[Scaphoid fractures - Guidelines for diagnosis and treatment]

Lakartidningen. 2019 Jun 18;116:FL9M.
[Article in Swedish]


This article suggests algorithms for diagnosis and treatment of scaphoid fractures. A clinical suspected scaphoid fracture without signs of fracture on conventional radiographs should have a supplementary MRI done within 5-7 days. Displaced fractures and all proximal fractures should be classified by CT. Fracture union should be evaluated by CT. 90 procent of non- or minimally displaced waist fractures are healed after 6 weeks of conservative treatment. Non- or minimally displaced fractures with signs of instability can be treated conservatively, but require prolonged immobilisation. Fractures with a displacement ≥1,5 mm as well as the majority of proximal scaphoid fractures should be treated surgically with internal fixation.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Algorithms
  • Fracture Healing
  • Fractures, Bone* / diagnosis
  • Fractures, Bone* / diagnostic imaging
  • Fractures, Bone* / surgery
  • Fractures, Bone* / therapy
  • Humans
  • Magnetic Resonance Imaging
  • Practice Guidelines as Topic*
  • Radiography
  • Return to Sport
  • Return to Work
  • Scaphoid Bone* / diagnostic imaging
  • Scaphoid Bone* / injuries
  • Tomography, X-Ray Computed