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gailcalled's avatar

Who here has some experience or knowledge of injury to scaphoid bone?

Asked by gailcalled (54584points) April 2nd, 2011

My nephew left this broken bone untreated for 6 weeks, had surgery 3 months ago to put a pin in the bone with a bone graft. CT scan a month ago indicated that no new bone was evident. He has been using a magnetic bone stimulator for a month now.

One doctor said another surgery with a vascular graft may be necessary, only successful 50% of the time. Nephew must wait another month to see if bone stimulator is working, possibly triggering more bone atrophy.

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7 Answers

Rarebear's avatar

I do. It sounds like they’re doing everything they can do.

gailcalled's avatar

The primary question that has us all stumped is whether to wait another month to see whether the bone stimulator is working or to schedule the surgery asap.

The other difficulty is choosing the hand orthopod in NYC (or elsewhere if it makes sense) who has done this surgery 500 times and beaten the statistical odds. We’re getting a lot of word-of-mouth recommendations from New Yorkers who are plugged, but still.

Any ideas? I have read many of the research papers that are available online plus the info sheets from NIH, Mayo Clinic, Hospital for Special Surgery and the other hot spots. It’s still very confusing.

Rarebear's avatar

Sadly, no. I’m not an orthopod let alone a hand specialist. You probably know more than I do at this point. Just get a couple of opinions, don’t just go with one.

gailcalled's avatar

@Rarebear: Thanks, anyway. Our biggest problem is making this 39-year-old male (with other fish to fry) understand the urgency of the situation. Waiting and seeing is a very bad idea, but it is hard to persuade him.

Rarebear's avatar

It can lead to permanent pain and disability. You’re right to be concerned.

gailcalled's avatar

Particularly since he is a very successful, cutting edge fashion photographer; the break is in his dominant hand. We’ll keep hammering away.

Rarebear's avatar

The risk is developing avascular necrosis of the navicular. Not fun.

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