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Our son injured the wrist on his throwing arm twice in 2005 in accidents unrelated to baseball and we recently learned that one of the accidents resulted in a break in the scaphoid bone in his wrist. He had surgery last week to insert a screw in the bone. His surgery also included a bone graft as his fracture is nonunion and 9 to 12 months old.

If you have experienced a similar injury, please share. We are hungry for information such as how long you were in a cast, the recommended course and duration of therapy, how much mobility you were able to recover, and whether you feel the surgery was successful.

Our son is a 2007 pitcher and had attracted the interest of several college coaches. He shared the medical details with one of those coaches and he hasn't heard from the coach since. He's starting to wonder if that coach knows something we don't know about his prospects for recovery.
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I will give it to you straight...

The scaphoid fracture is a pretty serious injury. It is one of the smaller bones in the wrist located just below the thumb.

For those reading, if you put your thumb in a "hitch-hiking" position, the scaphoid bone is in the depression made by the ligaments of the thumb.

It is serious because of blood supply. part of the bone has a good supply and part does not.

Even with surgery, this type of fracture takes a very long time to heal.It is difficult to estimate a time frame. It is not uncommon to have a nonunion (the bone doesn't join, so it doesn't heal).

If this most recent surgery doesn't work, you might question your doctor about the possibility of inserting a bone stimulator.

All activities that might cause further injury should be avoided, such as heavy lifting or any activity that might cause a fall.

If he is doing anything that might strain the wrist a little, a wrist support is usually recommended to avoid further injury.

Of course, he should follow his therapists' instructions to gain full motion and strength, because often times these injuries result in arthritis.

So be careful and do not rush back. Your son's mindset will be key here as this can be a frustrating recovery. I have helped a few athletes recover from this injury and go on to play at the college level (1 football, 1 baseball) so it can be done. I just wanted to make sure you knew both sides.
Many thanks to you, Jon Doyle and Irish.

Straight talk is precisely what we were after, Jon. The bone stimulator concept was a new one for us. We've done some preliminary research on them and we will definitely discuss the possibility with the surgeon if it comes to that. Learning that at least one other baseball player has come back after a scaphoid break is encourging, too. When the cast comes off, we will definitely do everything we can to impress upon our son the importance of following his therapist's direction because you nailed it; he's going to be in a big hurry to get back to his preinjury lifting regimen and the consequences of too much too soon are not pretty.

And, Irish, we received a message with some very helpful links from D. Terry. It sure is nice to have a place to go for education and support when you are facing a situation as unfamiliar and precarious as this one is for us.

Bless you both!

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