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Scaphoid Fracture

22-year-old Masters student was pushed over during a game of five-a-side football and landed on his outstretched dominant left hand. His wrist gradually became more painful over the evening, so the following day he saw his GP who suspected he may have a scaphoid fracture.

Radiographs were carried out which confirmed the diagnosis of an un-displaced scaphoid waist fracture, and he was referred to Mr Gidwani.

After a discussion of the pros and cons of cast treatment versus percutaneous fixation, the patient elected to be treated in a cast. He returned to the clinic within a week, however, having changed his mind – he was frustrated by the cast, and by the difficulties he experienced while trying to write and take notes during lectures.

A few days later, a percutaneous fixation was carried out. He was kept in a cast for two weeks, before being transferred into a removable splint. A CT scan carried out at 12 weeks post-operatively confirmed complete union of the fracture and at that stage, all restrictions were lifted on use of the wrist for sports and leisure activities. At four months post-op, he has recovered a full range of motion (see image), is back to skiing and playing football, and hopes to be back on the basketball court soon.

See Mr Gidwani's web profile here.