89911:

I thought about a scaphoid fx, as well. The x-rays are a little blurry, but the scaphoid looks OK. Of course, it's always nice to see the x-rays in person, or on a computerized radiological system (where you can play with contrast to help visualize different structures). But I don't see any fx of the scaphoid. And there certainly doesn't look to be any displacement/malalignment.

A physical exam is also typically useful--there are characteristic areas of pain if the scaphoid is involved.

And if still in doubt, a CT scan is the definitive test to get to rule out a scaphoid fracture or avascular necrosis. If you had avascular necrosis that started back in February, I would expect that you would see x-ray changes in the scaphoid by now.

I'm only speaking through personal experience with my brothers injury rather then professional knowledge. His injury was very frustrating because it was cast and expected to return to normal function within a few months. After the cast was removed, the same nagging pain persisted until he sought further diagnosis. It was then pin and grafted maybe 6 months after the injury and then allowed to heal for a few months longer. All in all, it took maybe a year of recovery. If it was diagnosed correctly and fixed immediately, would of only took 2-3 months, but hey, these things happen. Had another friend who went through the exact same scenario and ended up having surgery to fix it. Seems that bone is quick to fracture on compression but then has nothing to aid in putting direct pressure to reset the fracture. Hope it isn't the same in this situation.

Well, so I can actually contribute something to this thread, it's typically spelled "rigmarole" (or rigamarole), and that's how I've always pronounced it. Of course, being from the south, I pronounce it wrong...