Abstract
The scaphoid is the most commonly injured carpal bone. It presents with painful swelling in the wrist or at the base of the thumb classically after a fall on an outstretched hand. Radiographs taken immediately after the injury may be falsely negative. In such cases, follow-up radiographs in 2–3 weeks are beneficial to confirm the diagnosis. On physical examination, tenderness over the anatomical snuffbox and scaphoid tubercle are generally noted. Treatment includes thumb spica cast immobilization for stable, non-displaced fractures or surgical management with screw fixation for unstable, displaced fractures. The most common complications are avascular necrosis, delayed union, or nonunion.
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