Our Summary

This research paper focuses on sports-related wrist injuries, specifically in relation to stress fractures and scaphoid fractures. A scaphoid fracture involves a break in a small bone in the wrist, and it’s a common injury among athletes. Stress fractures are tiny cracks within the bone, often a result of overuse, such as repeatedly hitting a tennis ball or throwing a baseball. This study aims to better understand these injuries, how they occur, their symptoms, and how they can be treated or possibly prevented.

FAQs

  1. What is a scaphoid fracture and how is it related to athlete’s wrist?
  2. What are the symptoms of a scaphoid fracture?
  3. What are the surgical options for treating a scaphoid fracture?

Doctor’s Tip

It is important to follow your doctor’s post-operative instructions closely, including keeping your wrist immobilized and attending all follow-up appointments. Physical therapy may be recommended to help regain strength and range of motion in your wrist. Be sure to communicate any pain or discomfort you may be experiencing during your recovery process.

Suitable For

Patients who are typically recommended scaphoid fracture surgery are those who have a displaced or unstable fracture, fractures that do not heal with conservative treatment such as casting, fractures that are at risk for non-union or avascular necrosis, or patients who have persistent pain and limited function in the wrist despite conservative treatment. Additionally, athletes or individuals with high physical demands on their wrists may also be recommended for surgery to ensure proper healing and return to activity.

Timeline

Before scaphoid fracture surgery:

  • Patient may experience wrist pain, swelling, and limited range of motion
  • X-rays and possibly MRI or CT scans are taken to diagnose the fracture
  • Patient may be placed in a splint or cast to immobilize the wrist and prevent further injury
  • Patient may undergo physical therapy to maintain strength and flexibility in the wrist before surgery

After scaphoid fracture surgery:

  • Patient undergoes surgery to stabilize the fracture, typically with screws or pins
  • Patient is placed in a cast or splint for several weeks to allow the bone to heal
  • Physical therapy is often recommended to regain strength and range of motion in the wrist
  • Follow-up appointments with the surgeon are scheduled to monitor healing and remove any hardware if necessary
  • Full recovery can take several months, with gradual return to normal activities and sports as advised by the surgeon.

What to Ask Your Doctor

  1. What is the success rate of scaphoid fracture surgery?
  2. What are the potential risks and complications associated with the surgery?
  3. What is the expected recovery time after surgery?
  4. Will I need to undergo physical therapy after the surgery?
  5. How long will I need to wear a cast or splint after the surgery?
  6. Will I be able to return to normal activities and sports after the surgery?
  7. What type of anesthesia will be used during the surgery?
  8. How experienced are you in performing scaphoid fracture surgery?
  9. Are there any alternative treatments to surgery for a scaphoid fracture?
  10. What can I do to help ensure a successful outcome from the surgery?

Reference

Authors: Wilssens N, Gumley GJ. Journal: Hand Surg Rehabil. 2021 Oct;40(5):695-697. doi: 10.1016/j.hansur.2021.04.010. Epub 2021 Apr 30. PMID: 33940200