hello , we have a patient who is 68 years old female , had a scaphoid fracture six month ago , but after he removal of the cast she felt pain , severe pain and still having it with swelling and felling coldness . What d o you think she have ? help ???
Hither should be a check x-ray or MRI for any non-union and additional soft tissue, tendon, ligament implications. Although after cast removal It's normal to get swelling but there shouldn't be tenderness at fracture site. There should be hot water fomentation and application of Voltaren gel, thumb, finger, wrist exercises if union is complete. Advil tabs for a short course be taken. Consult treating doctor. Support wrist in a brace for few days and use arm sling.