Introduction and Background The scaphoid is one of the eight small carpal bones comprising the human wrist, situated just at the base of the thumb. It is the most commonly fractured carpal bone, typically resulting from a fall on an outstretched hand. Casting is the standard treatment for uncomplicated fractures, but limits mobility, and therefore percutaneous internal fixation is gaining popul...

carpal injuries are uncommon and are mainly seen in the younger age group. the incidence is unclear as many of the cases go undiagnosed. a 22-year-old male patient coming to the hospital after road traffic accident with head, face and left wrist injury. after immediate primary management the patient was taken up for a definitive procedure 4 days after the injury. scaphoid fracture was fixed wit...

During the last twenty years great progress has been made in the diagnosis and treatment of fractures of the carpal scaphoid. Formerly non-union was the accepted end-result (Jones and Lovett 1923), but union by bone is now obtained in a high proportion of recent fractures. Nevertheless, non-union is still common. Most cases are discovered by chance or because the patient has a second injury. Ce...

Although most recent fractures of the carpal scaphoid unite with immobilisation in a well-fitting plaster, some fail to do so within a reasonable time, say three months. Fractures associated with perilunar dislocation are particularly prone to delay. For these, as well as for fractures showing delayed union or non-union, internal fixation provides a speedy return to activity. Over a period of t...

A man aged thirty-one years attended the London Hospital in June 1948, complaining that three months earlier he had “ sprained “ his right wrist while playing Rugby football. He was not sure of the exact nature of the injury and did not think much of it at the time. Later he noticed that forced palmar-flexion of the right wrist joint caused pain over the radial half of the dorsum of the joint a...