A navicular fracture (also called a scaphoid fracture) is a break in a small bone on the thumb side of your child's wrist. It can cause pain and swelling in the wrist and make it hard for your child to move his or her wrist.
Your child may have broken this bone by putting his or her hand out to break a fall.
Treatment for this type of break includes wearing an arm cast or splint and sometimes having surgery. The type of treatment depends on how bad the break is.
Even if the first X-rays don't show a break, there may be one. If your doctor thinks a break is possible, he or she will treat it. It is better to do this than risk not treating a break and possibly delay healing. If the doctor treats the break, he or she may ask your child to come back in 1 to 2 weeks for another X-ray.
It is important to follow the doctor's instructions because parts of the navicular bone do not have a good blood supply. This can make healing slow and difficult.
Healthy habits can help your child heal. Give your child a variety of healthy foods. And don't smoke around him or her.
The doctor has checked your child carefully, but problems can develop later. If you notice any problems or new symptoms, get medical treatment right away.
Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.
Call your doctor or nurse call line now or seek immediate medical care if:
Watch closely for changes in your child's health, and be sure to contact your doctor or nurse call line if:
Go to https://www.healthwise.net/patientEd
Enter A903 in the search box to learn more about "Navicular (Scaphoid) Fracture of the Wrist in Children: Care Instructions".
Current as of: November 29, 2017
Adam Husney, MD - Family Medicine
& Kathleen Romito, MD - Family Medicine
©2006-2018 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.