Scaphoid fracture

Medium urgency
Common-

Fracture of a bone of the hand located at the base of the thumb. It is the most commonly fractured bone in the hand.

The most common cause is a blunt traumatism with a sharp object or falling to the ground, placing the hand to break the fall. It is frequent in sports which involves stopping a ball with the hands, for example, in the case of a goalkeeper.

This causes pain at the base of the thumb and swelling. It increases when moving the finger or the wrist or when picking up something with the hand.

It is diagnosed with the patient's clinical questioning and a physical examination. Sometimes, it is difficult to clearly identify it in an X-ray, so an MRI might be necessary to complete the study.

It requires immobilisation with plaster and analgesics / anti-inflammatory medication.

Bibliographic references
  1. Kevin deWeber. Scaphoid fractures. UpToDate. ul 06, 2016.
  2. Fowler JR, Hughes TB. Scaphoid fractures. Clin Sports Med 2015; 34:37.
  3. Carpenter CR, et al. Adult scaphoid fracture. Acad Emerg Med 2014; 21:102.
  4. Laredo Ribero R. Polo Simón F. Delgado Alcalá V. Caldevilla Bernardo D. Fracturas, luxaciones y esguinces. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010: 1050-1051.
  5. Karl JW, Swart E, Strauch RJ. Diagnosis of Occult Scaphoid Fractures: A Cost-Effectiveness Analysis. J Bone Joint Surg Am 2015; 97:1860.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Pain in the base of the thumb


    Pain on the outer side of the base of the thumb


    Pain in the hand when picking up objects


    Pain when doing the hitchhiking sign


    Pain in the hand

Pre-hospital care recommendations

Consume over-the-counter pain relievers or anti-inflammatories.
Do not move the affected limb.
Straighten and immobilise the affected extremity.