Splint versus plaster – which is better?
In the case of a scaphoid fracture, immobilisation of the fracture is particularly important in order to give the fracture the necessary rest that is necessary for healing. The scaphoid fracture of the hand can also be stabilized with a splint. The foot tends to be plastered.
A simple splint is often not sufficient for the foot. However, special splints can be used to immobilize the entire foot and prevent strain. These are often large, shoe-like splints that protect the foot from any load by means of an air cushion.
With such splints, the leg can also be used in everyday life. The cast also ensures secure immobilization, but cannot be adjusted as quickly and individually. The use in everyday life is not so safe.
How do I recognize a scaphoid fracture of the foot?
The scaphoid fracture is very rare and can be easily overlooked, especially when it occurs as a fatigue fracture. In addition to a radiographic examination, an MRI/CT may be necessary to reliably identify the fracture. Furthermore, in the case of chronic fractures, a lowering of the arch of the foot may be noticeable.
Pain occurs during stress and movement. In acute fractures after a previous trauma, a bruise mark above the navicular bone may be noticeable. There may be redness and swelling. In addition, the patient complains of a pressure-sensitive pain in the area of the bone and cannot or only poorly load his foot.
Summary
A scaphoid fracture of the foot is very rare. It is a fracture of the os naviculare, a tarsal bone. The fracture is usually caused by chronic overloading, osteoporosis and/or direct violence.
Treatment can usually be conservative or, more rarely (in cases of instability, poor healing or comminuted fractures), surgical. This is followed by immobilization and a mobilizing and invigorating rehabilitative physiotherapy, which is intended to maintain mobility and resilience and also improve the circulatory situation and gait pattern.
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