiing with poles. Probably would have healed a little quicker, but I went with the brace instead of the cast.

Bit strange when it hurt on my first bike ride in April. However, the soreness was gone the next time out.

goldenboy
09-14-2010, 01:05 PM
Broke mine about 8 years ago. X-ray didn't show it but the doc put it in a cast anyway and I'm glad he did since the X-ray after cast removal showed the break. I'd say it took 2 years for it to be pain-free, but with that said it only hurt when I screwed up (for example, picking a bad line in a rock garden on the bike). Normally it didn't hurt much at all, even right after the 6 weeks in a cast. Never notice it now.

AKbruin
09-15-2010, 09:58 AM
^^^Good to hear. Thanks guys.

JBird
09-15-2010, 10:51 AM
I didn't add, I really have no problems once I healed. I even learned how to do certain things left handed. Good times, Good times. :biggrin:

jimmyjimjims
09-16-2010, 01:43 PM
Broke my left scaphoid yesterday biking to work. Damn Chicago paths have too many potholes to possibly avoid them all. Honestly the way I fell I'm lucky to have only broken one thing.

In an intense thumb spica until the abrasions heal, then I'm in a cast for 6-8 weeks unless I end up needing surgery. Lucky to have broken the well-vascularized side.

Just hoping to be up and running for skiing come January.

auvgeek
04-17-2012, 03:52 PM
Okay, so bumping this old thread. Over a month ago, I pre-released at a pretty good pace and fell hard. Skied the rest of the day no problems. Waited 3 weeks and it was feeling good (no pain during my daily routine), so I went rock climbing in the gym. Was planning to take it easy, but it felt good, so I did a few V4 onsights, etc. Little more pain with the harder routes, but nothing particularly concerning. Was pretty sore the next day. That was a week ago, and it's still kinda sore. I think I just sprained a ligament, but reading this thread makes me I'm worried about a scaphoid fracture. Do I need to make an appointment with a hand surgeon or sports-medicine doc? Or just get an x-ray at a walk-in clinic. I've had it examined by both a PT and CHT, and neither are super concerned about it, but I've been burned by that in the past (hip labral tear went undiagnosed for four years).

Thoughts?

Editing this to add that I have no tenderness in my anatomic snuffbox. The pain is slightly more ulnar than that. I'm hoping slightly ligament sprain, like maybe scaphoid-trapezoid or maybe lunate-capitate. Anyway, made an appointment with a hand guy. Takes two weeks to get in, unfortunately.

flyman683
04-21-2012, 06:36 PM
Disclosure - riddled with ACL/meniscus recovery drugs, so I didn't read back through everything BUT....

I did have a scaphoid fracture that was NOT found via x-ray and the PT/Trainer (happend playing lax) and ortho doc were not concerned for awhile. Stayed "functional" for a bit, but eventually once I started getting some shooting pain with hitting golf balls I went back to the Doc.

X-ray was negative, and they didn't want to MRI, but I insisted. That ended up finding the problem (along with the necrosis issue). Long story from that point trying to avoid surgery, but basically ended up getting surgery to get blood in there and some titanium.

I highly recommend getting an MRI done if thats at all possible. So much stuff is interrelated in there (plus all your day to day use) it can be really hard to tell what the issues are based on some "poking" and X-rays. I had my hand in various forms of casts, pain, and splints for nearly a year before I got the stuff figured out, when an early MRI could've kept me from the necrosis stuff & got me back to normal faster w/ proper treatment.

auvgeek
04-23-2012, 03:16 PM
Wrist is starting to hurt pretty badly. Tenderness in snuffbox, etc. X-rays tomorrow but couldn't get in with the doc until next Thursday. After taking three years off of skiing for injuries, this was entirely unnecessary.

Fuck everything.

Nimro
05-06-2012, 01:33 AM
Fractured both of my Scaphoids three weeks ago. The fractures aren't too bad, and are luckily towards the top of the bone. I have two removable, waterproof braces with thumb spicas that I honestly might be taking off too much. I take them off after I shower so that I can set them on a table and dry them with two blow dryers, and the doctor didn't really say that I could take them off. Since the fractures aren't terrible and are towards the top of the bone, do you think that they'll still heal properly? Am I slowing my healing time by removing my casts?

Tosylate
06-04-2012, 12:08 PM
Add me to the scaphoid club. I guess I should feel lucky as my fracture is on the "good" end and doc says no surgery. Still don't like being handed a 6-10 week sentence tho.

Damn beer league races...

stillcole
06-11-2013, 09:28 AM
This bone is a nightmare. I broke mine about 10 years ago playing high school football. Didn't get the xray and surgery until about 6 months later. The bone healed but I am still having a lot of problems. It seems to get worse every year and the doctors can't really tell me whats going on. Can't lift weights, play tennis or even really volleyball at this point. I'm hesitant to even wash dishes because I know I'll have to deal with swelling and inflammation for the rest of the day. Sucks because I am only 27 and this is preventing me from doing 80% of things that I used to love doing.
X-Rays are inconclusive so the doctors are only really saying its probably arthritis but it hurts so bad I am almost sure it is something more. I don't really know where the hell to go at this point except to yet another doctor for another opinion. Has anyone had any similar complications after the non-union surgery?

AKbruin
06-12-2013, 10:35 AM
As a follow up to my 2010 posts, I think I had my cast on for 6-8 weeks. It felt stiff for the first week or two after the cast came off, but seems to have healed up completely. I haven't had any problems since then. In fact, I'm not even sure which wrist it was that I broke.

GBB
06-23-2013, 11:22 AM
I broke my right scaphoid last year breaking horses at a friend's ranch. The initial X-rays were negative but the PA recommended casting it as a precaution. When they removed the cast 4 weeks later, the X-rays showed healing in the bone indicating a break. A year later I have no residual issues.

Long story short, it's worth getting casted to be safe.

stillcole
07-29-2013, 11:26 AM
Following up on my post a couple of months ago,

Saw doc in georgetown who looked at the same xrays and said I only had a partial union of the scaphoid. Don't know how the last 2 doctors missed something that seems so obvious, but this diagnosis seems consistent with the paid I am having. I am getting a CT scan and MRI this week to get a closer look.

I am hoping that a vascularized bone graft is feasable as it seems to be the best option to preserve range of motion and strength. I'll try to follow up as things come a long.