Management of scaphoid fractures in the athlete

Fractures of the scaphoid are common athletic injuries. Although nondisplaced fractures of the scaphoid may heal with cast immobilization, prolonged immobilization may lead to muscle atrophy, possible joint contracture, disuse osteopenia, and possibly financial hardship. Approximately 10% to 15% of all scaphoid fractures progress to nonunion even under the most ideal circumstances. Percutaneous and arthroscopic assisted fixation of scaphoid fractures offers a middle ground between traditional recommendations of cast immobilization and open reduction for displaced fractures of the scaphoid. These techniques reduce exposure and minimize soft-tissue dissection with potential loss of vascularity to the fracture fragments. These techniques are particularly useful in the young active population in which scaphoid fractures are most commonly found and are less likely to tolerate prolonged periods of immobilization, and early return to function is a priority.