Hi, thanks for writing to HCM.
It's very unlikely that a 15 year old scaphoid fracture
will produce so much of an acute inflammatory response leading to severe pain
& swelling of the wrist.
I attribute all the symptoms of your husband to a gout
NSAID's form the first line of therapy in the management of acute gout flareup. A potent NSAID (such as naproxen
500 mg twice daily or indomethacin
50 mg three times daily)is generally indicated for reduction of acute gouty inflammation. The NSAID can be discontinued one or two days after clinical signs have completely resolved. Typically, the total duration of NSAID therapy for an acute attack is five to seven days.
Use ice packing of the wrist once in 2 hours to reduce the pain and swelling.
Hope this information is helpful. Good day