- Dorsal carpal branch of radial artery is major source of blood supply
- 15% of acute wrist injuries, 60% of all carpal fracture
- Herbert and Fisher Classification
- Problematic fracture due to risk of AVN and Non union
- X ray to be repeated after 2 weeks in suspected cases, till then apply cast
- MRI and CT to be considered if x rays are not revealing
- Proximal pole fractures present the greatest chance of non-union and are routinely addressed surgically.
- Surgical fixation is the consensus treatment for displaced scaphoid fractures
- Avascular necrosis with non-union consider the use of vascularized grafting
- Scaphoid non-union advanced collapse is end stage.
