Scaphoid Fracture: The Most Commonly Missed Broken Bone in the Wrist

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TL;DR

Hand and wrist fractures require expert assessment to ensure proper healing. Learn about modern fixation techniques and what to expect during your recovery.

Last updated: 5 August 2026

How we diagnose this condition

Accurate diagnosis is fundamental to effective treatment. Surgeons use a combination of detailed clinical examination, specific provocation tests, and advanced imaging to confirm the diagnosis and assess severity.

In many cases, we can provide a definitive diagnosis during your first consultation using the in-clinic high-resolution ultrasound scanner. This allows us to visualise tendons, nerves, ligaments, and other soft tissue structures in real time.

Non-surgical treatment options

We always consider conservative treatment first where appropriate. Non-surgical options may include custom splinting by our hand therapists, targeted exercises, activity modification, oral anti-inflammatory medication, and ultrasound-guided corticosteroid injections.

Our ultrasound-guided injection technique ensures precise delivery of medication to the target structure, improving effectiveness and reducing the risk of complications compared to landmark-guided (blind) injections.

When surgery is recommended

Surgery may be recommended when conservative treatment has not provided adequate relief, when the condition is severe at presentation, or when there is a risk of permanent damage without surgical intervention.

Surgeons will discuss the surgical options with you in detail, including the type of procedure, anaesthesia options, expected recovery, and potential risks. We believe in shared decision-making and will support you in choosing the treatment that best suits your needs and lifestyle.

The surgical procedure

Many of our hand surgery procedures are performed under local anaesthetic using the wide-awake approach, which avoids the risks associated with general anaesthesia and allows you to go home shortly after the operation.

A surgeon use careful microsurgical techniques and magnification to ensure precise repair of the delicate structures in the hand. Good practice prioritises minimally invasive approaches where possible to reduce scarring and accelerate recovery.

Recovery Timeline

Recovery varies depending on the specific procedure and individual factors. A clinical team will provide you with a personalised recovery plan that includes wound care instructions, pain management, and a graduated return to activities.

Most patients begin hand therapy within the first one to two weeks after surgery.

Potential Complications

As with any medical procedure, there are potential risks and complications. These may include infection, stiffness, nerve irritation, incomplete symptom relief, or recurrence of the condition. A surgeon will discuss these risks with you during your consultation.

Our careful surgical technique and comprehensive aftercare programme are designed to minimise the risk of complications and optimise your outcome.

Getting assessed

If you are concerned about a hand or wrist condition, speak to your GP or a qualified specialist. You can also send us an enquiry. Early assessment and treatment can make a significant difference to your outcome.

Call or email hello@axiomaesthetics. Co. Uk to book your consultation with one of consultant hand surgeons.

Medical Disclaimer

This content is provided for informational purposes only and does not constitute medical advice. Individual results may vary. Always consult with a qualified medical professional before undergoing any treatment. All treatments carry potential risks and side effects which will be fully discussed during your consultation.

Ian Duncan
Written by

Medical Disclaimer: This content is provided for informational purposes only and does not constitute medical advice. Individual results may vary. Always consult with a qualified medical professional before undergoing any treatment. All treatments carry potential risks and side effects which will be fully discussed during your consultation.

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