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

AimTo 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.MethodsA 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.ResultsAmong 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.ConclusionA restricted period of cast immobilisation is usually adequate for the treatment of non-displaced scaphoid fractures.