Scaphoid injury

[nick911e]

Hi, i injured my wrist at work last night. I felt pain as soon as i had done it.

there was no swelling aparant, so i just put it down to a stave or strain.

after getting home and going to bed, the pain became excruitating. enough so, to make me struggle to get to sleep.

I went to A and E, this morning. The nurse, said by the looks of it it's my scaphoid. But she said unfortuntly, they can be inviisable on x-rays at first. So they will probably put me in a cast for safe measure and get me baack in, in a few days, for another check.

so she sent me back to the waiting room to wait on the registrar. She then took me, ask me similar questions and sent me for x-ray.

she said, she couldnt see a break, so it must be a sprain, told me to take paracetamol, and sent me packing.

I thought it was a bit contradictary. After surfing on the net, most websites say, that the break can go unnoticed on xray at first.

Any suggestions on what i should do?

I might go back up tonight when the doctors finished her shift, and get a second oppinion. she was young and could barely speak English to me.

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[msk101]

How exactly did you do the injury (eg. fell on it, bent wrist back or forwards, lifting something heavy etc.) - the more detail the better. do you have any ongoing redness/heat from the area even if there's no swelling?. can you move your thumb fully?, can you pinch your thumb and middle finger together tightly?

Often a scaphoid fracture is a result of falling onto an outstretched arm/hand and they do not always appear on x-ray for up to 10 days. the general rule is to cast it for 10 days and then re-x-ray... this is because when you break a bone it has to degenerate a little bit before regenerating so we can see the break when it's started to degenerate at the break line.

do you have acute or sharp pain in the "anatomical snuff box".(..google a pic of this because it's hard to describe) which is the groove between tendons that shows up at your wrist at the base of the thumb when you lift your thumb back and out. the scaphoid lives directly in here.

would be good to see a physio if you can't get sense out of the doctors!