Scaphoid fracture
Thumb-side wrist pain after a fall: early diagnosis and treatment of a scaphoid fracture in Barcelona.
A scaphoid fracture affects one of the small wrist bones. It often follows a fall onto an outstretched hand and may be mistaken for a sprain because there is not always visible deformity.
Symptoms and diagnosis
Pain at the base of the thumb or in the anatomical snuffbox, especially when gripping or pushing, is typical. Early X-rays may look normal. If clinical suspicion remains, MRI or CT can confirm the fracture and assess its position.
Treatment options
Stable, undisplaced fractures may be managed with immobilisation and imaging follow-up. Displaced or unstable fractures, and those with a higher risk of non-union, may need screw fixation. Location, displacement, time from injury and individual needs guide the decision.
Recovery
Healing should be confirmed before loads increase. Wrist movement, strength and function are then restored progressively; timing varies with the fracture and treatment.
Preparing for your appointment
English-speaking consultations are available in Barcelona and Vic. If possible, bring previous X-rays or scans, medical reports, a medication list and details of your insurer. New imaging can be arranged when clinically needed.
Do you need an assessment?
Frequently asked questions
- Can I have a scaphoid fracture with a normal X-ray?
- Yes. Some fractures are not visible initially, so repeat X-rays, MRI or CT may be needed when suspicion remains.
- Does every scaphoid fracture need surgery?
- No. Many stable fractures heal in a cast. Surgery is considered for displacement, instability or a higher risk of non-union.
- When can I return to sport?
- This depends on confirmed healing, treatment and the sport. Return should be gradual and guided by follow-up.
Medical references
General information; it does not replace an individual medical assessment.
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