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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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