Scaphoid fracture A&E leaflet

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What is a scaphoid fracture?

The scaphoid is a small bone located on the thumb side of your wrist. It is commonly injured by:

• Falling onto an outstretched hand
• A direct blow to the wrist
• Punching or impact injuries

Sometimes, a scaphoid fracture doesn’t show up clearly on the first X-ray. Even if no fracture is seen, if the doctor suspects one based on your symptoms, they will treat it as a fracture to avoid complications.

Initial treatment

• You will have a plaster cast placed on your wrist and thumb to limit movement and support healing.
• This cast is usually a partial (backslab) cast held in place with bandages.
• Keep your arm elevated in a sling to reduce swelling and pain.
• Take painkillers as prescribed to manage discomfort and swelling.
• You may use the hand as pain allows, but avoid heavy lifting or strain.
• Healing usually takes 4 to 6 weeks.

Follow-up care

• You have been referred to the Fracture Clinic for ongoing care. Please ensure we have your correct contact details.
• If you do not receive an appointment within 3 working days, call the Hand and Wrist Fracture Clinic on the contact details below.
• Most scaphoid fractures heal well with proper treatment. However, some types may not heal on their own and could require surgery. Your orthopaedic team will monitor your healing with follow-up appointments and imaging.

What to expect at follow-up appointments

0 to 6 weeks after injury

• You will be seen in Fracture Clinic about 2 weeks after your injury. Your cast may be changed to a full plaster cast if swelling has gone down.
• Additional scans may be arranged to confirm the fracture and assess healing.

6 to 12 weeks after injury

• At your next clinic visit (around 6–12 weeks), your cast will likely be removed.
• You may have another X-ray without the cast to check bone healing.
• If you still have pain, a wrist splint may be given instead of another cast.

After 12 weeks

• In some cases, healing may take longer, up to 6 months, especially if the fracture is in a part of the bone that heals more slowly.
• If you are still experiencing significant pain or swelling after 12 weeks, contact the Fracture Clinic for advice.

What if I need help or have questions?

If you have any concerns, new symptoms, or have not received your follow-up appointment, contact the Hand and Wrist Fracture Clinic.

Further support

For general medical advice please use the NHS website, the NHS 111 service, walk-in-centres, or your GP.

The NHS website provides online health information and guidance.

There are walk-in and urgent treatment services at Brighton Station, Crawley Urgent Treatment Centre, Lewes Victoria Hospital, Horsham Minor Injuries Unit and Bognor Regis War Memorial Hospital.