Scaphoid Fracture
A scaphoid fracture is a break in the small carpal bone at the base of the thumb. It’s the most common wrist fracture, usually caused by a fall onto an outstretched hand. Because of its limited blood supply, this bone heals slowly and may lead to complications like nonunion or arthritis if not properly treated. Physical therapy is essential to restore wrist mobility and strength after immobilization or surgery.
Diagnosis of Scaphoid Fracture
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Medical history (fall or sports trauma)
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Tenderness in the anatomic snuffbox (hollow near the base of the thumb)
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X-rays (sometimes don’t show fracture immediately)
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MRI or CT scans for more precise diagnosis and healing progress
Treatment for Scaphoid Fracture
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Immobilization in a cast or splint for mild fractures
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Surgical fixation with screws for displaced fractures
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Post-healing PT including:
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Manual therapy to reduce stiffness
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Range of motion exercises for wrist and thumb
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Strengthening for grip and forearm
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Scar management if surgery performed
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Functional retraining for work, sports, or daily tasks
Symptoms of Scaphoid Fracture
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Pain at the base of the thumb and wrist
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Swelling and bruising around the wrist
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Pain with gripping, pinching, or lifting
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Stiffness and reduced wrist motion
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Weakness in grip strength
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Persistent wrist pain despite negative early X-rays
Prevention of Scaphoid Fracture
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Wear wrist guards during high-risk sports (skating, snowboarding, biking)
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Practice safe fall techniques to avoid bracing with outstretched hands
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Maintain strong bone health with nutrition and weight-bearing activity
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Treat persistent wrist pain early to avoid complications
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Follow rehab exercises consistently after fracture