What is a proximal pole scaphoid fracture?

The main blood supply of the scaphoid enters through the dorsoradial ridge of the scaphoid. By definition, proximal pole nonunions have partial ischemia or complete avascular necrosis, because the fracture line isolates the proximal pole from the perforating vessels.

Can a scaphoid fracture heal without a cast?

Because blood supply is needed to heal a fracture, the scaphoid often takes a long time (a few months) to heal. If the scaphoid fracture is non-displaced (bone has not moved out of place at the fracture), it usually can be successfully treated with a cast.

How long it takes for a scaphoid fracture to heal?

The peculiarity of its blood supply is the primary reason for this prolonged healing period. Whereas other fractures in the upper extremity require an average of six weeks, a scaphoid fracture requires an average of 12 weeks if treated immediately, and as long as six months if the diagnosis is delayed.

Does a scaphoid fracture need a surgery?

If you receive proper treatment and restrict activity with your hand, a scaphoid fracture may heal without surgery . Your doctor will likely recommend casting if it appears that the bones may heal on their own. The cast immobilizes your wrist, so the pieces of bone to fuse back together.

Do all scaphoid fractures require surgery?

While certain scaphoid fractures don’t require surgery, many fractures do require surgery to properly realign and stabilize the broken bones. In some scaphoid fractures when the bone is misaligned (displaced), surgery is advised.

Do I need a cast for a fractured scaphoid?

The cast is usually worn for 6-12 weeks until the scaphoid bone heals. In some cases, it may be needed for longer. If a scaphoid fracture is displaced, surgery may be advised. A small screw or a special pin is inserted into the scaphoid bone to hold the bone fragments together in the correct position.

What is a nonunion fracture of the scaphoid?

Scaphoid Fracture Non-union. If a Scaphoid fracture does not heal, it is called a Scaphoid Fracture Non-union. If left untreated, the part of the Scaphoid that interacts with the Radius may die, which can lead to painful arthritis in the wrist, developing months to years after the initial injury.