This can delay the treatment of the fracture, which can make it difficult to treat down the road. Bruising is rare and there is often no visible deformity of the wrist, which makes people think they have just “sprained” their wrist. There is some degree of swelling and there may be somewhat limited wrist mobility. Pain is typically felt on the radial (thumb-side) aspect of the wrist and may only last a few days. Men are 10x more likely to break this bone than women. Although the bone is small, it takes a large force to break it. Scaphoid fractures are the result of a traumatic fall on an outstretched and hyperextended hand (FOOSH). When this happens, treatment of the chronic non-union scaphoid is necessary. Delayed treatment (months, years) can lead to avascular necrosis (loss of blood supply), non-union, loss of wrist motion and function and painful arthritis. Often times, however, patients break their scaphoid and do not know it. Viola is very aggressive in treating acute scaphoid fractures in order to see them heal primarily. Its blood supply is very fragile and a fracture often leaves the bone without any blood flow, which makes healing this bone very difficult. The scaphoid is almost completely covered in articular cartilage and functions like a ball bearing in the wrist joint. The scaphoid, or navicular, is the most commonly fractured carpal bone in the wrist.
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