Scaffoid Fracture

Hi guys quick question. 

Dislocated a rib and broke my scaffoid in my left hand last month. Anyone with a similar wrist injury? How long did it take to get back on the bike. Did a slow solo test ride on some local single track last week. (five weeks after injury) Wrist swelled up and was very painful the next day. Im going out of my mind not being able to ride! Have done all the bike maint I can think of. I was out sitting on it in the shed the other day just to feel sane. I did get out putting around with the kids, that wasn't so bad.

 

IMG_0882[1].JPG

That’s gonna take a while but needs to be healed properly to even have a chance in the future... let it heal

Yep doctor says twelve weeks minimum. Just looking for any first hand accounts. Thanks for the reply!

Had scaphoid fractured in both wrists at different times while DH mountain bike racing. Both were non-displaced so the treatment was a cast. Areas of the scaphoid have very poor blood supply and as the above poster mentioned, they can take a while. Take time, don't disrupt the fracture and it will eventually heal. I have had only minor tenderness as a long term effect. Aggravate it and possibly cause the bone to die...then you'll have all sorts of pain and grief to deal with. Take care and get well.

thanks mxr73! yep got the cast off last week. Was told to take it easy and not push my wrist. Was told no riding for at least 12 weeks. Glad to hear it can be bounced back from. 

25 minutes ago, Bobatsea said:

thanks mxr73! yep got the cast off last week. Was told to take it easy and not push my wrist. Was told no riding for at least 12 weeks. Glad to hear it can be bounced back from. 

My orthopod told me to lay off for 12 weeks when I had only a "suspected" fracture.  X-rays were indeterminate but he wanted me to make sure and let it heal up.  I think it was good advice.

I was 6 months with a cast.  Despite not being able to ride, it was the best summer since being in high school 20 years ago. 

Fractured the scaphoid in left wrist twice in my life, once in football and the 2nd time on a bike. The risk is that if you lose blood supply on one side of the break, the bone will die, then it can become a very serious problem that requires surgery and bone grafting. Which is why I would not push the recovery. Wait as long as the doctor says and even longer if you're not sure. 

Edited by kcomst

Quick tutorial on scaphoid fractures from retired ED doc in Australia. The scaphoid is called that because it is "boat shaped". About the size and shape of a large jelly bean, at the base of your thumb in the "snuffbox". Typically injured by fall onto outstretched hand. Healing can be problematic due to 2 facts:  1/ the bone is almost entirely covered in cartilage that limit the access of blood vessels into the bone and 2/ the blood supply that does get in does so at the "far end" of the bone, so that blood supply has to come "backwards" to get to the fracture site. Fractures will not heal without blood supply.

In summary, textbooks say that 1/3 of undisplaced scaphoid fractures will heal with 6 weeks of casting (same as ordinary wrist fracture), 1/3 will take longer to heal (like ~ 12 weeks) and 1/3 do not heal without surgery. Surgery usually done by clamping the 2 halves of the bone together using screw with different thread pitch at each end, with or without bone graft.

Untreated ununited scaphoid fracture results in the "near" half of the bone dying = "avascular necrosis".  Chronic pain and weakness

One more thing: Fresh scaphoid fractures frequently not visible on plain xray until about day 10.  If you have a lot of tenderness in the snuffbox it is usual to apply a cast and re-xray in 10 days.

i broke my rh scafoid,had it in a cast for 6 weeks they said it will be fine rebroke it again about 2 months later same spot,went to see "specialist" he didnt like motorbikes so just told me to harden up,it was like that for 10 yrs untill a docter looked at the xray and flipped out.

had a bone graft using the bone spur that had grown beside the scafoid to protect it,off work 4 months.....

just make sure its right first time..no shortcuts,trust me

Hi guys quick question. 

Dislocated a rib and broke my scaffoid in my left hand last month. Anyone with a similar wrist injury? How long did it take to get back on the bike. Did a slow solo test ride on some local single track last week. (five weeks after injury) Wrist swelled up and was very painful the next day. Im going out of my mind not being able to ride! Have done all the bike maint I can think of. I was out sitting on it in the shed the other day just to feel sane. I did get out putting around with the kids, that wasn't so bad.

 

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Mine was in cast/brace 17 weeks after surgery. Did you get a screw in it? It has like no blood supply so it takes eternity to heal. Oh, after it hurting all the time for 9 years after that, I had the screw removed last winter, finally good! So....10 years.

 

1 hour ago, HeavyRotation said:

Mine was in cast/brace 17 weeks after surgery. Did you get a screw in it? It has like no blood supply so it takes eternity to heal. Oh, after it hurting all the time for 9 years after that, I had the screw removed last winter, finally good! So....10 years.

 

No screw brake was in a spot that heals well. A month in a cast and stern warning to be easy on it for 12 weeks was the treatment. I have good motion in the wrist and no real pain except at the limits of what my wrist bends to. 

I did have a guy cut me off yesterday and I whacked the horn without thinking. 😱

Edited by Bobatsea

I fractured two carpal bones mountain biking. I tried to keep riding for a couple weeks but pain was getting worse. Saw ortho who reattached shoulder and was going to only have to wear a brace until I whined about not being able to ride. On went the cast for 6 weeks. Try immobilizing in a decent wrist brace especially while sleeping.   X-rays for carpal bones are difficult to read and eventually had an MRI which was just as baffling. Fractured Hook of Hamet (?) and adjacent bone was final diagnosis. Do whatever you have to to avoid surgery at all costs. Good luck with recovery. 

2 hours ago, Steve Cooper said:

Quick tutorial on scaphoid fractures from retired ED doc in Australia. The scaphoid is called that because it is "boat shaped". About the size and shape of a large jelly bean, at the base of your thumb in the "snuffbox". Typically injured by fall onto outstretched hand. Healing can be problematic due to 2 facts:  1/ the bone is almost entirely covered in cartilage that limit the access of blood vessels into the bone and 2/ the blood supply that does get in does so at the "far end" of the bone, so that blood supply has to come "backwards" to get to the fracture site. Fractures will not heal without blood supply.

In summary, textbooks say that 1/3 of undisplaced scaphoid fractures will heal with 6 weeks of casting (same as ordinary wrist fracture), 1/3 will take longer to heal (like ~ 12 weeks) and 1/3 do not heal without surgery. Surgery usually done by clamping the 2 halves of the bone together using screw with different thread pitch at each end, with or without bone graft.

Untreated ununited scaphoid fracture results in the "near" half of the bone dying = "avascular necrosis".  Chronic pain and weakness

One more thing: Fresh scaphoid fractures frequently not visible on plain xray until about day 10.  If you have a lot of tenderness in the snuffbox it is usual to apply a cast and re-xray in 10 days.

My doc put me in a splint and had me come back in 10 days for a second set of x-rays.

ive been 35 years from the wrist injury, and can re-agrivate when working  or riding hard, im carrying advil but usually stay away the pain medication, do yourself a favor and purchase a premium wrist brace to prevent reinjury while riding or whatever might risk abusing it, good luck on your recovery dude!

I figured more replies to support the "wait it out" theory is better, or will hopefully convince you: I've fractured the same one twice, once it was in a cast for 18 weeks, and the other was shorter, I think only 6-7 weeks (probably 4 years apart). I have been mountain biking and off-road moto (not motocross) over the last 10 years since the last fracture, and it's pretty much felt ~90% or better. Generally feels fine, is a bit achy after lots of miles, or when the weather changes drastically (yes, seriously!). Otherwise, I'm in my late 30's and still do stupid shit like DH mountain biking, jumping, occasionally crashing, and long miles in Baja on the moto, and it's held up well for never really being in that good of physical shape (kids prevent regular exercise, haha) AND being a skinny bastard, I don't usually have strong hands or forearms to protect my bones :-). Definitely don't want to risk needing surgery or a bone graft if you don't need it now. Patience is a virtue on this one.

5 minutes ago, k_laud said:

I figured more replies to support the "wait it out" theory is better, or will hopefully convince you: I've fractured the same one twice, once it was in a cast for 18 weeks, and the other was shorter, I think only 6-7 weeks (probably 4 years apart). I have been mountain biking and off-road moto (not motocross) over the last 10 years since the last fracture, and it's pretty much felt ~90% or better. Generally feels fine, is a bit achy after lots of miles, or when the weather changes drastically (yes, seriously!). Otherwise, I'm in my late 30's and still do stupid shit like DH mountain biking, jumping, occasionally crashing, and long miles in Baja on the moto, and it's held up well for never really being in that good of physical shape (kids prevent regular exercise, haha) AND being a skinny bastard, I don't usually have strong hands or forearms to protect my bones :-). Definitely don't want to risk needing surgery or a bone graft if you don't need it now. Patience is a virtue on this one.

Thanks for the reply. I'm in my late 30's as well and already have a couple joints that feel the weather. I'm hoping this won't be another. What a sad old bunch of cripples we are all going to be!:ride:

Hey Bobatsea, Seeing your age I felt I needed to chime in. Broke mine in 97 in the whoops at Glen Helen. Went superman and jacked both wrists. Left hurt way more than the right. Oops, no insurance.  After 2 months my left was feeling way better than the right. Originally I thought the left was broke and the right sprained. Bad news was that I was 37 and had gone 2 months without proper medical treatment because I wan't insured. Lucky for me I knew the team Yamaha orthopedic surgeon who kept telling me it was broke during those 2 months. He convinced me to come into his office and get is checked out. Then he gave me the good news, you had a major sprain on your left wrist and it's healing fine. More good news, you broke your right radius and it's in place and also healing fine. Now the bad news, your 37, went 2 months without getting one of the most difficult bones imobilized, that being the scaphoid. Most likely it will require surgery but we will get you casted and see how it goes. Well, after after 7 months it was still a non union but he had one last trick up his sleeve before surgery. Windhams mechanic just got healed up from a similar break and they gave me his electronic bone growth stimulator to put on the wrist and after 11 months I had the cast removed with a healed wrist. This was 21 years ago. I only suffer from less range of motion and once every few years some pain. 

BTW, he refused to take any payment for the any of his services including X-ray, scan etc, nor did the medical company that loaned me the Bone Growth Stimulator. 

Edited by MotoXImage
wrong math
23 minutes ago, MotoXImage said:

Hey Bobatsea, Seeing your age I felt I needed to chime in. Broke mine in 97 in the whoops at Glen Helen. Went superman and jacked both wrists. Left hurt way more than the right. Oops, no insurance.  After 2 months my left was feeling way better than the right. Originally I thought the left was broke and the right sprained. Bad news was that I was 37 and had gone 2 months without proper medical treatment because I wan't insured. Lucky for me I knew the team Yamaha orthopedic surgeon who kept telling me it was broke during those 2 months. He convinced me to come into his office and get is checked out. Then he gave me the good news, you had a major sprain on your left wrist and it's healing fine. More good news, you broke your right radius and it's in place and also healing fine. Now the bad news, your 37, went 2 months without getting one of the most difficult bones imobilized, that being the scaphoid. Most likely it will require surgery but we will get you casted and see how it goes. Well, after after 7 months it was still a non union but he had one last trick up his sleeve before surgery. Windhams mechanic just got healed up from a similar break and they gave me his electronic bone growth stimulator to put on the wrist and after 11 months I had the cast removed with a healed wrist. This was 21 years ago. I only suffer from less range of motion and once every few years some pain. 

BTW, he refused to take any payment for the any of his services including X-ray, scan etc, nor did the medical company that loaned me the Bone Growth Stimulator. 

Thanks for the reply! Sounds like that ortho really did you a solid. My wrist seems to be healing fine. Doc said it was in a spot that heals well and it did not need a screw. If im in a cast I cannot work due to the type of work I do. So here is hoping. One month without a paycheck was enough. I couldn't imagine 11 months. 

Hey guys just wanted to update you on the wrist in case anyone was wondering. I am ten weeks post injury. Have full range of motion back. Only slight discomfort at the limits of what it bends to. It feels moderately painful when weight bearing on a bent wrist. So i am still being very ginger with it. But I am getting strength back with twisting and gripping. Not a hundred percent for sure, but getting closer every day. 

I have two weeks left before (my wife) will let me get back on the bike for a real ride. Here is hoping I do not have much long term pain or weakness. 

They say pain is just weakness leaving the body! :ride:

Edit: Nine weeks post injury, I just counted. Crap... Three more to go.

Edited by Bobatsea

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