kylay 3:55 Fri Jul 17
Any hand specialists or doctors on here...
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I've suffered a goalkeeping injury and broken my wrist. It's a scaphoid fracture in the proximal half. It doesn't appear to be a total fracture and hence not displaced. My doctor's telling me it will need surgery because that part of that particular bone doesn't have a good success rate of healing due to poor blood supply. I've looked at literature on-line which appears to support this; however, the research is also based here in the US. Given the way the healthcare system works here, it's going to cost a lot between surgery; future scans; and physical therapy, and the system also creates a huge incentive to over-prescribe surgeries for that reason.
So to the extent any of you know about this type of thing, is surgery a common practice for scaphoid fractures in the UK or elsewhere in the world?
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Replies - In Chronological Order ( Show Newest Messages First)
Mr Kenzo
3:56 Fri Jul 17
Re: Any hand specialists or doctors on here...
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Have you tried wiping your knob on it ?
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charleyfarley
3:57 Fri Jul 17
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Saudi Arabia do a good bit of surgery or maybe you could try ISIS
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Spandex Sidney
3:58 Fri Jul 17
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Bottom line is your wanking days are over, my friend.
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kylay
3:59 Fri Jul 17
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right wrist is fine spandex
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Stubbo
4:01 Fri Jul 17
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Undisplaced fractures (Fig. 3)
The best approach for a patient with an undisplaced acute scaphoid fracture is to consider patient’s unique circumstances and discuss risks and benefits of both non-operative management and surgery. There are at present six clinical trials34 comparing casting with surgery in acute scaphoid fractures. The rate of bony union for both methods is greater than 90%. Systematic reviews31,35 have found no difference in union rate or time to return to work, and any surgical benefits are transient. A cost-utility analysis of open reduction and internal fixation (ORIF) versus cast immobilization a long arm plaster36 for acute non-displaced scaphoid fractures showed that casting was less costly than ORIF but surgery reduced immobilization time and patient had a “shorter time off work”. However, patients are exposed to complications with surgery.37
http://www.boneandjoint.org.uk/content/focus/scaphoid-fractures
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Joey Woodwork
4:01 Fri Jul 17
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Loads of Doctors on here I reckon.
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Eggbert Nobacon
4:02 Fri Jul 17
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paging fistio
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Mcavennie
4:04 Fri Jul 17
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I broke the same thing playing in goal, mine got left for a bit as the they oddly didn't think it needed an X-ray, they had to take bone out of my hip and screw it into my wrist, I was in a cast for 16 weeks, but it healed pretty well and causes me minimal issues now.
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kylay
4:05 Fri Jul 17
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cheers Stubbo
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Stubbo
4:07 Fri Jul 17
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To be clear I'm not remotely qualified to give that advice...just something I found in 2 mins with a Google search for a non-US source.
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Eerie Descent
4:12 Fri Jul 17
Re: Any hand specialists or doctors on here...
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Done exactly the same thing twice on same hand (not in goal though!), first time when I was 10, then when I was 19, was obviously still a bit weak. Didn't have surgery, but fuck me does it take ages to heal, I was in plaster for 12 weeks. Absolutely fine now, to be honest.
You'd be better off with a clean break!
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kylay
4:14 Fri Jul 17
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Mcavennie good to know. Any goalkeeping or handbags after that?
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Mcavennie
4:21 Fri Jul 17
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Yeah I played in goal afterwards, but don't rush back after, I did and it put me out for longer
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J.Riddle
5:40 Fri Jul 17
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Not wrist but my son broke his ankle and leg playing football a few months back , surgery was required on the ankle drilled and screwed but he googled it and found that it can heal without surgery so declined surgery. The ankle was manipulated back into position and plastered with leg. Came out ok, worth some research although chance you take if it does work out as planned.
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riosleftsock
5:46 Fri Jul 17
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the wrist is a major joint, can see problems with that.
I broke both the ulna and radii many years ago, but because it was a very clean complete fracture of both (which strangely didn't hurt very much) it was in a cast for about a month and then i removed the cast myself with a hacksaw blade.
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ted fenton
5:57 Fri Jul 17
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I broke my right scaphoid 1974 my GP at the time said it was sprained and didn't send me for an xray (Tosser) it's a simple test as well but there you are I finally had an xray and it was in half.
I was told that it must be set within 8 weeks because of the blood supply issue but obviously I was to late and it was pinned in 1976.
The part of bone that didn't receive blood supply has now crumbled and the pin is somewhere in my body it's a fecking mess and has ruined my love for golf as in not really being able to play because of arthritis in the wrist.
If your injury is less than 8 weeks old then they can set it if not they will have to repair it.
Good luck.
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,
6:30 Fri Jul 17
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It needs immobilising, small cast etc., as others have said early treating and addressing of the scaphoid will prevent future problems.
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Leonard Hatred
6:44 Fri Jul 17
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I broke my right scaphoid in 1993, it's been a right pain in the arse ever since.
It's an unusual bone, it might heal and it might not. I had surgery on mine, it's alright most ofthe time but still gives me gyp now and then, after jarring movements like punching Frenchman or using a hammer etc it flares up and is bastard painful.
It's doomed to arthritis later in life as well.
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mike hunt
6:46 Fri Jul 17
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"any doctors on here" ffs,what do you fucking think
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Scraper
6:47 Fri Jul 17
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I'm a doctor.
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