There is moderate evidence to support the use of internal screw fi xation for treating nondisplaced scaphoid fractures in lieu of using cast immobi lization. It appears that patients receiving internal screw fixation may heal at a quicker rate and return to work sooner than patients receiving cast immobiliz ation. It’s unclear how effective they are at their job or whether the early ret urn to work in the operative group causes any functional limitations.