Non-operative treatment of non-displaced scaphoid fractures may be preferred.

Abstract

To evaluate the outcome of non-displaced scaphoid fractures treated with 6 weeks of cast immobilisation, and to establish whether the benefits of non-operative treatment might outweigh those of early operation. A retrospective study analysed 89 consecutive cases of scaphoid fracture treated at our institution between 2004 and 2007. Diagnosis and treatment methods and complication rates were evaluated. Among 71 non-displaced scaphoid fractures, >80% showed clinical consolidation after 6 weeks of cast immobilisation, and the remaining cases after 8-12 weeks. Two cases needed a longer period of cast immobilisation. A restricted period of cast immobilisation is usually adequate for the treatment of non-displaced scaphoid fractures.