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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Swelling In The Wrist Post An Injury Suggestive Of Scaphoid Fracture?

I fell over today and my wrist is swollen and thumb hurts. Went to hospital and had x Ray and shows no broken bones. Said if still in pain in a few days to go back. I also got a lump in my wrist from the fall. Do u think I have maybe fractured my scaphoid? I no that sometimes doesn t show on x rays. I ve been using ice packs and a bandage to relieve the pain
Sat, 3 Sep 2016
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General & Family Physician 's  Response
Hello,
Thank you for your query.
Yes it is possible.

*is the pain better?
*had the swelling gone down?
*do you have full range of motion of wrist and fingers?

If yes to any or all of the above, it is unlikely for there to be a fracture.

I recommend :
- an orthopedic consult at the earliest
-a repeat x-ray if indicated
-elevate your wrist above heart level to prevent swelling and fluid collection
-local application of anti inflammatory gels and anti inflammatory meds.
-physiotherapy if there is restricted movements (after your doctor approves it)
-an MRI may be required if soft tissue damage is suspected
-apply warm compress followed by anti inflammatory gels applied in gentle circular motion. Apply ice after an hour. Do this thrice a day.
If your hand changes colour or feels numb or if there is sudden worsening of pain, please visit the ER right away.

Hope this helps. Please let me know if there is anything else I can help you with.

Wish you good health
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Is Swelling In The Wrist Post An Injury Suggestive Of Scaphoid Fracture?

Hello, Thank you for your query. Yes it is possible. *is the pain better? *had the swelling gone down? *do you have full range of motion of wrist and fingers? If yes to any or all of the above, it is unlikely for there to be a fracture. I recommend : - an orthopedic consult at the earliest -a repeat x-ray if indicated -elevate your wrist above heart level to prevent swelling and fluid collection -local application of anti inflammatory gels and anti inflammatory meds. -physiotherapy if there is restricted movements (after your doctor approves it) -an MRI may be required if soft tissue damage is suspected -apply warm compress followed by anti inflammatory gels applied in gentle circular motion. Apply ice after an hour. Do this thrice a day. If your hand changes colour or feels numb or if there is sudden worsening of pain, please visit the ER right away. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health