The management of patients affected by scaphoid fractures depends on the specifics of the injury, such as the location of the fracture (proximal, central body, distal), bone fragments position (e.g.: displaced, non-displaced, etc.), associated injuries (e.g.: musculoskeletal, neural, vascular system, etc.), the time from injury to diagnosis (e.g.: early versus late diagnosis), and the characteristics of the affected patients (e.g.: age). Certain scaphoid fractures (e.g.: small and stable fractures, located within the distal third of the bone) can be managed conservatively with immobilisation/protection (through the implementation of a cast or a thumb splint) and rehabilitation. In case surgical treatment is deemed necessary, many different procedures are available and always discussed between the patient and the medical-surgical staff. After surgery, a period of immobilisation/protection with the use of a sling, cast or brace is typically recommended and rehabilitation should start as soon as indicated by the medical team. In Isokinetic, after being thoughtfully visited by one of our specialised doctors, you will receive your accurate diagnosis, and your recovery process will be structured in different stages. Based on your rehabilitation needs, your recovery process will take place in four different environments, the pool, the gym, the movement analysis and retraining room and the pitch. In the early stages, the main goals are to restore homeostasis by reducing pain and swelling, recovering mobility, and gradually restoring wrist/hand and upper limb functioning. In the mid-stage of rehabilitation, wrist/hand strength recovery becomes the priority, together with the optimisation of the general movement quality to learn how to integrate the wrist/hand and upper limb back into activities of daily living and sports. Finally, to complete the recovery process, on-field rehabilitation plays a fundamental role in allowing our patients to safely and effectively return to participate in their favourite activities and sports that require the utilisation of the upper limb (e.g.: throwing-, rackets-, falling-, related sports, etc.), maximising the recovery outcomes and reducing the likelihood of complications.
