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0–2 Weeks
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Edema control. Limb elevation, compressive wrap over thumb spica splint.
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Begin shoulder, elbow, and finger ROM.
2–6 Weeks
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Exchange to removable thumb spica splint.
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Continue edema control.
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Gentle PROM of wrist advancing as tolerated to gentle AROM.
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Scar desensitization.
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Splint continuously on except bathing and therapy sessions.
6–12 Weeks
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Discontinue splint.
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Await MD clearance of union.
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Advance AROM of wrist.
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Begin strengthening once union.
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Duncan, S.F.M., Flowers, C.W. (2015). Scaphoid Fracture ORIF. In: Therapy of the Hand and Upper Extremity. Springer, Cham. https://doi.org/10.1007/978-3-319-14412-2_52
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DOI: https://doi.org/10.1007/978-3-319-14412-2_52
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