Scaphoid fracture is a common injury. Non-displaced distal fractures generally heal well with a well-molded short arm cast.
Displaced fractures are at greater risk for non-union and malunion-both of which have been associated with the development of radiocarpal arthritis in long-term studies--and should therefore be treated operatively.
Surgical treatment is also recommended for complex fractures (open fractures, perilunate fracture-dislocations, and scaphoid fractures associated with fracture of the distal radius), very proximal fractures, and fractures for which the diagnosis and treatment have been delayed. Internal fixation of fractures of the scaphoid may offer some advantages, including earlier return to athletics or manual labor.