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The scaphoid is one of the eight carpal (wrist) bones. A scaphoid fracture is a break in the scaphoid bone. The scaphoid bone is between the thumb and the bones of the arm. This bone has an unusual flow of blood which can make healing of this bone difficult.
The following are signs of a scaphoid fracture:
A scaphoid fracture is usually diagnosed with an x-ray of the wrist. Most often, the doctor will order navicular (scaphoid) views of the wrist of they are thinking there might be a scaphoid fracture. Sometimes a scaphoid fracture will not show up on x-ray for a few weeks. The doctor may order an MRI (magnetic resonance imaging) or CT (computerized tomography) scan to look closer at the bone.
The best way to treat a fractured (broken) bone is to stabilize (keep it in place) the bone while it heals. This is usually done with a cast. When casting a scaphoid fracture, it is necessary to wear a cast anywhere from six weeks to several months. The doctor will take x-rays during this time to see how the bone is healing.
If the break is serious, or the bone is not healing as it should, surgery may be needed to repair the fracture.
Once the bandages are taken off, your surgeon might suggest working with a hand therapist.
Our Hand and Upper Extremity Program team at Children’s Colorado provides a comprehensive, multidisciplinary approach to the care of your child. This means you have access to leading specialists from multiple departments who work together to treat your child.
Your child’s care team includes pediatric experts from orthopedic surgery, physical medicine, rehabilitation, occupational therapy and nursing.