NAVICULAR FRACTURE OF THE WRIST

NAVICULAR FRACTURE OF THE WRIST

A fracture in the small bone on the thumb side of your wrist is called a navicular fracture of the wrist or a scaphoid fracture. The bone on your wrist that is more susceptible to fractures is your navicular bone, that is, among the eight carpal bones.

For navicular fractures to heal, treatment is needed. It is important to know if you have a navicular fracture so that treatment could be administered at the earliest time possible. Even with proper treatment and monitoring, the recovery process could be slow since the various segments of the navicular bone don’t have constant supply of blood. Arthritis, stiffness, and long-term pain may follow and occur in your wrist if your navicular bone does not heal properly.

Since our impulse is to stretch out our hands to protect our bodies from a fall, navicular fractures can often happen subsequently during those events. Other scenarios in which navicular fractures might happen are twisting of the wrists severely or when one of them is hit very hard. Sports activities can also cause navicular fractures.

SYMPTOMS

Since navicular fractures are often not perceivable as a wrist that is broken, it often causes only minor symptoms. It is difficult to identify whether your navicular bone is broken or not. However, if the bone is broken, it may bring about symptoms such as:

  • Difficulty in grabbing or gripping things or moving and twisting your wrist or thumb
  • Bruises
  • Pain, tenderness, or swelling

It may be difficult to rule out other underlying conditions if your wrist is broken, since it closely resembles a sprained wrist. If you have a history of injuring your hand by any means and if your wrists hurt, it is best to see a doctor. Long-term complications may arise if the fracture is not treated properly.

DIAGNOSIS

Your doctor will perform a physical examination and ask about your medical history.  Afterwards, he or she will most probably request diagnostic imaging tests such as an X-ray. However, some cases may need high-resolution imaging tests such as an MRI, CT scan, and bone scan. Referral to an orthopedist may be needed.

TREATMENT

Wearing a splint or arm cast, and in some cases, surgery, are treatment options for navicular fractures. Even though your X-rays do not show a fracture, your doctor will still proceed with treatment to prevent complications.

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