G'day, ill give you a quick run down of the patients history.

21 y.o male, non displaced fracture of distal pole of scaphoid 5 months ago following sporting injury. Signs/symptoms: Pain only on Flexion and Extension Over pressures. Minimal snuffbox pain. Initial diagnosis was scaphoid lunate ligament sprain.

X-ray confirmed Fracture 8 weeks ago. placed in an immobilisation cast for 8 weeks. 8 week later, Progress Xray shows that fracture line is still present however not as definate as it was before. Dr ordered removal of cast and gentle rom x's and strengthening.

After removal of cast, obvious decrease in ROM and strength. HOWEVER, there remain some minimal pain in the anatomical Snuff box, and thats just when i dig my fingers in quite hard. Pain isnt on other hand however.

My question is, is this pain in the snuff box concerning? Is it wise just to cointinue on with gentle ROM Exercises?

Cheers Damien.

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