The scaphoid bone is one of the bones of the wrist, more precisely one of the carpal bones and is located between the forearm and the hand, on the side of the thumb. Although it is one of the largest carpal bones, its size does not exceed the size of an almond or cashew nut.

Fractures of the scaphoid bone occur frequently by falling on the outstretched arm. Usually the elderly are most at risk, due to osteoporosis or certain sports, such as snowboarding, predispose to fracture of the scaphoid bone.

In some cases, patients are not aware that they have a scaphoid fracture, mistaking the symptoms (pain in the wrist and swelling of the hand) with a sprain of the hand. However, a characteristic of the scaphoid fracture is the pain that does not disappear completely, especially if the middle of the bone is fractured and its vascularization (blood supply) is disturbed, thus preventing the union of the two bones.

The carpal bones are 8 small bones placed on two rows in the carpal area, between the bones of the forearm and the metacarpal bones. All these 8 bones have an irregularly cubic shape and are arranged on two transverse rows, four in each row. On the proximal row (first row), starting from the thumb in the direction of the little finger, there are 4 bones: the scaphoid, the crescent, the pyramidal and the pisiform; on the distal row (second row), there are other 4 bones in the same order: the trapeze, the trapezoid, the capitate and the bone with hook.

The scaphoid bone, located in the thumb and wrist, is located between 2 tendons and forms the so-called anatomical cigarette case, a natural dimple located at the wrist.

The therapeutic approach of the scaphoid fracture depends on the site of the fracture and its severity.

It varies depending on where the bone is fractured.

If the fracture is close to the thumb, it will generally take several weeks to heal, by using a plastered splint, extended to below the elbow. The evolution of healing is monitored with the help of X-rays.

If the fracture is located towards the forearm, the healing lasts longer due to the fact that the area is not very well vascularized. A good blood flow significantly helps the healing process. A plastered splint can also be used, which will also include the thumb.

It is indicated if the scaphoid bone breaks at the proximal end or in the middle.

It is indicated both in the case of non-surgical treatment, after the removal of the splint, as well as after surgery, using:

➢ ultrasound, which helps accelerate the fracture healing process
➢ light massage and light mobilization of the wrist, which can reduce swelling and also accelerate the healing
➢ local ice applications to reduce inflammation
➢ specific physical exercises, performed under the guidance of a physical therapist, significantly accelerate the recovery time, contributing to:

• preventing wrist stiffness
• increasing flexibility
• completely facilitating the movement

To prevent a scaphoid fracture, during demanding sports (snowboarding, skateboarding) an elastic cuff is worn around the wrist.