Scaphoid Fracture: Therapy

Conservative measures

• Conservative therapy is possible for:
  • Stable type A fractures (see classification below).
  • Stable and non-displaced fracture of the middle third (type A2) (conservative as well as surgical therapy possible).
• Plaster cast with thumb and forearm inclusion (upper arm plaster splint with thumb inclusion; so-called Böhler plaster cast) – for immobilization.
• Duration of immobilization depends on fracture location. Duration of therapy:
  • Tubercle fractures (type A1): 4 weeks.
  • Undislocated fractures of the distal and middle third (type A2): 6-8 weeks.