Introduction Arthroscopic surgery was an improvement for scaphoid fractures; besides, bone-inducing proteins (BMP) were a major improvement in diaphyseal nonunions. However, scaphoid nonunion treatments are still surgical challenges. This preliminary series wants to improve recovery and outcomes of scaphoid nonunion treatments by associating an arthroscopic debridement and double screw fixation on the one hand with a bone inducing protein on the other hand. Materials and methods Over a period of one year, 4 recent ( – perioperative: presence of arthritis, nonunion tissue, duration of surgery – postoperative: pain, wrist motion (F/E°; inclinations; P/S°), grasp strength, time off work and sports, radiographic analysis (reduction, CT-scan consolidation, secondary displacement). Results Duration of surgery was 60 minutes (50–90), we noticed none scapho-lunate ligament injury, beginning of arthritis in 3 cases and none nonunion tissue in 2 cases. About strength and mobility: – after 6 weeks: F/E: 50/45°, I°R/I°C 5°/10°, P/S 70°/75°, grasp 30%; – after 3 months: F/E: 70/60°, I°R/I°C 10°/20°, P/S 75°/80°, grasp 55%; – after 6 months: F/E: 85/75°, I°R/I°C 10°/25, P/S 75°/80°, grasp 85%. We noticed 3 anatomic reductions. Two patients got consolidation after 3 months, 1 after 6 months and one did not obtained consolidation after 6 months without secondary displacement. One patient was still experiencing pain in full extension after 6 months but was still able to play rugby. Time off work was 6 weeks (4–10). Discussion and conclusion This is a preliminary series and more cases will come to precise outcomes. However, it seems possible to treat successfully scaphoid nonunion, without bone grafting, by using an arthroscopic procedure associating a double screw fixation with a bone inducing protein. In the future, improvement of surgical skills on the one hand and drug development focused on scaphoid nonunion on the other hand should improve results and enlarge indications.