Information from Viet Duc Friendship Hospital shows that scaphoid fracture is a fairly common injury in young people.
After a common household accident such as falling on an outstretched arm and hyperextended wrist, the patient feels pain and swelling in the wrist area, the signs may be faint and gradually decrease after a few days.
Scaphoid fracture has symptoms similar to wrist sprain (illustrative photo)
Therefore, the injury can be completely missed if not carefully examined by orthopedic trauma specialists.
According to Dr. Le Manh Son - Head of General Trauma Surgery Department, Viet Duc Friendship Hospital: When injured, the blood vessels supplying blood to the scaphoid bone are damaged and affect the bone healing process, and can even lead to non-union (pseudo-joint) and bone loss.
Scaphoid pseudoarthrosis is a condition in which the scaphoid bone fails to unite after trauma (due to failure to diagnose or inadequate treatment) with a rate of about 5 - 10% and may even be higher depending on the fracture area.
Missed scaphoid fractures often cause prolonged wrist pain, limited mobility, and especially affect the patient's ability to grip and bear weight, thus also affecting the ability to work and labor.
At the General Trauma Surgery Department, Viet Duc Friendship Hospital, doctors have just treated a 30-year-old male patient, who fell on his hand and had pain and limited wrist movement after the injury. He was diagnosed with scaphoid pseudoarthrosis after 5 months and was treated with surgery combining the scaphoid bone with autologous cancellous bone grafting (taken from the lower end of the radius). This is the optimal method to help improve the amplitude and function of the joint to the maximum.
Symptoms of scaphoid fracture are: Pain, swelling, tenderness on pressing on the wrist, no obvious deformity, therefore scaphoid fracture can be confused with wrist sprain, so the doctor must ask about the medical history of the fracture mechanism, physical examination combined with X-ray, CT, MRI to assess the different points of scaphoid fracture.
Scaphoid fractures need to be given proper attention to avoid missing injuries, and have appropriate and appropriate intervention indications to avoid missing injuries, creating fake joints, and arthritis leading to limited wrist movement, Dr. Le Manh Son added.
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