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Q: medical ( Answered,   0 Comments )
Question  
Subject: medical
Category: Miscellaneous
Asked by: spankie-ga
List Price: $2.00
Posted: 08 Nov 2002 08:11 PST
Expires: 08 Dec 2002 08:11 PST
Question ID: 102726
can having bilateral scaphoid fractures cause carpal tunnel syndrome
or tenosynovitis or have any other longterm effect?
Answer  
Subject: Re: medical
Answered By: bcguide-ga on 08 Nov 2002 08:59 PST
 
Hi,

That's an interesting question. The simple answer is no. The long term
effects that you are asking about are caused by stress on the nerves
and ligaments that maintain your wrist functions. A break is a bone
injury. Technically, they aren't related.

However, although this is not addressed in the literature, I would
think that the pain associated with a break might cause you to use
your wrist differently. Changing the motions that you use may put
strain on the wrist that might ultimately lead to developing a
condition that involves other structures in the wrist.

While this would not be attributable to the fracture directly, there
might be an indirect link between the two.

http://www.emedicine.com/radio/topic747.htm
Provides several discussions of scaphoid fractures and complications
along with pictures of Xrays that show the problems that might result.
The site focus is bone healing and they don't really deal with long
term effects, but it's a good starting place for an understanding of
what is involved.

http://www.physsportsmed.com/issues/1998/10Oct/honing.htm
Discusses the conditions that are common in wrist injuries. There is
no link between fractures and the other conditions mentioned here.

http://www.stacommunications.com/journals/diagnosis/images/diagnosispdf/august01/bhandari.pdf
Includes a very good discussion of neuropathies of the wrist in the
all encompassing coverage of wrist pain.

http://eeshop.unl.edu/rsi.html
Although the page is named "Computer Related Repetitive Strain Injury"
it provides one of the most comprehensive resources I've seen on these
injuries. Be sure to make it to the lower portions that contain good
listings of support groups, web sites, and off line resources.

Hope this helps with understanding the complex dynamics of the wrist.


search terms used: bilateral scaphoid fractures long term effects

regards,
bcguide-ga
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