The scaphoid is one of eight bones in your wrist. It’s also the bone that I fractured in my left wrist just over two months ago. Back at the end of June through no fault but my own I managed to ride my bike through a construction sign (that happened to be in the bike lane but I’m not pointing fingers) resulting in a less than ideal high velocity dismount off my bike. After picking myself off the street and checking out the obvious road rash damage I figured it was still easiest to finish the ride into the office than to call for rescue at the time. Unfortunately a couple of hours later after a visit to the hospital I would discover that I had fractured my scaphoid in my left wrist. I was wrapped up in a “thumb spica forearm” cast and told to come back in two weeks. The cast was only a partial as the emergency room doctors did not want to cover up a forearm scrape. So the plan was to go back for a replacement.
After two weeks I went back for x-rays which showed no healing progress. I was told this was normal as two weeks for a scaphoid fracture is little time for healing. I was told to come back in two weeks again. After the next set of x-rays there was a little sign of healing but not an ideal amount so it was recommended that I should get a CT scan and should be seen by an orthopaedic surgeon. This next appointment was nearly three weeks away which worried me but according to my family doctor is according to plan since a scaphoid fracture could take up to twelve weeks to heal on its own.
When my orthopaedic surgeon visit finally came another set of x-rays was taken and it was finally decided that I should probably have an operation to help with the healing. The procedure is fairly common and involves fixation of the fractured scaphoid with a screw along with a bone graft. The scaphoid has a unique (I don’t know if that’s the right word) blood circulation pattern which can be disrupted when a fracture occurs. This disruption of the blood supply can prevent the bone from healing properly. The bone graft is applied to help the bone in healing.
My surgeon said healing after the procedure will take about six weeks. I’m thinking he just said that to make me feel better, but hopefully after this Tuesday I’ll get to start healing for real.
At least I’m out of my cast for now.