Fracture of scaphoid of hand and wrist

Hello. First of all, I want to tell you whether the general diagnosis should take CT as the main reference or take CT as the standard. X-ray should be taken first, and then CT examination should be taken if the diagnosis cannot be confirmed. Most fractures can be diagnosed by X-ray. If there are some avulsion or dehiscence fractures and fractures that cannot be diagnosed by X-ray, CT examination is necessary to make a diagnosis! So CT should be more accurate than X-ray! But I don't know what the doctor who treated you thinks. ! The CT report said "no obvious fracture", but he diagnosed you with a fracture? ! He's too brave! ! ! Does he know how serious the consequences will be? !

Because once a fracture is diagnosed, it must be treated as a fracture. Take your case as an example: once the fracture is diagnosed, the left forearm is externally fixed with plaster support, which takes at least 4-6 weeks, and many may take several months. (Because the scaphoid heals slowly, and some even don't heal) If there is a fracture, it must be treated like this. After the fracture is healed, your wrist joint, metacarpophalangeal joint and thumb interphalangeal joint will have different degrees of adhesion, that is, the activity is limited, and it takes a long time of functional rehabilitation exercise to restore normal activity. But if there is no fracture, there is absolutely no need to fix it for such a long time, and there is no need to do later functional rehabilitation exercises. You should know that this kind of functional rehabilitation exercise is very painful and difficult! Although many doctors in our industry want to avoid "missed diagnosis" as much as possible, there must be no "misdiagnosis" that will cause greater pain to patients in the later stage!

I suggest you go to the hospital again as soon as possible, find a director and have a look at it at the expert level. If there is no fracture, the plaster model must be taken out within 3 weeks, because the soft tissue injury can be recovered in 2 weeks. There is absolutely no need to continue repairing it. Joint adhesion caused by fixation is a great side effect!

Now it is not a problem of plaster or splint fixation and external application of traditional Chinese medicine! But is there a fracture? ! The question of whether to repair it or not! Moreover, there is no way to fix the scaphoid fracture with splint. There used to be an old method of "paper splint fixation", but now it is no longer used, and it is fixed with plaster support. If it hadn't been broken, it wouldn't be fixed with plaster and paper splint now! Of course, not to mention the external application of Chinese medicine. If the affected area is swollen seriously and the skin is not allergic, some Chinese medicines can be used externally to reduce the swelling, but according to my experience, even if the scaphoid is broken, there will be no serious swelling, and there will be no obvious swelling after 2 weeks of fixation.

As for finger movement, I'm telling you that even if you put on a plaster, you must try your best to move your metacarpophalangeal joints and interphalangeal joints, that is, try your best to move your fingers. Didn't these doctors tell you? ! You'd better go to the hospital for a reexamination as soon as possible!

I hope the above answers can help you!

I wish you a speedy recovery!