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Home :: Hand Fracture, Navicular
Hand Fracture, Navicular
A complete or incomplete break in the navicular bone of the hand.
BODY PARTS INVOLVED
- Navicular (scaphoid) bone in the hand.
- Wrist joint.
- Soft tissue around the fracture site, including
nerves, tendons, ligaments and blood vessels.
Causes
Direct blow or indirect stress to the bone. The force is usually inflicted by a fall on an outstretched hand.
Signs & Symptoms
- Severe pain at the fracture site.
- Swelling of soft tissue around the fracture.
- Tenderness to the touch.
- Numbness and coldness in the hand and
fingers, if the blood supply is impaired.
Treatment
Follow your doctor's instructions. Instructions are supplemental.
- Immobilization will be necessary. A Rigid cast or plaster splints is placed around the injured area to immobilize the joint above and the joint below the fracture site.
- After 48 hours, localized heat promotes healing by increasing blood circulation in the injured area. Use a heating pad or heat lamp so heat can penetrate the cast.
- After the cast is removed,use frequent ice massage. Fill a large Styrofoam cup with water and freeze. Tear a small amount of foam from the top so ice protrudes. Massage firmly over the injured area in a circle about the size of a baseball. Do this for 15 minutes at a time, 3 or 4 times a day, and before workouts or competition.
MEDICATION
Your doctor may prescribe:
- General anesthesia, local anesthesia, or muscle relaxants to make bone manipulation possible.
- Narcotic or synthetic narcotic pain relievers for severe pain.
- Acetaminophen (available without prescription) for mild pain after initial treatment.
Home Diet
- Drink only water before manipulation or surgery to treat the fracture. Solid food in your stomach makes vomiting while under anesthesia more hazardous.
- During recovery, eat a well-balanced diet that includes extra protein, such as meat, fish, poultry, cheese, milk and eggs.
Prevention Tips
- Use appropriate protective equipment such as boxing gloves for boxing.
- If you have had a previous injury, use tape and padding to protect your hand before participating in contact sports.
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