Hi,I am Dr. Gopal Goel (Orthopaedic Surgeon). I will be looking into your question and guiding you through the process. Please write your question below.
Hi...i am having a scaphoid fracture in the left wrist from last 8 months and i wasn t aware of it until now. CT scan report states fracture scaphoid bone is seen in the region of its waist.tiny fracture fragments are seen adjacent to it. no significant callous and new bone formation is see. rest of the carpel bones are normal. impression:-non united fracture scaphoid bone MRI report states old fracture of scaphoid with displaced distal segment anteriorly.there is aprroximately 3.5mm step-off at the fracture site.mild marrow oedema is observed in the distal segment,appearing hyperintense on PDFS and hypointense on T1 W images.a few small scattered bony fragments are also seen.no degenerative changes are seen.small amount of fluid is observed in triscaphe joint.findings;-scaphoid nonunion (type II). i want to know if this fracture can be fixed 100% and by what method?
As this scaphoid fracture is old and non united a thorough clinical examination is advised to understand if there is any motor or Neurological functions compromising.
After a thorough clinical examination and understanding the MRI reports if the motor and Neurological functions are getting compromise then a surgery can be planned to refix the fractured scaphoid bone.
Ofcourse a surgery can fix this issue but the criteria of the surgery has to be met.
Regards Jay Indravadan Patel
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How Can Wrist Fracture Be Cured?
hi thank-you for providing the brief history of you. As this scaphoid fracture is old and non united a thorough clinical examination is advised to understand if there is any motor or Neurological functions compromising. After a thorough clinical examination and understanding the MRI reports if the motor and Neurological functions are getting compromise then a surgery can be planned to refix the fractured scaphoid bone. Ofcourse a surgery can fix this issue but the criteria of the surgery has to be met. Regards Jay Indravadan Patel