Treat the scaphoid fracture with a splint
A splint – as the name suggests – is necessary for splinting the scaphoid fracture. This must be done, otherwise there is a risk that the bone will grow together crookedly, resulting in a permanent malposition that cannot be easily reversed. In addition to restricting movement in the long term, this can result in shortening of tendons and muscles, nerve compression and loss of function, and even stiffening of the wrist.
There are different types of splints, but they usually differ only in their type and material, but not in their function. The classic plaster splint is usually put on in the hospital and consists of a fast hardening plaster that forms a firm framework around the fracture within 10 minutes after contact with water. The disadvantage is that it cannot be removed for washing and has to be cut open for changing, i.e. it is not recyclable.
For this reason, other splint systems with Velcro fasteners have been established over the last few years, although there is always the risk of misuse. If an awkward movement is made while the splint is too loose or does not fit at all, the unstable bone healing can be damaged and the fracture can recur. On the other hand, this type of splint is more comfortable to wear and easier to change.
Healing of the scaphoid fracture
If a scaphoid fracture is detected in time and treated appropriately, sooner or later a complete healing can be expected. The prognosis for uncomplicated fractures is usually very good. After immobilisation of the forearm and wrist with a plaster cast for about 12 weeks, the fracture has healed completely in most cases.If the scaphoid is fractured very close to the wrist, surgery with screwing of the scaphoid is usually necessary.
However, the original mobility in the wrist is not yet restored at the time of removal of the cast or directly after the operation. However, this is regained after some time with the help of consistent physiotherapy and a little patience. Unfortunately, healing of the scaphoid conservatively with plaster or surgery tends to have complications.
