The scaphoid is one of the commonest bones to be fractured in the wrist. Scaphoid fractures can be problematic because they can be difficult to pick up on x-rays, and because the blood supply to the scaphoid runs back on itself, which means they don’t always heal as predictably as other bones do. It’s important that the scaphoid bone should heal because if it doesn’t it tends to set off a predictable pattern of arthritis in the wrist which can lead to future pain and stiffness. This often requires extensive surgery to try to improve the symptoms.

Some scaphoid fractures close to the wrist joint are treated routinely with surgery to improve the healing rates. Others can be treated in plaster, but with a follow up CT scan at 6 weeks to make sure they are healing. If they are not, then surgery can be recommended.

Surgery for scaphoid fractures is commonly done using a screw which applies compression across the fracture sites. On some occasions a plate and screws might be required. A plaster is applied for six weeks after the surgery, and then the patient is encouraged to move the wrist under the supervision of a hand therapist. The hand should be elevated for five days after surgery and the wound must be kept clean and dry for two weeks.

If you or someone you know has suffered an injury or is experiencing pain in their hand or wrist and would like a consultant-led review, please contact us. Grosvenor Orthopaedics have extensive experience in the treatment of this condition with excellent patient outcomes.

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HAND & WRIST CONDITIONS

If you would like to learn about other hand & wrist conditions click the button below

our specialist HAND & WRIST consultants

Hand and Wrist care at Grosvenor Orthopaedics is lead by Mr Rupert Wharton who is a Consultant Trauma and Orthopaedic surgeon with an NHS base at Kingston Hospital. He is further supported by the orthopaedic team here including other consultant surgeons, nurses and care staff.

Our team are well placed to manage and treat a diverse range of hand and wrist concerns utilising cutting edge diagnostic technology and treatment approaches, both surgical and conservative. Below is an overview of some of the conditions we treat but for a more thorough understanding please contact our team here

Mr Rupert Wharton

Consultant Trauma and Orthopaedic surgeon

Dip Hand Surg (Br and Eur) | BOA Future Leaders Programme 2023 | FEBHS
Rupert Wharton is a Consultant Trauma and Orthopaedic surgeon with an NHS base at Kingston Hospital. He has an interest in injuries and degenerative conditions of the hand and wrist, and works closely with hand therapy colleagues to ensure all non operative solutions have been tried before considering surgery.

What some of our patients say

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