Acute Fractures of the Carpal Scaphoid-Literature Review

Introduction/Methods: Scaphoid fractures are the most common fractures of the carpal bones of the wrist, and represent 11% of all fractures of the upper extremity and between 70% and 80% of all carpal fractures. In most cases, the mechanism of injury is a fall with the wrist extended. Although conservative treatment of stable fractures of the carpal scaphoid associated with a high rate of consolidation, this method requires prolonged immobilization in a cast or brace, which generates muscular atrophy, possible muscle spasms, osteopenia disuse, as well as higher economic costs. Therefore, the internal fixation of fractures of the scaphoid has become popular. The aim of this study is to establish the current evidence supporting surgical treatment versus conservative in acute fractures of the carpal scaphoid, through a literature review of the literature. In addition consider whether treatment recommendations population can be extrapolated to amateur athletes and / or professionals.