Scaphoid fractures

The scaphoid bone is the most commonly fractured carpal bone. The typical injury involves a fall on an out-stretched hand.

A delay in the diagnosis of scaphoid fractures can lead to non-union, decreased strength and range of motion, and osteoarthritis of the radiocarpal joint.

It is very important to recognise that initial X-rays are often normal and shouldn’t delay treatment or further investigation if suspicion remains. Non-displaced fractures often heal with conservative management while displaced fractures generally require surgical intervention.

By the end of this course you should:

• Understand the anatomy and common mechanism of injury for scaphoid fractures.
• Have a high index of suspicion for scaphoid fracture in a patient with a classical clinical presentation
• Be aware that initial x-rays are commonly normal and understand the need for further investigation and management if the clinical suspicion remains high.
• Understand the options of conservative versus operative treatment and the indications for these.
• Be aware of the risk factors for non-union, how this may present and be managed.

This content was created by Dr Helen Joyce Fulcher MBChB, DipPaed, PGCertHSc (Sports Med), and reviewed by Dr Hazel Fuiava, MBChB, Dip Paeds, FRNZCGP.