Management of acute scaphoid fractures: a pragmatic approach for the non-specialist

Br J Hosp Med (Lond). 2021 Sep 2;82(9):1-7. doi: 10.12968/hmed.2021.0227. Epub 2021 Aug 30.

Abstract

Scaphoid fractures are common and can cause significant morbidity if treated incorrectly. Thus, a working knowledge of the initial assessment and management of scaphoid fractures by non-specialists is crucial to allow quick diagnosis and avoid potentially catastrophic complications of scaphoid fracture. This article summarises the anatomy of the scaphoid, discusses methods to assess for scaphoid fractures and delineates management plans (conservative or operative) for fractures of the scaphoid based on location of vascular compromise. This article can also help the clinician predict which fractures may not unite with conservative management and therefore need referral to a specialist orthopaedic surgeon for possible surgery.

Keywords: Fracture; Hand injuries; Non-specialist; Scaphoid; Wrist anatomy.

MeSH terms

  • Conservative Treatment
  • Fractures, Bone* / diagnosis
  • Fractures, Bone* / surgery
  • Humans
  • Referral and Consultation
  • Scaphoid Bone* / diagnostic imaging
  • Scaphoid Bone* / surgery
  • Wrist Injuries*