Hand injury, week 87+

This update represent a 12 month follow-up from my previous appointment back in Jan 2014.

The good news is that my scaphoid is no worse than before, and possibly marginally improved if anything. A bit of lesser bad news was that the capitate bone had displaced itself and possibly was becoming arthritic at the point of contact with the scaphoid/lunate. But in the scheme of things, this is minor.

The more significant bad news is that the the distance between the carpal bones that I damaged and the radius has halved. In the CT Scan image you can see how close the scaphoid is to the radius. Actually, the screw is making contact with the radius. There are two interpretations of this:

  1. The cartilage at the wrist joint would have undergone trauma and some time would have been required for it to settle down. Now if it had settled down prior to the image captured 12 months ago then the halving of this distance should be taken as a negative. This means that the area is progressing towards arthritis; but how soon is anyone’s guess.
  2. However if the cartilage had not settled down prior to the image captured 12 months ago then the normal distance was not measured at the time. If so, this is more positive news. That is the measured distance today may be closer to normal and it is not accelerating to arthritis.

Only time will tell which is the case.

My hands extension/flexion is currently something like 30%/50%. If these measures decrease significantly to say 10% each, OR, pain increases dramatically at the joint then I will need a full wrist fusion.

So all up, a bit of mixed news.

I can manage up to a 3hr mtb ride and then it’s time for a rest for the rest of the day. My hand also feels way better in Summer than Winter. Might have to retire in Vietnam….

My solution is to enjoy each day and ride as often (and safely) as I can as if it’s my last chance.

s1 .

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