How do you test for a scaphoid fracture?

There are several different diagnostic modalities to detect a scaphoid fracture. These include conventional radiographs, computed tomography (CT scans), magnetic resonance examination, bone scintigraphy and sonograms.

How do you assess scaphoid tenderness?

Tenderness of the scaphoid tubercle (i.e., the physician extends the patient’s wrist with one hand and applies pressure to the tuberosity at the proximal wrist crease with the opposite hand) provides better diagnostic information; this maneuver has a similar sensitivity (87 percent) to that of anatomic snuffbox …

What is scaphoid tenderness?

A scaphoid (navicular) fracture is a break in one of the small bones of the wrist. This type of fracture occurs most often after a fall onto an outstretched hand. Symptoms of a scaphoid fracture typically include pain and tenderness in the area just below the base of the thumb.

What is scaphoid compression test?

The scaphoid shift test is a provocative maneuver used to examine the dynamic stability of the scaphoid and reproduce a patient’s symptoms. It is used to diagnose scapholunate interosseous ligament instability (SLIL). The test is found helpful during the examination of the wrist and more specifically the scaphoid.

Can you still move your thumb with a scaphoid fracture?

A scaphoid fracture causes tenderness directly over the bone and the pain may increase when you move your thumb or grip things. Your initial pain may decrease over days or weeks and because there is no significant bruising or swelling they are often mistaken for a sprained wrist.

How long does scaphoid necrosis take?

It is expected the distal third will heal in 6 to 8 weeks, the middle third will take 8–12 weeks, and the proximal third will take 12–24 weeks. The Scaphoid receives its blood supply primarily from lateral and distal branches of the radial artery.

How do I strengthen my scaphoid bone?

Wrist Fracture, Scaphoid: Rehabilitation Exercises

1. Flexion: Gently bend your wrist forward. Hold for 5 seconds. Do 2 sets of 15.
2. Extension: Gently bend your wrist backward. Hold this position 5 seconds.
3. Side to side: Gently move your wrist from side to side (a handshake motion). Hold for 5 seconds in each direction.

Where is the scaphoid located?

The scaphoid bone is one of the carpal bones of the wrist. It is situated between the hand and forearm on the thumb side of the wrist (also called the lateral or radial side). It forms the radial border of the carpal tunnel.