A scaphoid non-union fracture refers to a wrist fracture that is failing to heal. A fracture that is healing more slowly than expected is a “delayed union” fracture. If the scaphoid fracture is not healing, you may or may not continue to have symptoms. It may be a sign that your fracture is not healing if you notice decreased strength, such as inability to do push-ups.
Treatment of a scaphoid non-union fracture depends on many factors, including:
- Patient age
- Use of the hand
- Activity level
- Symptoms
- Cigarettes or other tobacco use
- Other medical and/or wrist conditions
- Fracture pattern
The goals of treatment are to relieve pain, maximize function and prevent arthritis. Usually, surgery is needed to clean out the fracture site, to potentially place some form of bone graft to help bone healing, and to stabilize the fracture with pins or screws.
Treatment without surgery can include use of a brace, anti-inflammatory medication or a cortisone shot for pain relief. You and your hand surgeon can discuss which treatment is best for you.