Evaluation and Management of Nondisplaced Scaphoid Waist Fractures in the Athlete

Scaphoid waist fractures are one of the most common carpal injuries in athletes, and their management can be challenging for orthopaedists. Athletes are best served by individual treatment plans based on their position, demands of their sport, and skill level. The anatomy of the scaphoid makes these injuries susceptible to malunions or nonunions and can lead to significant morbidity and lost playing time. Physical examination and imaging studies are paramount to timely and accurate diagnosis and can help guide treatment decisions. Depending on the athletes׳ required skill set, they may be able to return to sport participation with a playing cast or benefit from early surgical fixation to hasten their return to play. The nonoperative and operative management options and rehabilitation are further outlined to help guide orthopaedists in the most appropriate treatment for athletes that result in good outcomes and minimize the time required to return to athletic participation.