A scaphoid fracture is a break in one of the small bones of the wrist. The most common cause of this injury is falling onto an outstretched hand.

There are two classifications for scaphoid fractures: Non-displaced and displaced. When the bones still line up correctly, it is a non-displaced fracture. If bone fragments move out of position, it is a displaced fracture.

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What are the signs and symptoms of a scaphoid fracture?

  • Pain
  • Swelling
  • Tenderness
  • Increased pain with pinching or gripping

Please note that some scaphoid fractures may be mistaken for a wrist sprain if the pain is mild. It is important your child sees their doctor if you suspect a fracture or if pain persists.

What causes a scaphoid fracture?

  • Falling onto an outstretched hand
  • Sports accidents
  • Vehicle accidents

How are scaphoid fractures diagnosed?

  • Physical exam
  • X-rays
  • Additional imaging if necessary:
    • Magnetic resonance imaging (MRI)
    • Computed tomography (CT) scan

How are scaphoid fractures treated?

Treatment depends on the extent of your child’s injury. There are several non-surgical and surgical options to treat scaphoid fractures:

  • Cast or splint
  • Activity modification or restriction
  • Bone stimulator
  • Arthroscopic reduction
  • Internal fixation with metal implants
  • Bone grafts (with or without internal fixation)

Doctors at Connecticut Children’s can determine the right plan to treat your child’s injury.